Emotional, behavioural problems and cigarette smoking in adolescence: findings of a Greek cross-sectional study

Giannakopoulos, George; Tzavara, Chara; Dimitrakaki, Christine; Kolaitis, Gerasimos; Rotsika, Vasiliki; Tountas, Yannis
January 2010
BMC Public Health;2010, Vol. 10, p57
Academic Journal
Background: Although several studies have reported findings concerning the association between smoking and emotional/behavioural problems, little research has investigated this association after controlling for confounding factors which have been found to be significantly correlated with both cigarette smoking and emotional/ behavioural problems and may have a strong effect on the relationship between adolescents' mental health and smoking. The present study attempted to assess the association between adolescents' smoking status and their emotional/behavioural problems after controlling for a number of possible confounders (i.e. age, gender, parental smoking status, exposure to family smoking, family socioeconomic status, adolescents' leisure time) in a Greek nation-wide school-based sample. Methods: Participants completed a questionnaire which retrieved information about age, gender, family socioeconomic status, smoking status, parental smoking, adolescents' leisure time and emotional/behavioural problems. Data were modelled using multiple logistic regression analysis with adolescents' smoking status as the dependent variable. Results: A total of 1194 (i.e. 63% response rate) of self-reported questionnaires (40.1% boys, 59.9% girls; 12-18 years old) were returned. Data from 1030 participants with full data were analyzed. Cigarette smoking was strongly associated with higher levels of emotional/behavioural problems (p < 0.001) and the association was not moderated (OR = 1.13, 95% CI: 1.08-1.18) after controlling for the effects of other covariates. Emotional symptoms, conduct problems and hyperactivity/inattention were all significantly associated with adolescents' current smoking. Conclusions: This study supports the association between smoking and emotional/behavioural problems among adolescents. Addressing adolescents' needs regarding their emotional/behavioural health could be helpful in the development of effective anti-smoking strategies in school environment and elsewhere.


Related Articles

  • Parent's Socioeconomic Status, Adolescents' Disposable Income, and Adolescents' Smoking Status in Massachusetts. Soteriades, Elpidoforos S.; DiFranza, Joseph R. // American Journal of Public Health;Jul2003, Vol. 93 Issue 7, p1155 

    Objectives. This study examined the association between parental socioeconomic status (SES) and adolescent smoking. Methods. We conducted telephone interviews with a probability sample of 1308 Massachusetts adolescents aged 12 to 17 years. We used multiple-variable-adjusted logistic regression...

  • WHY TO SMOKE? WHY NOT TO SMOKE? MAJOR REASONS FOR CHILDREN'S DECISIONS ON WHETHER OR NOT TO SMOKE. Hrubá, Drahoslava; Žaloudíková, Iva // Central European Journal of Public Health;2010, Vol. 18 Issue 4, p202 

    This study, aimed at the primary prevention of smoking behaviour in children and adolescents, attempts to find the main factors that distinguish smokers and non-smokers in the period of their first experimentation with cigarettes. There are only a few studies dealing with investigations into...

  • Residential area deprivation predicts smoking habit independently of individual educational level and occupational social class. A cross sectional study in the Norfolk cohort of the European Investigation into Cancer (EPIC-Norfolk). Shohaimi, S.; Luben, R.; Wareham, N.; Day, N.; Bingham, S.; Welch, A.; Oakes, S.; Khaw, K.-T. // Journal of Epidemiology & Community Health;Apr2003, Vol. 57 Issue 4, p270 

    Objectives: To investigate the independent association between individual and area based measures of socioeconomic status and cigarette smoking habit. Design and setting: Cross sectional, population based study. Participants and methods: 12 579 men and 15 132 women aged 39-79 years living in the...

  • Linking Substance Use and Problem Behavior Across Three Generations. Bailey, Jennifer A.; Hill, Karl G.; Oesterle, Sabrina; Hawkins, J. David // Journal of Abnormal Child Psychology;Jun2006, Vol. 34 Issue 3, p263 

    This study examined patterns of between-generation continuity in substance use from generation 1 (G1) parents to generation 2 (G2) adolescents and from G2 adult substance use and G1 substance use to generation 3 (G3) problem behavior in childhood. Structural equation modeling of prospective,...

  • Independent Nurse: Exposed children are more likely to smoke.  // GP: General Practitioner;8/26/2005, p8 

    The article reports that teenagers are more likely to smoke if they have been subjected to passive smoke as children, a new study has found. Canadian researchers followed 191 children aged between five and 12. At 13 they were asked questions about health and smoking behaviour and took spirometry...

  • Smoke Signals.  // Scholastic Choices;Feb/Mar2007, Vol. 22 Issue 5, p30 

    The article presents some pieces of advice from the readers of the journal for teenagers who smoke.

  • Smoking and conflict.  // Youth Studies Australia;Autumn1994, Vol. 13 Issue 1, p6 

    Reports on the Australian Institute of Family Studies' survey titled `Smokers and their Families.' Examination of the differences between adolescent smokers and non-smokers; Relation between adolescent smoking and parental smoking; Male smokers' frequency of arguments with parents.

  • Killer Smoke.  // Scholastic Choices;Feb2002, Vol. 17 Issue 5, pT2 

    Focuses on the danger of smoking on teenagers in the U.S. Lifetime addiction awaiting the teenage smokers; Unawareness of some adolescents on the health risks of the vice; Responsibility of cigarette companies on the teenagers addicted to smoking.

  • `Kids are getting hooked.'  // U.S. News & World Report;9/26/94, Vol. 117 Issue 12, p24 

    Reports that kids are getting hooked on nicotine in alarming numbers, according to Dr. Paul Torrens of UCLA, chairman of a panel that issued a 306-page report on the consequences of youthful smoking. Panel recommendations to curb smoking by the young; Raising of cigarette tax; Banning of all...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics