TY  - JOUR
T1  - Exposure to smoking depictions in movies: Its association with established adolescent smoking
AU  - Sargent JD, Stoolmiller M, Worth KA, et al
Y1  - 2007/09/01
N1  - 10.1001/archpedi.161.9.849
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 849
EP  - 856
VL  - 161
IS  - 9
N2  - Objective 
    To assess the association between exposure to movie smoking and established adolescent smoking.Design 
    Longitudinal survey of a representative US adolescent sample.Setting 
    Adolescents were surveyed by telephone in their homes.Participants 
    Sixty-five hundred twenty-two US adolescents aged 10 to 14 years at baseline, resurveyed at 8 months (8M) (n = 5503), 16 months (16M) (n = 5019), and 24 months (24M) (n = 4575).Main Exposure 
    Exposure to smoking in 532 box-office hits released in the 5 years prior to the baseline survey.Outcome Measure 
    Established smoking (having smoked more than 100 cigarettes during lifetime).Results 
    Of 108 incident established smokers with data at the 24M survey, 85% were current (30-day smokers) and 83% endorsed at least 1 addiction symptom. Established smoking incidence was 7.4, 15.8, and 19.7 per 1000 person-years of observation for the baseline-to-8M, 8M-to-16M, and 16M-to-24M observation periods, respectively. In a multivariate survival model, risk of established smoking was predicted by baseline exposure to smoking in movies with an adjusted overall hazard ratio of 2.04 (95% confidence interval, 1.01-4.12) for teens in the 95th percentile of movie-smoking exposure compared with the 5th percentile. This effect was independent of age; parent, sibling, or friend smoking; and sensation seeking. Teens low on sensation seeking were more responsive to the movie-smoking effect (hazard ratio, 12.7; 95% confidence interval, 2.0-80.6) compared with teens who were high on sensation seeking (hazard ratio, 1.01; 95% confidence interval, 0.4-2.6).Conclusion 
    In this national US adolescent sample, exposure to smoking in movies predicted risk of becoming an established smoker, an outcome linked with adult dependent smoking and its associated morbidity and mortality.
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.161.9.849
UR  - http://dx.doi.org/10.1001/archpedi.161.9.849
ER  -