Wednesday, October 24, 2007
Exhibit Hall
Cigarette Smoking among Florida's Youth: What are the Contributing Factors?
Kellee M. Williams, BS, Florida Department of Health, Disease Control, Bureau of Epidemiology, kellee_williams@doh.state.fl.us, Youjie Huang, DrPH MD MPH, Youjie_Huang@doh.state.fl.us, Lauren Porter, PhD, lauren_porter@doh.state.fl.us.
Learning Objectives: Recognize the risk factors that contribute to youth smoking in Florida.
Problem/Objective: Chronic cigarette smoking is often established during adolescence, with around 90% of adult smokers beginning before the age of 18. Assessing risk factors that contribute to youth smoking may be useful in the efforts to reduce the overall smoking prevalence. This study aimed to identify risk factors that exist among Florida's youth and determine if these factors vary by grade. Methods: Data from the Florida Youth Tobacco Survey and from the Behavioral Risk Factor Surveillance System were used to determine current smoking prevalence and carry out analysis for this study. A current smoker was defined as having smoked in the past 30 days. The effect of risk factors on current youth smoking was analyzed via survey logistic regression. Results: The highest state smoking prevalence for both youth and adults was seen among white males at 16.1% and 24.9% respectively. The risk factors contributing to youth smoking among all grades were having an adult who smokes in the home (OR 3.42 95% CI 3.01- 3.88), thinking smoking is cool (OR 3.32 95% CI 2.97-3.71), and having seen an anti-smoking TV ad (OR .70 95% CI .61-.79). Adult (age 31-44) smoking prevalence was significant in the absence of other control factors (OR 1.67 95% CI 1.12-2.48). Conclusions: Social attitudes and proximity to smokers are important risk factors to youth smoking. Anti-smoking television ads are shown to be protective against youth smoking. Educating parents on the benefit of smoking cessation for themselves and their children may be useful in preventing smoking.