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Influence of movie smoking exposure and team sports participation on established smoking

Adachi-Mejia, AM and Primack, BA and Beach, ML and Titus-Ernstoff, L and Longacre, MR and Weiss, JE and Dalton, MA (2009) Influence of movie smoking exposure and team sports participation on established smoking. Archives of Pediatrics and Adolescent Medicine, 163 (7). 638 - 643. ISSN 1072-4710

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Objective: To examine the joint effects of movie smoking exposure and team sports participation on established smoking. Design: Longitudinal study. Setting: School- and telephone-based surveys in New Hampshire and Vermont between September 1999 through November 1999 and February 2006 through February 2007. Participants: A total of 2048 youths aged 16 to 21 years at follow-up. Main Exposures: Baseline movie smoking exposure categorized in quartiles assessed when respondents were aged 9 to 14 years and team sports participation assessed when respondents were aged 16 to 21 years. Main Outcome Measure: Established smoking (having smoked ≥100 cigarettes in one's lifetime) at follow-up. Results: At follow-up, 353 respondents (17.2%) were established smokers. Exposure to the highest quartile of movie smoking compared with the lowest increased the likelihood of established smoking (odds ratio=1.63; 95% confidence interval, 1.03-2.57), and team sports nonparticipants compared with participants were twice as likely to be established smokers (odds ratio=2.01; 95% confidence interval, 1.47-2.74). The joint effects of movie smoking exposure and team sports participation revealed that at each quartile of movie smoking exposure, the odds of established smoking were greater for team sports nonparticipants than for participants. We saw a dose-response relationship of movie smoking exposure for established smoking only among team sports participants. Conclusions: Team sports participation clearly plays a protective role against established smoking, even in the face of exposure to movie smoking. However, movie smoking exposure increases the risk of established smoking among both team sports participants and nonparticipants. Parents, teachers, coaches, and clinicians should be aware that encouraging team sports participation in tandem with minimizing early exposure to movie smoking may offer the greatest likelihood of preventing youth smoking. ©2009 American Medical Association. All rights reserved.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Adachi-Mejia, AM
Primack, BAbprimack@pitt.eduBPRIMACK
Beach, ML
Titus-Ernstoff, L
Longacre, MR
Weiss, JE
Dalton, MA
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 July 2009
Date Type: Publication
Journal or Publication Title: Archives of Pediatrics and Adolescent Medicine
Volume: 163
Number: 7
Page Range: 638 - 643
DOI or Unique Handle: 10.1001/archpediatrics.2009.59
Schools and Programs: School of Medicine > Medicine
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1072-4710
MeSH Headings: Adolescent; Adolescent Behavior; Child; Effect Modifier, Epidemiologic; Health Behavior; Humans; Imitative Behavior; Longitudinal Studies; Motion Pictures as Topic; Multivariate Analysis; New Hampshire--epidemiology; Questionnaires; Risk Factors; Smoking--epidemiology; Smoking--psychology; Social Conformity; Sports; Vermont--epidemiology; Young Adult
Other ID: NLM NIHMS256345, NLM PMC3006430
PubMed Central ID: PMC3006430
PubMed ID: 19581547
Date Deposited: 28 Jul 2014 17:53
Last Modified: 04 Feb 2019 15:56


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