Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(4):359-370; doi:10.1093/jpepsy/jsi030
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A Comparison of Tobacco-Related Risk Factors Between Adolescents With and Without Cancer
1 Division of Behavioral Medicine and 2 Department of Biostatistics, St. Jude Children’s Research Hospital, 3 Department of Pediatrics, College of Medicine, University of Tennessee, Memphis, 4 University of Memphis, Tennessee
All correspondence should be sent to Vida L. Tyc, PhD, Division of Behavioral Medicine, St. Jude Children’s Research Hospital, 332 North Lauderdale, Memphis, TN 38105–2794. E-mail: vida.tyc{at}stjude.org
Received September 3, 2003; revisions received March 26, 2004; accepted August 2, 2004
Objective To compare adolescents with and without cancer on current smoking status, intentions to smoke, and tobacco-related risk factors. Methods Ninety adolescents undergoing treatment for cancer (median time since diagnosis was 2.4 months) and a comparison sample of 279 adolescents without cancer, ages 12 to 18 years, completed questionnaires that asked about their smoking habits, intentions to smoke, and tobacco-related psychosocial risk factors. Results Approximately 2% of adolescents with cancer and 22% of adolescents without cancer reported current smoking. Compared to nonsmoking adolescents without cancer, nonsmoking adolescents with cancer were one third less likely to report intentions to smoke. No significant interactions were detected between group (having cancer or not) and each of the tobacco-specific and psychosocial variables tested in two separate multivariable models. Intentions to smoke were best predicted by variables most proximal to smoking. Adolescents who smoked in the past and who had lower tobacco knowledge and greater perceived instrumental value were more likely to report intentions to smoke. Adolescents who were less optimistic were also more likely to intend to smoke. Conclusions Tobacco-related risk factors for intentions to smoke appeared to be similar among adolescents with and without cancer. Implications of these findings for tobacco control among adolescents with cancer are discussed.
Key words: smoking; tobacco use; pediatric cancer.
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