Positive Outcome Expectations and Tobacco Product Use Behaviors in Youth. (3rd July 2018)

• Record Type: Journal Article
• Authors: Creamer, MeLisa R.; Delk, Joanne; Case, Kathleen; Perry, Cheryl L.; Harrell, Melissa B.
• Is Part Of: Substance use & misuse. Volume 53:Number 8(2018)
• Page Start: 1399
• Page End: 1402
• Publication Date: 2018-07-03
• Subjects: Adolescence -- adolescent health -- social cognitive theory -- smoking and tobacco use -- tobacco control and policy; Narcotic habit -- Periodicals; Alcoholism -- Periodicals; Substance abuse -- Periodicals; Behavior, Addictive -- Periodicals; Sustance-Related Disorders -- Periodicals; 362.2905
• DOI: 10.1080/10826084.2017.1404104
• Languages: English
• ISSNs: 1082-6084

Abstract

ABSTRACT: Background : Outcome expectations are an important determinant of health behavior, according to Social Cognitive Theory; yet recent literature has not examined the relationship between outcome expectations and tobacco product use (e.g., use of cigarettes, cigars, hookah, e-cigarettes, or smokeless tobacco). Objectives : This study examines if outcome expectations at baseline, among an adolescent cohort of never users of tobacco products, predicts tobacco product use (i.e., cigarettes, hookah, e-cigarette, cigar, or smokeless tobacco) or susceptibility to use at 6-month follow-up. Methods : Data are from the first two waves of a Texas cohort study of urban middle school and high school students, which were collected in 2014–2015. Logistic regression analyses were used; these adjusted for socio-demographic variables. Analyses were limited to never users of any tobacco product at baseline ( n = 1999, N = 357, 035). Results : Outcome expectations related to stress relief predicted ever use of (AOR: 4.21, 95% CI 1.84–9.60) and susceptibility (AOR: 2.97, 95% CI 1.01–8.70) to tobacco products. Additional outcome expectations (e.g., relaxation, concentration, slimness, etc.) were not associated with ever use or susceptibility. Conclusions / Importance : This study extends the literature regarding outcome expectations among adolescents regarding tobacco products. It is important that interventions offer alternative solutions to stress relief that do not include tobacco products.