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Another study, however, found no effects of peer disapproval of smoking on transition chay regular smoking between grade 12 and 23 years of age Tucker et al.

In some religions, abstaining from tobacco use is viewed as a of the strength essential for religious piety Bradby Other studies have found that unemployment Haustein and self-reported financial stress in the household Siahpush et al. A growing body of evidence suggests that school smoking restrictions can curb youth smoking behavior, both on and off school premises, when strictly enforced Evans-Whipp et al.

To reflect the findings of researchers during the last decade and a half, the description of etiologic factors differs substantially from the earlier report.

Neighborhood characteristics such as social capital i. For example, in the National Longitudinal Study of Adolescent Health, neighborhood poverty was a risk factor for smoking among White, but not Black, adolescents Nowlin and Colder In addition to school characteristics, increasing attention is being paid stare the role of contextual factors within the school neighborhood.

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The plasticity of the adolescent brain, together with the relatively immature neurobehavioral systems necessary for self-control and affect regulation, confer a heightened vulnerability for the development of smoking behavior Steinberg Instead, it focuses on highlighting information gleaned from research conducted after the report was written. In adolescence, regular use is often marked by a pattern of monthly or weekly use and may include psychological and physical dependence on tobacco Sussman et al.

Analyses of social networks have shown groups to be generally homogeneous in smoking behavior, whether characterized as predominantly smoking or nonsmoking Ennett et al. Summary The large social environment incorporates numerous macrolevel social processes that affect tobacco use by influencing social norms relating to gender role, religion, and culture as well as norms for specific segments of the population, such as those with low SES or modest educational attainment.

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Table 4. According to two studies Chassin et al. In particular, team sports involvement has been linked to lower levels of adolescent cigarette smoking et al. However, direct peer pressure is infrequently documented as a risk factor for smoking Urberg et al.

This suggests generational fluctuations in gender-related norms, but other interpretations are possible. Cross-sectional studies cannot reveal whether youth are influenced to smoke by their friends or whether they choose friends on the basis of their smoking status Bauman and Ennet ; Kobus ; Arnett In one of the only rfee studies of activity involvement using multiple waves of data baseline, 15 months, and 24 monthsMetzger and colleagues examined the relation between involvement in organized activities, problem peer associations, and smoking escalation among a sample of experimenting smokers.

Among girls, chqt in school clubs indirectly reduced smoking behavior via reduced exposure to problem peers.

Small Social Groups The family and peer groups are the two most important small social groups in the development of young people and their use of tobacco. Further, the prevalence of restrictions on smoking in other settings and smokeless tobacco use was lower.

The Carroll County Sheriff's Office reported a student helped identify a sex offender who was preying upon children and posing as a student.

Risk factors increase the probability of smoking initiation and the likelihood of continued use, characterized by increases in frequency and intensity. In a cohort of students assessed five times from grades six to nine, Simons-Morton and colleagues used growth modeling methods to examine relationships between the progression of smoking stahe and affiliation with friends who smoked.

Aside from the selection and socialization processes, external factors may for some similarities in tobacco use among adolescent friends.

Features of the environment that promote smoking include the tolerance of this activity in public spaces; proximity to entertainment, recreation, and social interaction; and locations that are relatively unlikely to be monitored by adults. Tobacco retail outlets located near schools with higher smoking prevalence had ificantly lower cigarettes prices, fewer government-sponsored health warnings, and more in-store tobacco promotions, relative to those located near schools with lower smoking prevalence Lovato et al.

In addition, adolescents who held jobs while going to school were found to have an increased risk of smoking Wu et al. The immediate and long-term health consequences of use have been extensively llake over the past 50 years.

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Some religions have specific prohibitions against tobacco use, while others encourage certain social behaviors to prevent youth from experimenting with substance use and rebellious actions. Eiser and colleagues found that youth between the ages of 11 and 16 years strongly resembled their three matched friends on smoking behavior, background attributes, and a range of other attitudinal and behavioral characteristics. Boys were ificantly more likely than girls to report using other tobacco products—pipes, water pipes, smokeless tobacco, and bidis—in the Americas, Europe, and Southeast Asia, but differences between the genders in the use of other tobacco products were not ificant in other regions.

Strong social norms within these communities may support tobacco use, which can be even more of a problem when these communities, or individuals within them, are relocated to urban environments Hodge and Nandy In Europe, a study of three generations of women residing in Scotland found that those born in the s associated smoking with femininity, but women born in the s and s did not Hunt et al.

Thus, a district may have more stringent or specific policies than the state in which it resides.

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Another approach is to use time-series data to examine the effects of bans on tobacco advertising on the subsequent prevalence of smoking. Adolescents tend to project their own tobacco use behavior onto their friends, thereby spuriously inflating the similarity in tobacco use yeneva adolescents and their friends Sherman et al. The Master Settlement Agreement from severely restricted cigarette and smokeless tobacco advertising in several venues, including billboards and print media, that have substantial youth readership Ruel et al.

In response to increasing evidence about the physical, social, and cultural effects of tobacco use, Islamic leaders have forbidden tobacco use in several countries WHO, Eastern Mediterranean Regional Office Still, survey measures of exposure to tobacco advertising may be inaccurate.

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Notably, peer group influences emerge as powerful motivators of behavior change. Generally, initiation is defined as having ever tried tobacco, experimental use as occasional use, and regular use as an increase in the frequency and quantity of use USDHHS ; Mayhew et al.

heneva Further, individual schools may implement policies beyond those required by the state or district. Youth are also exposed to swx imagery through product placements in movies, television shows, and video games. Sued Diocesan In a young man told the archdiocese that he had been abused for years by Newell from age 15 in Despite some differences in the social images associated with different types of tobacco products e.

Among young adults, college students have a lower prevalence of smoking than their peers who do not attend college.