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Authors
DiFranza, Joseph R.Savageau, Judith A.
Fletcher, Kenneth E.
Ockene, Judith K.
Rigotti, Nancy A.
McNeill, Ann D.
Coleman, Mardia A.
Wood, Constance
UMass Chan Affiliations
Center for Health Policy and ResearchDepartment of Medicine, Division of Preventive and Behavioral Medicine
Department of Psychiatry
Department of Family Medicine and Community Health
Document Type
Journal ArticlePublication Date
2004-02-01Keywords
AdolescentDizziness
Female
Humans
Male
Massachusetts
*Mental Recall
Nausea
Psychometrics
Relaxation
Retrospective Studies
Risk Factors
Smoking
Tobacco Use Disorder
Life Sciences
Medicine and Health Sciences
Women's Studies
Metadata
Show full item recordAbstract
CONTEXT: It has not been determined if a youth's reaction to the first smoking experience is predictive of future nicotine dependence, or whether the impact of the first cigarette can be altered by manipulating levels of tar, nicotine and menthol. OBJECTIVE: To determine if the recalled response to the first cigarette is predictive of the development of symptoms of nicotine dependence and whether it is influenced by the type of cigarette smoked. DESIGN AND SETTING: A retrospective/prospective longitudinal study of the natural history of nicotine dependence employing individual interviews conducted three times annually in two urban school systems over 3 years. Subjects were asked to recall their first smoking experience. PARTICIPANTS: A cohort of 237 subjects who had inhaled on a cigarette. MAIN OUTCOME MEASURES: Symptoms associated with smoking; the Hooked on Nicotine Checklist of 10 symptoms of dependence. RESULTS: Reactions to the initial smoking experience were unrelated to gender or cigarette brand, strength or mentholation. Relaxation in response to the first inhalation was the strongest predictor of symptoms of nicotine dependence. Dizziness and nausea were also independent predictors of dependence symptoms. CONCLUSIONS: The data suggest that increased sensitivity to nicotine as manifested by relaxation, dizziness, or nausea in response to the first exposure to nicotine represents a risk factor for the development of nicotine dependence.Source
Addict Behav. 2004 Feb;29(2):261-72.
DOI
10.1016/j.addbeh.2003.08.002Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50886PubMed ID
14732415Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.addbeh.2003.08.002