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    Recollections and repercussions of the first inhaled cigarette

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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 Research
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Department of Psychiatry
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2004-02-01
    Keywords
    Adolescent
    Dizziness
    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
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    Link to Full Text
    http://dx.doi.org/10.1016/j.addbeh.2003.08.002
    Abstract
    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.2003.08.002
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50886
    PubMed ID
    14732415
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    Link to article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.addbeh.2003.08.002
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