Cumulative psychosocial risks, internal asse, and past 30-day tobacco use among middle and high school students: The promise of internal assets

Myriam Forster, Gower L. Amy, Eunice M Areba, Barbara J McMorris

Research output: Contribution to journalArticle

Abstract

Introduction: Research has demonstrated a robust relationship between psychosocial risk factors (e.g., perceptions of health risk, peer and parent influences, and school climate) and adolescent tobacco use. However, whether internal assets (IAs), factors that promote healthy youth development, can mitigate the adverse effects of psychosocial risks on tobacco use has not been well researched. Method: Using a population-based sample of middle and high school students (N = 112,364), multilevel logistic and negative binomial regression models estimated the direct effects of cumulative psychosocial risks and IAs on student tobacco use (e.g., combustible, non-combustible, alternative delivery systems) and assessed whether IAs moderated the relationship between psychosocial risks and tobacco use. Results: Results indicate that every additional psychosocial risk factor was associated with an estimated 100% (AOR: 2.04, 95% CI: 1.88–2.22) to 57% (AOR: 1.57, 95% CI: 1.52–1.62) increase in the odds of using tobacco and a 60% increase in the estimated number of products used. IAs were inversely associated with tobacco use and attenuated the association between cumulative psychosocial risks and use. Among students experiencing all five psychosocial risks, boys had an estimated 20% reduction, and girls an estimated 50% reduction, in the probability of tobacco use at the highest mean scores of IAs. Conclusion: Universal, school-based prevention programs will benefit from identifying and targeting a set of shared risk and protective factors for tobacco use. Bolstering resilience by facilitating students’ IAs represents a promising direction for youth focused prevention efforts.

LanguageEnglish (US)
Pages240-247
Number of pages8
JournalAddictive Behaviors
Volume89
DOIs
StatePublished - Feb 1 2019

Fingerprint

Tobacco
Tobacco Use
Students
Psychology
Statistical Models
Climate
Health risks
Logistics
Association reactions
Health
Research
Population

PubMed: MeSH publication types

  • Journal Article

Cite this

@article{9dc0eb7c9e264822806c37e391725d74,
title = "Cumulative psychosocial risks, internal asse, and past 30-day tobacco use among middle and high school students: The promise of internal assets",
abstract = "Introduction: Research has demonstrated a robust relationship between psychosocial risk factors (e.g., perceptions of health risk, peer and parent influences, and school climate) and adolescent tobacco use. However, whether internal assets (IAs), factors that promote healthy youth development, can mitigate the adverse effects of psychosocial risks on tobacco use has not been well researched. Method: Using a population-based sample of middle and high school students (N = 112,364), multilevel logistic and negative binomial regression models estimated the direct effects of cumulative psychosocial risks and IAs on student tobacco use (e.g., combustible, non-combustible, alternative delivery systems) and assessed whether IAs moderated the relationship between psychosocial risks and tobacco use. Results: Results indicate that every additional psychosocial risk factor was associated with an estimated 100{\%} (AOR: 2.04, 95{\%} CI: 1.88–2.22) to 57{\%} (AOR: 1.57, 95{\%} CI: 1.52–1.62) increase in the odds of using tobacco and a 60{\%} increase in the estimated number of products used. IAs were inversely associated with tobacco use and attenuated the association between cumulative psychosocial risks and use. Among students experiencing all five psychosocial risks, boys had an estimated 20{\%} reduction, and girls an estimated 50{\%} reduction, in the probability of tobacco use at the highest mean scores of IAs. Conclusion: Universal, school-based prevention programs will benefit from identifying and targeting a set of shared risk and protective factors for tobacco use. Bolstering resilience by facilitating students’ IAs represents a promising direction for youth focused prevention efforts.",
author = "Myriam Forster and Amy, {Gower L.} and Areba, {Eunice M} and McMorris, {Barbara J}",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.addbeh.2018.10.014",
language = "English (US)",
volume = "89",
pages = "240--247",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Cumulative psychosocial risks, internal asse, and past 30-day tobacco use among middle and high school students

T2 - Addictive Behaviors

AU - Forster, Myriam

AU - Amy, Gower L.

AU - Areba, Eunice M

AU - McMorris, Barbara J

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Introduction: Research has demonstrated a robust relationship between psychosocial risk factors (e.g., perceptions of health risk, peer and parent influences, and school climate) and adolescent tobacco use. However, whether internal assets (IAs), factors that promote healthy youth development, can mitigate the adverse effects of psychosocial risks on tobacco use has not been well researched. Method: Using a population-based sample of middle and high school students (N = 112,364), multilevel logistic and negative binomial regression models estimated the direct effects of cumulative psychosocial risks and IAs on student tobacco use (e.g., combustible, non-combustible, alternative delivery systems) and assessed whether IAs moderated the relationship between psychosocial risks and tobacco use. Results: Results indicate that every additional psychosocial risk factor was associated with an estimated 100% (AOR: 2.04, 95% CI: 1.88–2.22) to 57% (AOR: 1.57, 95% CI: 1.52–1.62) increase in the odds of using tobacco and a 60% increase in the estimated number of products used. IAs were inversely associated with tobacco use and attenuated the association between cumulative psychosocial risks and use. Among students experiencing all five psychosocial risks, boys had an estimated 20% reduction, and girls an estimated 50% reduction, in the probability of tobacco use at the highest mean scores of IAs. Conclusion: Universal, school-based prevention programs will benefit from identifying and targeting a set of shared risk and protective factors for tobacco use. Bolstering resilience by facilitating students’ IAs represents a promising direction for youth focused prevention efforts.

AB - Introduction: Research has demonstrated a robust relationship between psychosocial risk factors (e.g., perceptions of health risk, peer and parent influences, and school climate) and adolescent tobacco use. However, whether internal assets (IAs), factors that promote healthy youth development, can mitigate the adverse effects of psychosocial risks on tobacco use has not been well researched. Method: Using a population-based sample of middle and high school students (N = 112,364), multilevel logistic and negative binomial regression models estimated the direct effects of cumulative psychosocial risks and IAs on student tobacco use (e.g., combustible, non-combustible, alternative delivery systems) and assessed whether IAs moderated the relationship between psychosocial risks and tobacco use. Results: Results indicate that every additional psychosocial risk factor was associated with an estimated 100% (AOR: 2.04, 95% CI: 1.88–2.22) to 57% (AOR: 1.57, 95% CI: 1.52–1.62) increase in the odds of using tobacco and a 60% increase in the estimated number of products used. IAs were inversely associated with tobacco use and attenuated the association between cumulative psychosocial risks and use. Among students experiencing all five psychosocial risks, boys had an estimated 20% reduction, and girls an estimated 50% reduction, in the probability of tobacco use at the highest mean scores of IAs. Conclusion: Universal, school-based prevention programs will benefit from identifying and targeting a set of shared risk and protective factors for tobacco use. Bolstering resilience by facilitating students’ IAs represents a promising direction for youth focused prevention efforts.

UR - http://www.scopus.com/inward/record.url?scp=85054884936&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054884936&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2018.10.014

DO - 10.1016/j.addbeh.2018.10.014

M3 - Article

VL - 89

SP - 240

EP - 247

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

ER -