Sensation-seeking predicts initiation of daily smoking behavior among American Indian high school students

Nichea S. Spillane, Clemma J. Muller, Carolyn Noonan, R. Turner Goins, Christina M. Mitchell, Spero Manson

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Purpose: American Indian (AI) youth have a high risk of smoking initiation. Sensation-seeking, defined as the tendency to seek novel and thrilling experiences, has been associated with smoking initiation in other groups but has never been examined in AI youth. Methods: Data were from the Voices of Indian Teens Project (VOICES), a longitudinal study of AI youth from seven high schools in four AI communities in the western United States. Participants completed annual surveys in school over a three-year period. Our sample comprised 764 students who were non-smokers at baseline. Smoking initiation was defined as endorsement of daily smoking after baseline. We used binary logistic regression to evaluate the association of baseline sensation-seeking with odds of daily smoking initiation, stratified by gender. Results: Participants were 353 males and 411 females aged 13 to 21. years at baseline. After adjusting for covariates, baseline sensation-seeking correlated with smoking initiation differently in males and females. Sensation-seeking did not predict daily smoking in males. Among females, however, higher sensation-seeking scores at baseline predicted daily smoking in both the unadjusted (odds ratio. =. 1.4; 95% CI. =. 1.1-1.8; p=. 0.005) and covariate-adjusted (odds ratio. =. 1.3; 95% CI. =. 1.0-1.6; p=. 0.04) models. Conclusion: Gender-specific prevention programs may be warranted in addressing different risk-factor profiles in this high-risk population.

Original languageEnglish (US)
Pages (from-to)1303-1306
Number of pages4
JournalAddictive Behaviors
Volume37
Issue number12
DOIs
StatePublished - Dec 2012
Externally publishedYes

Bibliographical note

Funding Information:
This work was supported by the National Center for Minority Health and Health Disparities grant P60 MD000507 (S.M. Manson), by the National Institute on Alcohol Abuse and Alcoholism grant R01 AA08474 (SM Manson, PI), and K08 DA029094 awarded to Nichea Spillane. In addition, this work was also supported by the Native Investigator Development Program of the Native Elder Research Center at the University of Colorado and the University of Washington P30 AG/NE15297, a Resource Center for Minority Research program sponsored by the National Institute on Aging (S.M. Manson).

Keywords

  • American Indian
  • Sensation-seeking
  • Smoking initiation

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