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Influence of Subjective Social Status on the Relationship Between Positive Outcome Expectations and Experimentation with Cigarettes
Abstract Purpose In Texas, Mexican American (MA) adolescents, and in particular boys, are at increased risk for experimenting with cigarettes compared with their black or white counterparts. Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and...
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Published in: | Journal of adolescent health 2009-04, Vol.44 (4), p.342-348 |
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creator | Wilkinson, Anna V., Ph.D Shete, Sanjay, Ph.D Vasudevan, Vandita, M.S Prokhorov, Alexander V., M.D., Ph.D Bondy, Melissa L., Ph.D Spitz, Margaret R., M.D., M.P.H |
description | Abstract Purpose In Texas, Mexican American (MA) adolescents, and in particular boys, are at increased risk for experimenting with cigarettes compared with their black or white counterparts. Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and subjective social status (SSS), that is, the adolescents' subjective views of where they lie in the school-based social hierarchy, are independent predictors of smoking. The goal of this study was to test the hypothesis that SSS moderates the relationship between POE and experimentation with cigarettes. Methods Moderating effects of SSS were examined using a between-subjects, 2 × 2 analysis of variance and unconditional logistic regression analyses. Using a prospective study design, we followed 1142 MA adolescents aged 11–13 years. Participants completed a baseline survey at home, which assessed POE, SSS, and smoking and were followed via telephone at 6-month intervals over a 12-month period to assess changes in smoking behavior. Results At follow-up, there were 99 new experimenters. Consistent with our hypothesis, adolescents who reported moderate–low SSS and who held POE at baseline were more likely to have experimented with cigarettes at either follow-up evaluation than their peers with moderate–low SSS who held less POE (odds ratio [OR], 1.92, 95% confidence interval [95% CI], 1.02–3.58). There was no association between outcome expectations and experimenting among adolescents with high SSS (OR, 1.79, CI, .73–4.36). Low SSS boys were more likely to experiment than girls and high SSS boys. Conclusions The results of this study indicate that adolescents with moderate–low SSS hold different outcome expectations about smoking than their higher SSS peers. The results underscore the possibility that moderate–low SSS adolescents view behaviors such as smoking as a way to achieve higher SSS and thereby increase their peer social standing. Our results suggest that, in addition to tailoring intervention efforts by gender, placing adolescents of similar social standing to one another within the school into intervention groups that are led by a peer-nominated peer may increase the overall effectiveness of these peer-led prevention efforts. |
doi_str_mv | 10.1016/j.jadohealth.2008.08.003 |
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Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and subjective social status (SSS), that is, the adolescents' subjective views of where they lie in the school-based social hierarchy, are independent predictors of smoking. The goal of this study was to test the hypothesis that SSS moderates the relationship between POE and experimentation with cigarettes. Methods Moderating effects of SSS were examined using a between-subjects, 2 × 2 analysis of variance and unconditional logistic regression analyses. Using a prospective study design, we followed 1142 MA adolescents aged 11–13 years. Participants completed a baseline survey at home, which assessed POE, SSS, and smoking and were followed via telephone at 6-month intervals over a 12-month period to assess changes in smoking behavior. Results At follow-up, there were 99 new experimenters. Consistent with our hypothesis, adolescents who reported moderate–low SSS and who held POE at baseline were more likely to have experimented with cigarettes at either follow-up evaluation than their peers with moderate–low SSS who held less POE (odds ratio [OR], 1.92, 95% confidence interval [95% CI], 1.02–3.58). There was no association between outcome expectations and experimenting among adolescents with high SSS (OR, 1.79, CI, .73–4.36). Low SSS boys were more likely to experiment than girls and high SSS boys. Conclusions The results of this study indicate that adolescents with moderate–low SSS hold different outcome expectations about smoking than their higher SSS peers. The results underscore the possibility that moderate–low SSS adolescents view behaviors such as smoking as a way to achieve higher SSS and thereby increase their peer social standing. Our results suggest that, in addition to tailoring intervention efforts by gender, placing adolescents of similar social standing to one another within the school into intervention groups that are led by a peer-nominated peer may increase the overall effectiveness of these peer-led prevention efforts.</description><identifier>ISSN: 1054-139X</identifier><identifier>EISSN: 1879-1972</identifier><identifier>DOI: 10.1016/j.jadohealth.2008.08.003</identifier><identifier>PMID: 19306792</identifier><identifier>CODEN: JAHCD9</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Addictive behaviors ; Adolescent ; Adolescent Behavior ; Adolescents ; Adult and adolescent clinical studies ; Attitudes ; Biological and medical sciences ; Child ; Confidence intervals ; Female ; Health Surveys ; Humans ; Male ; Medical sciences ; Mexican American ; Mexican Americans ; Outcome expectations ; Pediatrics ; Peer Group ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Smoking ; Smoking - epidemiology ; Smoking - psychology ; Smoking experimentation ; Social Perception ; Social status ; Subjective social status ; Texas - epidemiology ; Tobacco smoking ; Tobacco, tobacco smoking ; Toxicology</subject><ispartof>Journal of adolescent health, 2009-04, Vol.44 (4), p.342-348</ispartof><rights>Society for Adolescent Medicine</rights><rights>2009 Society for Adolescent Medicine</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5093-cb004f604693f8e55cc3283bb04826d186a20f1dd6aaac467440f3088fa780253</citedby><cites>FETCH-LOGICAL-c5093-cb004f604693f8e55cc3283bb04826d186a20f1dd6aaac467440f3088fa780253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958,31035</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21304582$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19306792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilkinson, Anna V., Ph.D</creatorcontrib><creatorcontrib>Shete, Sanjay, Ph.D</creatorcontrib><creatorcontrib>Vasudevan, Vandita, M.S</creatorcontrib><creatorcontrib>Prokhorov, Alexander V., M.D., Ph.D</creatorcontrib><creatorcontrib>Bondy, Melissa L., Ph.D</creatorcontrib><creatorcontrib>Spitz, Margaret R., M.D., M.P.H</creatorcontrib><title>Influence of Subjective Social Status on the Relationship Between Positive Outcome Expectations and Experimentation with Cigarettes</title><title>Journal of adolescent health</title><addtitle>J Adolesc Health</addtitle><description>Abstract Purpose In Texas, Mexican American (MA) adolescents, and in particular boys, are at increased risk for experimenting with cigarettes compared with their black or white counterparts. Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and subjective social status (SSS), that is, the adolescents' subjective views of where they lie in the school-based social hierarchy, are independent predictors of smoking. The goal of this study was to test the hypothesis that SSS moderates the relationship between POE and experimentation with cigarettes. Methods Moderating effects of SSS were examined using a between-subjects, 2 × 2 analysis of variance and unconditional logistic regression analyses. Using a prospective study design, we followed 1142 MA adolescents aged 11–13 years. Participants completed a baseline survey at home, which assessed POE, SSS, and smoking and were followed via telephone at 6-month intervals over a 12-month period to assess changes in smoking behavior. Results At follow-up, there were 99 new experimenters. Consistent with our hypothesis, adolescents who reported moderate–low SSS and who held POE at baseline were more likely to have experimented with cigarettes at either follow-up evaluation than their peers with moderate–low SSS who held less POE (odds ratio [OR], 1.92, 95% confidence interval [95% CI], 1.02–3.58). There was no association between outcome expectations and experimenting among adolescents with high SSS (OR, 1.79, CI, .73–4.36). Low SSS boys were more likely to experiment than girls and high SSS boys. Conclusions The results of this study indicate that adolescents with moderate–low SSS hold different outcome expectations about smoking than their higher SSS peers. The results underscore the possibility that moderate–low SSS adolescents view behaviors such as smoking as a way to achieve higher SSS and thereby increase their peer social standing. Our results suggest that, in addition to tailoring intervention efforts by gender, placing adolescents of similar social standing to one another within the school into intervention groups that are led by a peer-nominated peer may increase the overall effectiveness of these peer-led prevention efforts.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Attitudes</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mexican American</subject><subject>Mexican Americans</subject><subject>Outcome expectations</subject><subject>Pediatrics</subject><subject>Peer Group</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Smoking - psychology</subject><subject>Smoking experimentation</subject><subject>Social Perception</subject><subject>Social status</subject><subject>Subjective social status</subject><subject>Texas - epidemiology</subject><subject>Tobacco smoking</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><issn>1054-139X</issn><issn>1879-1972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNks1u1DAUhSMEoqXwCsgbYDXDdZwfe1OJjkqpVKmIAYmd5XFuGoeMPbWdKV33xXE6oxZYICRLjuzvnJzk3CwjFOYUaPW-n_eqcR2qIXbzHIDPpwXsSXZIeS1mVNT50_QMZTGjTHw_yF6E0EOSVhSeZwdUMKhqkR9md-e2HUa0GolryXJc9aij2SJZOm3UQJZRxTEQZ0nskHzBQUXjbOjMhpxgvEG05LML5l5yOUbt1khOf26SyQ4kyjb3B96s0e4OyY2JHVmYK-UxRgwvs2etGgK-2u9H2bePp18Xn2YXl2fniw8XM12CYDO9AijaCopKsJZjWWrNcs5WKyh4XjWUVyqHljZNpZTSRVUXBbQMOG9VzSEv2VF2vPPdjKs1Njrl8WqQmxRN-VvplJF_3ljTySu3lXkNpShFMni3N_DuesQQ5doEjcOgLLoxSEGFqGld1Yl8-0-ySo40p1MmvgO1dyF4bB_iUJBT17KXj13LqWs5LWBJ-vr3z3kU7stNwJs9oIJWQ-uV1SY8cDllUJR84k52HKafvzXoZdBmGonG-FSkbJz5nzTHf5nowViT3vsDbzH0bvQ2lSupDLkEuZxmcxpN4EldFIz9AoK65Pc</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Wilkinson, Anna V., Ph.D</creator><creator>Shete, Sanjay, Ph.D</creator><creator>Vasudevan, Vandita, M.S</creator><creator>Prokhorov, Alexander V., M.D., Ph.D</creator><creator>Bondy, Melissa L., Ph.D</creator><creator>Spitz, Margaret R., M.D., M.P.H</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>200904</creationdate><title>Influence of Subjective Social Status on the Relationship Between Positive Outcome Expectations and Experimentation with Cigarettes</title><author>Wilkinson, Anna V., Ph.D ; Shete, Sanjay, Ph.D ; Vasudevan, Vandita, M.S ; Prokhorov, Alexander V., M.D., Ph.D ; Bondy, Melissa L., Ph.D ; Spitz, Margaret R., M.D., M.P.H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5093-cb004f604693f8e55cc3283bb04826d186a20f1dd6aaac467440f3088fa780253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>Adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>Attitudes</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mexican American</topic><topic>Mexican Americans</topic><topic>Outcome expectations</topic><topic>Pediatrics</topic><topic>Peer Group</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Smoking</topic><topic>Smoking - epidemiology</topic><topic>Smoking - psychology</topic><topic>Smoking experimentation</topic><topic>Social Perception</topic><topic>Social status</topic><topic>Subjective social status</topic><topic>Texas - epidemiology</topic><topic>Tobacco smoking</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilkinson, Anna V., Ph.D</creatorcontrib><creatorcontrib>Shete, Sanjay, Ph.D</creatorcontrib><creatorcontrib>Vasudevan, Vandita, M.S</creatorcontrib><creatorcontrib>Prokhorov, Alexander V., M.D., Ph.D</creatorcontrib><creatorcontrib>Bondy, Melissa L., Ph.D</creatorcontrib><creatorcontrib>Spitz, Margaret R., M.D., M.P.H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilkinson, Anna V., Ph.D</au><au>Shete, Sanjay, Ph.D</au><au>Vasudevan, Vandita, M.S</au><au>Prokhorov, Alexander V., M.D., Ph.D</au><au>Bondy, Melissa L., Ph.D</au><au>Spitz, Margaret R., M.D., M.P.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Subjective Social Status on the Relationship Between Positive Outcome Expectations and Experimentation with Cigarettes</atitle><jtitle>Journal of adolescent health</jtitle><addtitle>J Adolesc Health</addtitle><date>2009-04</date><risdate>2009</risdate><volume>44</volume><issue>4</issue><spage>342</spage><epage>348</epage><pages>342-348</pages><issn>1054-139X</issn><eissn>1879-1972</eissn><coden>JAHCD9</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Abstract Purpose In Texas, Mexican American (MA) adolescents, and in particular boys, are at increased risk for experimenting with cigarettes compared with their black or white counterparts. Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and subjective social status (SSS), that is, the adolescents' subjective views of where they lie in the school-based social hierarchy, are independent predictors of smoking. The goal of this study was to test the hypothesis that SSS moderates the relationship between POE and experimentation with cigarettes. Methods Moderating effects of SSS were examined using a between-subjects, 2 × 2 analysis of variance and unconditional logistic regression analyses. Using a prospective study design, we followed 1142 MA adolescents aged 11–13 years. Participants completed a baseline survey at home, which assessed POE, SSS, and smoking and were followed via telephone at 6-month intervals over a 12-month period to assess changes in smoking behavior. Results At follow-up, there were 99 new experimenters. Consistent with our hypothesis, adolescents who reported moderate–low SSS and who held POE at baseline were more likely to have experimented with cigarettes at either follow-up evaluation than their peers with moderate–low SSS who held less POE (odds ratio [OR], 1.92, 95% confidence interval [95% CI], 1.02–3.58). There was no association between outcome expectations and experimenting among adolescents with high SSS (OR, 1.79, CI, .73–4.36). Low SSS boys were more likely to experiment than girls and high SSS boys. Conclusions The results of this study indicate that adolescents with moderate–low SSS hold different outcome expectations about smoking than their higher SSS peers. The results underscore the possibility that moderate–low SSS adolescents view behaviors such as smoking as a way to achieve higher SSS and thereby increase their peer social standing. Our results suggest that, in addition to tailoring intervention efforts by gender, placing adolescents of similar social standing to one another within the school into intervention groups that are led by a peer-nominated peer may increase the overall effectiveness of these peer-led prevention efforts.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19306792</pmid><doi>10.1016/j.jadohealth.2008.08.003</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Addictive behaviors Adolescent Adolescent Behavior Adolescents Adult and adolescent clinical studies Attitudes Biological and medical sciences Child Confidence intervals Female Health Surveys Humans Male Medical sciences Mexican American Mexican Americans Outcome expectations Pediatrics Peer Group Prospective Studies Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Smoking Smoking - epidemiology Smoking - psychology Smoking experimentation Social Perception Social status Subjective social status Texas - epidemiology Tobacco smoking Tobacco, tobacco smoking Toxicology |
title | Influence of Subjective Social Status on the Relationship Between Positive Outcome Expectations and Experimentation with Cigarettes |
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