Expectancies and Mental Models as Determinants of Adolescents' Smoking Decisions

Cigarette smoking has been identified as the single most preventable source of mortality and morbidity in the United States. Experimentation with tobacco typically begins in adolescence, and smoking during this period is one of the strongest and most consistent predictors of adult smoking status. In the present paper, we review several prominent decision models that have been applied to adolescent smoking, and point out important limitations of these models. We then propose a new process-oriented framework of decision-making based on the concept of mental models, and discuss the implications of this framework for developing effective smoking prevention and cessation interventions for adolescents.     

Smoking,drinking, and the distribution of adult body weight

This paper contributes to the recent debate on the association between smoking and obesity by distinguishing the effects of smoking, drinking beer and liquor on the distribution of body weight. Using a national survey in the United States, results show that these three behaviors are correlated. Smoking is found to be insignificantly associated with body weight. These findings alleviate some of the concern about smoking cessation and weight gain. In contrast, a positive association is evident between drinking beer and body weight. This positive association is increasing over the entire distribution of body weight.     

Evaluation of Smoking Cessation Classes for the Lesbian,Gay, Bisexual,and Transgender Community

ABSTRACT

This study evaluates the effectiveness of a smoking cessation course tailored to meet the needs of the lesbian, gay, bisexual, and transgender (LGBT) community. Of the 44 individuals who participated, 36 were in attendance in the final class, and 88.9% of those had successfully quit smoking. The study found an increase in importance to having cessation classes in gay-identified contexts, high ratings of the cultural appropriateness of the course content, and decreasing anxiety across the classes. Participants’ assessment of their health shifted differentially based on whether they were successful at quitting.     

Socioeconomic Distinction, Cultural Tastes, and Cigarette Smoking

OBJECTIVES: The inverse relationship between socioeconomic status (SES) and smoking is typically seen in terms of the greater economic and social resources of advantaged groups, but it may also relate to cultural resources. This study aims to test theories of symbolic distinction by examining relationships between smoking and ostensibly unrelated cultural preferences. METHODS: Using the 1993 General Social Survey, ordinal logistic regression models, and a three-category dependent variable (never, former, and current smoker), the analysis estimates relationships of musical likes and dislikes with smoking while controlling for SES and social strain. RESULTS: Preferences for classical music are associated with lower smoking, while preferences for bluegrass, jazz, and heavy metal music are associated with higher smoking. CONCLUSIONS: The results suggest that SES groups may use smoking, like other cultural tastes, to distinguish their lifestyles from those of others.     

Passive Smoking and Health Care: Health Perceptions Myth vs. Health Care Reality

Individuals exhibit systematic tendencies to overstate the risks of unlikely lethal events. If the risks of passive smoking are overstated in this manner, and if passive smoking is not harmful to adult health, then passive smoking by adults should have a discernible effect on subjective evaluations of health status, but no corresponding effect on health. This idea is examined empirically below using data from the National Health Interview Surveys. The empirical results can be summarized as follows. Passive smoking is associated with assessments of significantly poorer health. Poorer health assessments are associated with significantly greater medical resource use. However, direct estimates of the effects of passive smoking on health care use indicate no statistical association whatsoever. These results are consistent with a model whereby individuals systematically overestimate the effects of passive smoking on their health and where the short-term effects of passive smoking on adult health care costs are negligible.     

Racial Difference in the Determinants of Smoking Onset

The large differences in youth smoking behavior across ethnic and racial groups are often overlooked in debates about prevention. This study examines how the determinants of the onset of smoking vary by race and ethnicity. Academic success is strongly associated with lower smoking rates among white youth, but this is not as true for Hispanics and African-Americans. Cultural assimilation may be an important determinant of smoking for Hispanics. Price increases do not appear to reduce smoking onset among white youth, but the results provide some support that higher prices will reduce smoking among Hispanic and African-American youth.     

Assessing Children's Social Skills

Recent years have witnessed the widespread development of interventions aimed at teaching children effective interaction skills. Increasingly, behavioral roleplay tests are being used to evaluate the effectiveness of these interventions. This paper outlines the development and statistical evaluation of a behavioral roleplay test for assessing children's social skills. A test of the measure's validity indicated that there was little relationship between a child's score and his or her peer sociometric ratings. In light of these findings, the methodology by which the test was developed and evaluated is discussed. Possible alterations in the methodology are suggested as well as directions for future research.     

Smoking Restrictions as a Self-Control Mechanism

Using data from Current Population Survey Tobacco Use Supplements spanning 1992–2002, this study shows that smokers who plan to quit smoking are more supportive of regulations than are other smokers. Failed quitters who plan to try again are more supportive of restrictions than are smokers planning to quit for the first time. These findings indicate that many smokers support regulatory restrictions to reduce their costs of quitting by exploiting the discipline offered by regulatory control. From 1992 to 2002, support for smoking restrictions in public areas rose dramatically among both nonsmokers and smokers.JEL Classification: I180, I120, H000     

Behavioral and Cognitive Readiness for School: Cross-domain Associations for Children Attending Head Start

Utilizing a diverse sample of 356 four-year-old children attending Head Start, this study examined the degree to which behavioral aspects of school readiness, including classroom participation, prosocial behavior, and aggression control were related to direct assessments of child cognitive readiness (academic knowledge, executive function skills) at the start of the prekindergarten year. Classroom participation and prosocial behavior each accounted for unique variance in cognitive readiness. Aggressive behavior, in contrast, was not correlated with academic knowledge, and was associated with low levels of executive function skills. In multiple regressions, aggressive behavior paradoxically enhanced the prediction of child cognitive readiness. Profile analyses strengthened the conclusion that the promotion of competencies associated with classroom participation and prosocial behavior may be particularly critical to cognitive readiness in prekindergarten. Implications are discussed for developmental models of school readiness and preschool classroom practice.     

Predictors of Readiness for Mobility Transition in Older Drivers

We administered the Assessment of Readiness for Mobility Transition (ARMT) to 301 older drivers and compared total scores with participant characteristics. Overall, 18% of participants were not attitudinally ready for mobility transition, while 19% were very ready. Notably, participants with hospitalizations in the past year were either very ready for mobility transition (20% vs 14% without hospitalizations) or not ready at all (30% vs 17%). Significant health events may polarize reactions towards mobility transition. Individualizing communication about driving cessation readiness could help address such differing views. To further consider its effectiveness, ARMT could be utilized in mobility transition counseling interventions.     

Evaluating the Impact of Statewide Anti-Tobacco Campaigns: The Massachusetts andCalifornia Tobacco Control Programs

Despite more than 30 years of public health programs to reduce tobacco use, smoking is still the leading preventable cause of death in the United States. In response to this continuing epidemic, voters in California (1988), Massachusetts (1992), Arizona (1994), and Oregon (1996) approved ballot initiatives that established statewide tobacco control programs funded by cigarette excise tax revenues. Evaluating these innovative public health interventions is important, both to improve existing programs and to guide other states in developing and implementing similar interventions. In this paper we describe the methods being used to evaluate the statewide anti-tobacco campaigns in California and Massachusetts, and review the findings of process and outcome evaluations of both programs.
Our review suggests that both programs have had a substantial impact on the public's health by reducing cigarette consumption and stimulating the development of policies to reduce environmental tobacco smoke exposure. However, it does not appear that either program has reduced smoking initiation among adolescents. Our evaluation suggests three problems in program implementation that future anti-tobacco campaigns must avoid in order to produce long-term, sustained effects: (1) the gradual erosion of program funding by the state legislatures and governors; (2) the lack of a consistent, supportive constituency within state government; and (3) inconsistency in campaign themes, messages, and programs. We conclude by offering recommendations to correct these problems so that statewide cigarette-tax-funded anti-tobacco campaigns can realize their potential to become one of the most effective public health interventions available.     

Peer Influence, Images of Smokers, and Beliefs about Smoking among Preadolescent Nonsmokers

The purpose of the current study was to test whether perceived peer influence is related to image of a typical smoker, and whether image of a typical smoker is associated with beliefs about the effects of smoking among preadolescent nonsmokers. Two hundred and ninety‐two preadolescents completed a survey indicating their perceptions of the prevalence and encouragement for smoking among peers, image of a typical smoker, beliefs about the social and physical consequences of smoking, and overall harm caused by smoking. Hypotheses were partially supported. Perceived peer influence was related to image of a typical smoker; image of a typical smoker was related only to the beliefs about harm caused by smoking. Results are discussed in terms of the cognitive mechanisms involved in the process of peer influence.     

Thai Adolescents' Normative Beliefs of the Popularity of Smoking Among Peers,Adults, the Successful and Elite,and Parents

The purpose of this study was to assess the perceptions of Thailand adolescents regarding the prevalence of smoking, the popularity of smoking among successful/elite elements of society, and disapproval of smoking by friends and parents. These perceptions were analyzed in conjunction with actual smoking and smoking susceptibility rates among the subjects to determine whether beliefs and behaviors were associated with each other. This study was conducted among a school‐based sample of 2516 Chiang Mai, Thailand upper secondary and vocational students. Although perceived prevalence of smoking was not associated with smoking outcomes, perceived popularity of smoking among the successful and elite was associated with higher risk, and perceived disapproval by friends/parents was associated with lower risk. Youth smoking programs should consider assessing and taking these social normative factors into account when considering educational intervention strategies that aim to lower adolescent smoking rates.     

The relations between maternal mental state talk and preschoolers’ behavioral adaptation and school readiness: moderation by emotion situation knowledge

This study investigated the extent to which associations between mothers' elaborated talk about mental states and preschoolers’ behavioral adaptation (i.e., social competence and internalizing and externalizing behavior) and school readiness were moderated by emotion situation knowledge. Families (N = 120) were mostly middle‐income and White and 70 of the preschoolers (M = 50.65 months, SD = 6.19) were boys. Results revealed a positive association between elaborated maternal mental state talk and social competence, but only for children average and high in emotion situation knowledge. For children low in emotion situation knowledge, there was a positive association between elaborated maternal mental state talk and internalizing behavior. There also was a negative relation between elaborated maternal mental state talk and school readiness for preschoolers low in emotion situation knowledge. Findings highlight the importance of considering emotion situation knowledge when examining associations between elaborated maternal mental state talk and young children’s social behavioral adaptation and readiness for school.     

失意感对行为倾向的影响作用探讨

本研究按照“社会结构性因素→生活层面的心理因素→失意感→行为倾向”这一关系链,以定量研究方式探讨个体的失意感及其对攻击和沉默两种行为倾向的影响。研究表明,失意感是影响攻击倾向和沉默倾向的关键因素,结构性因素和生活层面的心理因素是否影响行为倾向,关键在于它们是否会转化为失意感,行为倾向中的攻击倾向和沉默倾向是一对源于“不满”的心理同构体。据此结论,本研究认为,攻击倾向构成了攻击行为的心理基础,沉默倾向构成了“社会溃败”的心理基础,而社会阶层结构的“定型化”阻碍了人们的向上社会流动,是造成失意感的社会机制。因此,防范攻击倾向和沉默倾向应从消除人们的失意感着手。     

The Common Factors Model: Its Place in Clinical Practice and Research

The common factors model advances the view that client, relationship, and clinician factors account for a greater proportion of therapeutic change than do specific techniques or types of therapy. In this era of evidence-based practice, in which specific techniques are heavily emphasized, this updated review of the common factors model focuses attention on other components of therapeutic change, including the client's contribution, the therapeutic alliance, and clinician factors. The common factors model has recent and long-standing research support of several kinds. The model affirms many widely used therapeutic practices and has led to the development of several procedures to enhance therapeutic outcomes. This article explores the origins and development of the common factors model; its current research support; and its implications for practice, research, and education.     

Associations among Maternal Behavior,Delay of Gratification,and School Readiness across the Early Childhood Years

This study examined the developmental pathways from maternal behavior to school readiness within a sample of 1007 children, with a specific focus on the mediating role of delay of gratification (DoG). Maternal behavior across the first 36 months of age was explored as a predictor of children's DoG at 54 months as well as their behavioral and academic competence in kindergarten. Results support sensitivity as a predictor of children's DoG and indicate significant associations between DoG and teacher‐reported externalizing behavior, social skills, and academic skills. Moreover, DoG partially mediated the associations between maternal sensitivity and school readiness skills, with the highest percentage of mediation reported for social skills. Findings indicate maternal sensitivity and DoG as potential targets for efforts aimed at enhancing school readiness among young children.