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The influence of depressive symptoms on experimental smoking and intention to smoke in a diverse youth sample

Elahe Nezami


Numerous studies have shown associations between smoking and depression, but
the generalizability of the relationship across ethnic groups remains
unknown. This study assessed the association between depression and smoking
intention and experimentation among adolescents from four ethnic groups in
the Los Angeles area—White, Latino/Hispanic, Chinese/Chinese American, and
Persian/Iranian. Over 800 seventh graders in the Los Angeles area completed
measures of depressive symptoms, experimentation with smoking, intention to
smoke, and sociodemographic covariates. Chinese/Chinese American students
had the lowest levels of depressive symptoms, while Latinos/Hispanics had
the highest levels of depressive symptoms. Latinos/Hispanics were also most
likely to intend to smoke in the next year, and were the most likely to have
started experimenting with cigarette smoking. Depressive symptoms were
significantly associated with intention to smoke even after controlling for
language use acculturation, socioeconomic status (SES), gender and
ethnicity. The association between depressive symptoms and intention to
smoke did not vary significantly across ethnic groups. These results
indicate that the association between depressive symptoms and adolescent
smoking generalizes across diverse ethnic groups.