Family influences on the risk of daily smoking initiation



      To examine developmental patterns and family influences on the risk of daily smoking initiation from adolescence to young adulthood.


      A gender-balanced, ethnically diverse urban sample of 808 children aged 10–11 years was surveyed in 1985 and followed prospectively to age 21 in 1996. Discrete-time survival analysis was used to assess the hazard of initiation of daily smoking during this time period, as well as the effects of family factors on the risk of daily smoking initiation.


      Less parental smoking, more strict family monitoring and rules, and stronger family bonding predicted a significantly lower risk of daily smoking initiation controlling for socio-demographic background. The decline in the impact of family bonding over time was marginally significant; however, none of the interactions between family factors and time were significant, indicating generally consistent family influences on daily smoking from age 10 to 21.


      The present findings indicate that parent smoking contributes to the onset of daily smoking in their teenagers even if parents practice good family management, hold norms against teen tobacco use, and do not involve their children in their own tobacco use. Smoking prevention programs should include components focused on parents of adolescents. To reduce risks for daily smoking among adolescents, it is important to encourage parents to stop or reduce their own smoking. In addition, these data indicate that parents can reduce their children’s risk of daily smoking initiation by reducing family conflict, by maintaining strong bonds with their children, by setting clear rules, and by closely monitoring their children’s behaviors.


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        • McGinnis J.M.
        • Foege W.H.
        Actual causes of death in the United States.
        JAMA. 1993; 270: 2207-2212
        • Centers for Disease Control and Prevention
        Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999.
        MMWR Morb Mortal Wkly Rep. 2002; 51: 300-303
      1. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Teen smoking continues to decline in 2003, but declines are slowing [cited 2004 Jun 25]. Available from:

        • Mayhew K.P.
        • Flay B.R.
        • Mott J.A.
        Stages in the development of adolescent smoking.
        Drug Alcohol Depend. 2000; 59: S61-S81
        • Maccoby E.
        The role of parents in the socialization of children.
        Dev Psychol. 1992; 28: 106-117
        • Maccoby E.E.
        • Martin J.A.
        Socialization in the context of the family.
        in: Mussen P. Hetherington E.M. Handbook of Child Psychology, Vol. 4 Socialization, Personality, and Social Development. Wiley, New York, NY1983: 1-102
        • Rutter M.
        Family influences on behavior and development.
        in: McHale J.P. Grolnick W.S. Retrospect and Prospect in the Psychological Study of Families. Lawrence Erlbaum Associates, Mahwah, NJ2002: 321-351
        • Bronfenbrenner U.
        Ecology of the family as a context for human development.
        Dev Psychol. 1986; 22: 723-742
        • Avenevoli S.
        • Merikangas K.R.
        Familial influences on adolescent smoking.
        Addiction. 2003; 98: 1-20
        • Catalano R.F.
        • Hawkins J.D.
        The social development model.
        in: Hawkins J.D. Delinquency and Crime Current Theories. Cambridge University Press, New York, NY1996: 149-197
        • Fleming C.B.
        • Kim H.
        • Harachi T.W.
        • Catalano R.F.
        Family processes for children in early elementary school as predictors of smoking initiation.
        J Adolesc Health. 2002; 30: 184-189
        • Conrad K.M.
        • Flay B.R.
        • Hill D.
        Why children start smoking cigarettes.
        Br J Addict. 1992; 87: 1711-1724
        • Jackson C.
        • Bee-Gates D.J.
        • Henriksen L.
        Authoritative parenting, child competencies, and initiation of cigarette smoking.
        Health Educ Q. 1994; 21: 103-116
        • Biglan A.
        • Duncan T.E.
        • Ary D.V.
        • Smolkowski K.
        Peer and parental influences on adolescent tobacco use.
        J Behav Med. 1995; 18: 315-330
        • Gilman S.E.
        • Abrams D.B.
        • Buka S.L.
        Socioeconomic status over the life course and stages of cigarette use.
        J Epidemiol Community Health. 2003; 57: 802-807
        • Flay B.R.
        • Hu F.B.
        • Richardson J.
        Psychosocial predictors of different stages of cigarette smoking among high school students.
        Prev Med. 1998; 27: A9-A18
        • Tucker J.S.
        • Ellickson P.L.
        • Klein D.J.
        Predictors of the transition to regular smoking during adolescence and young adulthood.
        J Adolesc Health. 2003; 32: 314-324
        • Peterson P.L.
        • Hawkins J.D.
        • Abbott R.D.
        • Catalano R.F.
        Disentangling the effects of parental drinking, family management, and parental alcohol norms on current drinking by black and white adolescents.
        J Res Adolesc. 1994; 42: 203-227
        • Patton G.C.
        • Carlin J.B.
        • Coffey C.
        • et al.
        The course of early smoking.
        Addiction. 1998; 93: 1251-1260
        • Chassin L.
        • Presson C.
        • Sherman S.J.
        • Edwards D.A.
        The natural history of cigarette smoking and young adult social roles.
        J Health Soc Behav. 1992; 33: 328-347
        • Hawkins J.D.
        • Catalano R.F.
        • Kosterman R.
        • et al.
        Preventing adolescent health-risk behaviors by strengthening protection during childhood.
        Arch Pediatr Adolesc Med. 1999; 153: 225-234
        • Guo J.
        • Hill K.G.
        • Hawkins J.D.
        • et al.
        A developmental analysis of sociodemographic, family, and peer effects on adolescent illicit drug initiation.
        J Am Acad Child Adolesc Psychiatry. 2002; 41: 838-845
        • Huang B.
        • Kosterman R.
        • Catalano R.F.
        • et al.
        Modeling mediation in the etiology of violent behavior and adolescence.
        Criminology. 2001; 39: 75-107
        • Schafer J.L.
        Analysis of Incomplete Multivariate Data.
        Chapman and Hall, New York, NY1997
        • Graham J.W.
        • Hofer S.M.
        • Donaldson S.I.
        • et al.
        Analysis with missing data in prevention research.
        in: Bryant K.J. Windle M.T. West S.G. The Science of Prevention Methodological Advances from Alcohol and Substance Abuse Research. American Psychological Association, Washington, DC1997: 325-366
        • SAS Institute Inc
        SAS Online Doc.
        8th edn. SAS Institute, Cary, NC2000
      2. Yuan YC. Multiple imputation for missing data: concepts and new development [cited 2003 May 20]. Available from:

        • Allison P.D.
        Discrete-time methods for the analysis of event histories.
        Sociol Methodol. 1982; 13: 61-98
        • Singer J.D.
        • Willett J.B.
        It’s about time.
        J Educ Stat. 1993; 18: 155-195
        • Johnston L.D.
        • O’Malley P.M.
        • Bachman J.G.
        Monitoring the Future National Survey Results on Drug Use, 1975–2000.
        (Volume I: Secondary School Students (NIH Publication No. 01-4924).) National Institute on Drug Abuse, Bethesda, MD2001
        • McFadden D.
        Conditional logit analysis of qualitative choice behavior.
        in: Zarembka P. Frontiers of Econometrics. Academic Press, New York, NY1973: 105-142
        • Brunswick A.F.
        • Messeri P.
        Causal factors in onset of adolescents’ cigarette smoking.
        Adv Alcohol Subst Abuse. 1984; 3: 35-52
        • Skinner W.F.
        • Massey J.L.
        • Krohn M.D.
        • Lauer R.M.
        Social influences and constraints on the initiation and cessation of adolescent tobacco use.
        J Behav Med. 1985; 8: 353-376
        • Li C.
        • Pentz M.A.
        • Chou C.P.
        Parental substance use as a modifier of adolescent substance use risk.
        Addiction. 2002; 97: 1537-1550