Social relationships and subsequent health‐related behaviours: linkages between adolescent peer status and levels of adult smoking in a S tockholm cohort
Abstract
Aims: Peer status reflects the extent to which an individual is accepted by the group. Some studies have reported that low peer status in adolescence is associated with a higher risk of smoking, while others found the reverse. No studies have investigated peer status influences on adult smoking. The aim of the study was therefore to examine the relationship between adolescents' peer status and the intensity of smoking in adulthood. Design: Prospective cohort study. Setting: S tockholm, S weden. Participants: A subsample (n = 2329) of the cohort with information about adult smoking. Measurements: Peer status was assessed sociometrically at age 13 and information on smoking was gathered through a questionnaire at age 32. Relative risks (RR) for self‐reported level of smoking were calculated using multinomial logistic regression. Several family‐related and individual variables were included as control variables. Findings: Lower peer status in adolescence was associated with smoking of any intensity in adulthood. For example, the risk of heavy smoking was more than threefold (RR = 3.67) among individuals in the lowest status positions. The association with occasional smoking was abolished by controlling for factors related to adolescents' attitude to school and cognitive ability. For regular and heavy smoking the relationship was attenuated by controlling for these factors. Conclusions: Low peer status in adolescence appears to be a risk factor for smoking in adulthood. Part of this association may be explained by adolescents' feelings towards school and cognitive ability. However, being unpopular in adolescence remains a strong risk factor for regular and heavy smoking in adulthood.
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Adolescents' peer experiences are prospectively associated with educational outcomes, mental health symptoms, addictive behaviors, and physical health morbidity and mortality decades later.
“Prior research suggests that adolescents’ peer experiences are prospectively associated with educational outcomes, mental health symptoms, addictive behaviors, and even physical health morbidity and mortality decades later (Allen et al. 2014; Almquist 2009; Almquist and Östberg 2013; Menting et al. 2016; Modin et al. 2011; Moffitt 1993).”
From Transformation of Adolescent Peer Relations in the Social Media Context: Part 1—A Theoretical Framework and Application to Dyadic Peer Relationships (2018) · cites this paper as Almquist and Östberg 2013
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- Authors
- Almquist, Y. B., & Östberg, V.
- Affiliations
- Stockholm University (SE)
- Corresponding author
- Almquist, Ylva B.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2012-11-20
- Volume
- 108
- Issue
- 3
- Pages
- 629-637
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1898972107
- Cited by
- 17
- References
- 28
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 3 · 2019: 3 · 2018: 5 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- social acceptance, adult smoking, heavy smoking, occasional smoking, interpersonal relationships, sociometric status, attitudes toward school, cognitive ability, smoking risk factors
- MeSH terms
- Adolescent, Adult, Family Relations, Female, Humans, Longitudinal Studies, Male, Parents, Peer Group, Prospective Studies, Smoking, Social Class, Sweden, Health Behavior, Sex Distribution, Risk Assessment
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