Predictors of smoking cessation in U.S. adolescents

Am J Prev Med. 1999 Apr;16(3):202-7. doi: 10.1016/s0749-3797(98)00157-3.


Objective: To identify factors that predict quitting among adolescent smokers.

Methods: Adolescent smokers aged 12-19 years (N = 633) from the national Teenage Attitudes and Practices Survey I (1989), were followed up in the Teenage Attitudes and Practices Survey II (1993). Multiple logistic regression was applied to identify the predictors of quitting.

Results: A total of 15.6% of adolescent smokers had quit smoking at the follow-up survey four years later. There was no significant difference in the quit rate by age, gender, or ethnicity. Five baseline factors were identified in a multivariate analysis as significant predictors of quitting: frequency of smoking, length of past quit attempts, self-estimation of likelihood of continuing smoking, mother's smoking status, and depressive symptoms. The more risk factors the adolescents had, the less likely they would succeed in quitting.

Conclusions: Quitting smoking by adolescents is influenced by multiple biological, behavioral, and psychosocial variables. Identifying these variables can help tailor cessation programs to more effectively help adolescents quit smoking.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Analysis of Variance
  • Child
  • Data Collection
  • Female
  • Follow-Up Studies
  • Health Education / methods
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Incidence
  • Logistic Models
  • Male
  • Predictive Value of Tests
  • Risk Factors
  • Sex Distribution
  • Smoking Cessation / statistics & numerical data*
  • United States / epidemiology