Nicotine dependence symptoms among young never-smokers exposed to secondhand tobacco smoke

Addict Behav. 2008 Dec;33(12):1557-63. doi: 10.1016/j.addbeh.2008.07.011. Epub 2008 Jul 23.


Background: To extend previous observations that secondhand tobacco smoke (SHS) is associated with nicotine markers in children, we investigated if SHS exposure is associated with self-reports of nicotine dependence (ND) symptoms among young never-smokers.

Method: Data on number of persons who smoke inside the home, number of days exposed to SHS in a motor vehicle in the past week, number of parents, siblings, and friends who smoke, and ND symptoms, were collected from 10-12 year-old students in self-report questionnaires. The association between SHS and ND symptoms among young never-smokers was assessed in logistic regression models.

Results: Sixty-nine of 1488 never-smokers (5%) reported one or more ND symptom. After controlling for sibling and peer smoking, and susceptibility to initiating smoking, exposure to SHS in a motor vehicle was independently associated with ND symptoms (OR, 95% CI=1.2, 1.0-1.4). The OR for number of persons who smoke inside the home was 1.1 (0.9-1.4).

Conclusion: SHS exposure in motor vehicles may be associated with ND symptoms among young never-smokers. If replicated, this finding provides support for interventions that promote non-smoking in motor vehicles.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Air Pollution, Indoor / adverse effects
  • Child
  • Female
  • Humans
  • Logistic Models
  • Male
  • Motor Vehicles
  • Parents / psychology
  • Prospective Studies
  • Smoking / adverse effects*
  • Smoking Prevention
  • Students / psychology
  • Surveys and Questionnaires
  • Tobacco Smoke Pollution / adverse effects*
  • Tobacco Use Disorder / complications*


  • Tobacco Smoke Pollution

Grants and funding