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Health Education & Behavior
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Adolescents' Perceptions of Smoking and Stress Reduction

Monica B. Scales, PhD

BearingPoint, Atlanta, Georgia, monica.scales{at}gmail.com

Jennifer L. Monahan, PhD

University of Georgia, Athens

Nancy Rhodes, PhD

University of Alabama, Tuscaloosa

David Roskos-Ewoldsen, PhD

University of Alabama, Tuscaloosa

Ashani Johnson-Turbes, PhD

Macro International, Atlanta, Georgia

The present study examined how adolescents perceive the relationship between smoking and stress and where they learn that smoking cigarettes may be an effective stress-reduction mechanism. Eight focus groups were conducted with low-income African American and European American 14- to 16-year-olds in urban and rural locations, in which they suggested that the primary reasons why they smoked—namely, as a coping mechanism (to calm nerves), for social acceptance, and because of environmental influences. Family issues, boyfriend/girlfriend problems, and school were common stressors. Although participants overwhelmingly believed that people smoke to reduce their stress, a few believed that cigarettes do not actually reduce stress. When asked for examples of smoking in popular media, teens predominantly generated examples of individuals smoking to reduce stress. Ethnic and gender differences were found among the types of media in which they had seen smoking, their opinions of anti-smoking messages, and the media's perceived influence.

Key Words: adolescents • smoking • focus groups

This version was published on August 1, 2009

Health Education & Behavior, Vol. 36, No. 4, 746-758 (2009)
DOI: 10.1177/1090198108317628


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