This paper evaluated whether a 2-item assessment of alcohol use risk, developed by the National Institute on Alcohol Abuse and Alcoholism (NIAAA SG), prospectively predicted smoking status among a sample of adolescents visiting their primary care physician.
We analyzed a sample of 651 adolescents (57.80% female; 56.53% Hispanic, 22.73% African American, 14.44% White, 6.30% other) who completed the NIAAA SG at a baseline appointment and were assessed for future smoking risk. We obtained prospective data on smoking status using data from the 6-month post-baseline follow-up assessment.
Logistic regression analyses revealed that adolescents who were identified as at risk by the NIAAA SG were more likely to report smoking within 6 months. However, the association between the NIAAA SG and future smoking status became non-significant after controlling for future smoking risk measured at baseline.
Questions that ask about past smoking and future smoking intentions are best used to screen adolescents in primary care for smoking risk.
RAND Corporation, Pittsburgh, PA (WGS); RAND Corporation, Santa Monica, CA (RS, LP, LSM, EJD).
Send correspondence to William G. Shadel, PhD, RAND Corporation, 4570 5th Avenue, Suite 600, Pittsburgh, PA 15213. E-mail: email@example.com.
Received 21 March, 2018
Accepted 10 September, 2018
This research was supported by a grant from the National Institute of Alcohol Abuse and Alcoholism (R01AA021786) to Elizabeth J. D’Amico.
The authors report no conflicts of interest.