Social class and smoking at age 15: the effect of different definitions of smoking

Aim : To explore whether the association between social class and smoking among teenagers varies according to the definition of smoking adopted. Design, setting and participants : A survey of 2196 15-year-olds in 43 secondary schools in the West of Scotland. Measures : Current smoking status and number of cigarettes smoked, and social class based on the occupation of the head of the household. Findings : 'Current smoker' was the only category not significantly differentiated by class; the ratio of smokers from unskilled compared with professional backgrounds rose with increasingly stringent definitions of smoking. Conclusion : The extent to which teenage smoking is patterned by social class depends on the definition of smoking adopted

Gender differences in weight-related concerns in early to mid adolescence

Among adults, women are more likely than men to perceive themselves as too heavy for their height, the gender discrepancy being greatest among those within a "normal" weight range. This finding has been explained in terms of the equation of female beauty with extreme thinness. As the physical changes of puberty are differentiated by gender, with males experiencing increased skeletal and muscle mass but females a gain in fat, this life stage has been seen as key for the development of female body dissatisfaction and associated problems such as lowered self esteem and eating disorders. In this analysis we compare changes in worries about putting on weight and dieting with actual body mass index at ages 11, 13, and 15

Being different: correlates of the experience of teasing and bullying at age 11

The public stereotype, largely supported by a rather diverse range of literature, is that bullied children differ from their peers in respect of attributes such as appearance, disability or school performance. In this paper we explore the characteristics of such victims in a way which is both more comprehensive than previous studies and in addition, considers and accounts for possible inter-relationships between variables. Self-report data on teasing and bullying (found to be strongly inter-related) were obtained from a large, school-based sample of 11 year-olds, with additional descriptions and ratings of the children from their parents, class teachers and nurses. Experience of teasing/bullying did not differ according to race, physical maturity or height, but was more likely among children who were less physically attractive, overweight, had a disability such as a sight, hearing or speech problem, and performed poorly at school. These factors were not only significant regardless of sex and social class, but also independent and thus additive in their effects. Characteristics of appearance, disability or ability which in themselves may be difficult to deal with also increase the likelihood that a child will experience the additional burden of being bullied

Young people's leisure and risk-taking behaviours: changes in gender patterning in the West of Scotland during the 1990s

Until the 1990s, the literature on youth leisure characterized that of females as home-based, passive and largely absent from male-dominated subcultures. Contrasting with this, over the course of the 1990s, evidence emerged of increasing public visibility, reduced restrictions on activities and relatively greater increases in health-risk behaviours among females, together with suggestions of a domestification of leisure among males This paper uses data from two cohorts of 15 year olds in the same geographical area (the West of Scotland), separated by 12 years (1987 and 1999) to examine changes in the gender patterning of young people's leisure, use of public space and risk taking (as represented by substance use) over this time period. Gender differences in 'street-based' (previously more males) and 'conventional/safe' (previously more females) leisure disappeared over this period while male excesses in watching sports and playing computer games increased. At the same time, female levels of drinking and experience of illicit drugs reached, and those of smoking overtook, their male counterparts. Additional analyses showed that changes in leisure activities over time accounted in part for the changing gender patterns in substance use. The paper discusses how greater public visibility and increased risk-taking behaviours among females have resulted from the lifting of constraints of respectability on young women's life- styles. These changes have been rapid and have significance in both social and health terms

Consumerism and well-being in early adolescence

It has been suggested that consumerism is negatively related to well-being in children and adolescents, as well as adults. Few studies have explored whether certain aspects of consumerism have stronger associations with well-being than others, or between-group differences in associations. This article uses data from a sample of early adolescents to examine: levels of consumerism; relationships between different aspects of consumerism and well-being; and differences according to gender, school year group and family affluence. Data were obtained in 2010 via secondary school pupil surveys (N=2934). Consumerism measures comprised number of ‘standard’ and ‘premium’ possessions and four dimensions of consumer involvement; well-being measures comprised self-esteem, psychological distress and anger. There was evidence of high penetration of consumerist values. There were positive associations between number of possessions and anger, and between ‘dissatisfaction’ and poorer well-being, regardless of how measured. ‘Brand awareness’ was associated with positive male well-being, but negative female well-being. Many relationships between consumerism and well-being were stronger than those between family affluence and well-being. These results suggest only certain aspects of consumerism are associated with poorer adolescent well-being. Although, for some sub-groups, other aspects might be associated with better well-being, there was no evidence that modern consumer goods promote happiness

Prevalence of deliberate self harm and attempted suicide within contemporary Goth youth subculture: longitudinal cohort study

<b>Objective</b> To investigate whether deliberate self harm is associated with contemporary Goth youth subculture. <b>Design</b> Longitudinal cohort study. <b>Setting</b> School and community based study of young people living in the Central Clydeside Conurbation, Scotland. <b>Participants</b> 1258 people aged 19, surveyed in 2002-4 and followed-up since age 11 (1994). <b>Main outcome measures</b> Lifetime prevalence of self harm and attempted suicide and their association with Goth youth subculture, before and after adjusting for confounders. <b>Results</b> Identification as belonging to the Goth subculture was strongly associated with lifetime self harm and attempted suicide, with a prevalence of 53% and 47%, respectively among the most highly identified group, and evidence for a dose-response relation. Adjusting for potential confounders did not significantly attenuate this association. Analysis of other youth subcultures showed that this effect was primarily associated with Goth subculture. <b>Conclusions</b> Identification as belonging to the Goth subculture was the best predictor of self harm and attempted suicide. Although based on small numbers, additional longitudinal analysis suggests both selection and modelling mechanisms are involved, selection mechanisms possibly being more likely

Do television and electronic games predict children's psychosocial adjustment? Longitudinal research using the UK Millennium Cohort Study

Background: Screen entertainment for young children has been associated with several aspects of psychosocial adjustment. Most research is from North America and focuses on television. Few longitudinal studies have compared the effects of TV and electronic games, or have investigated gender differences. Purpose: To explore how time watching TV and playing electronic games at age 5 years each predicts change in psychosocial adjustment in a representative sample of 7 year-olds from the UK. Methods: Typical daily hours viewing television and playing electronic games at age 5 years were reported by mothers of 11 014 children from the UK Millennium Cohort Study. Conduct problems, emotional symptoms, peer relationship problems, hyperactivity/inattention and prosocial behaviour were reported by mothers using the Strengths and Difficulties Questionnaire. Change in adjustment from age 5 years to 7 years was regressed on screen exposures; adjusting for family characteristics and functioning, and child characteristics. Results: Watching TV for 3 h or more at 5 years predicted a 0.13 point increase (95% CI 0.03 to 0.24) in conduct problems by 7 years, compared with watching for under an hour, but playing electronic games was not associated with conduct problems. No associations were found between either type of screen time and emotional symptoms, hyperactivity/inattention, peer relationship problems or prosocial behaviour. There was no evidence of gender differences in the effect of screen time. Conclusions: TV but not electronic games predicted a small increase in conduct problems. Screen time did not predict other aspects of psychosocial adjustment. Further work is required to establish causal mechanisms

How robust is the evidence of an emerging or increasing female excess in physical morbidity between childhood and adolescence? Results of a systematic literature review and meta-analyses

For asthma and psychological morbidity, it is well established that higher prevalence among males in childhood is replaced by higher prevalence among females by adolescence. This review investigates whether there is evidence for a similar emerging female ‘excess’ in relation to a broad range of physical morbidity measures. Establishing whether this pattern is generalised or health outcome-specific will further understandings of the aetiology of gender differences in health. Databases (Medline; Embase; CINAHL; PsycINFO; ERIC) were searched for English language studies (published 1992–2010) presenting physical morbidity prevalence data for males and females, for at least two age-bands within the age-range 4–17 years. A three-stage screening process (initial sifting; detailed inspection; extraction of full papers), was followed by study quality appraisals. Of 11 245 identified studies, 41 met the inclusion criteria. Most (n = 31) presented self-report survey data (five longitudinal, 26 cross-sectional); 10 presented routinely collected data (GP/hospital statistics). Extracted data, supplemented by additional data obtained from authors of the included studies, were used to calculate odds ratios of a female excess, or female:male incident rate ratios as appropriate. To test whether these changed with age, the values were logged and regressed on age in random effects meta-regressions. These showed strongest evidence of an emerging/increasing female excess for self-reported measures of headache, abdominal pain, tiredness, migraine and self-assessed health. Type 1 diabetes and epilepsy, based on routinely collected data, did not show a significant emerging/increasing female excess. For most physical morbidity measures reviewed, the evidence broadly points towards an emerging/increasing female excess during the transition to adolescence, although results varied by morbidity measure and study design, and suggest that this may occur at a younger age than previously thought

Causal effects of transitions to adult roles on early adult smoking and drinking: Evidence from three cohorts

Transitions into work and family roles have become increasingly delayed as participation in tertiary education widens. Such transitions may have adverse or beneficial effects on health behaviours such as smoking and drinking (alcohol). Role socialisation effects may reduce smoking or drinking, but clustering of transitions may lead to role overload, weakening or reversing any role socialisation effects. Effects of transitions were examined in three UK cohorts: the 1958 National Child Development Study, the 1970 British Birth Cohort Study, and the West of Scotland: Twenty-07 Youth Cohort (from around Glasgow, growing up in the same time period as the 1970 cohort). Latent class analysis was employed to identify heterogeneous patterns of transition timing for leaving education, entering employment, starting cohabitation, having a first child, and leaving the parental home. Propensity weighting was then used to estimate causal effects of transition patterns (relative to tertiary education) on smoking and heavy drinking in early adulthood (ages 22–26), adjusting for background confounders (gender, parental socioeconomic position, family structure, parental and adolescent health behaviours, adolescent distress and school performance). Three groups made early (age 16) transitions from education to employment and then either delayed other transitions, made other transitions quickly, or staggered transitions with cohabitation beginning around ages 19–21; a fourth group transitioned from education to employment around ages 17–18. Compared to those in tertiary education with similar background characteristics, those in these groups generally had higher levels of smoking, especially where transitions were more clustered, but less heavy drinking (except those who delayed other transitions after moving into employment). Results partially supported role socialisation effects for drinking, and role overload effects for smoking. Wider participation in tertiary education could have helped reduce smoking levels in these cohorts, but might also have increased risk for heavy drinking

Socioeconomic position and early adolescent smoking development: evidence from the British Youth Panel Survey (1994-2008).

Objective Smoking usually develops in adolescence and is patterned by socioeconomic position (SEP). We examined whether early adolescent smoking development and associations with SEP have changed over time in a population with well-developed tobacco control policies. We additionally investigated the relative importance of socioeconomic inequalities at different stages of smoking development. Methods An annual UK rotating panel survey including data from 5122 adolescents (51% male) aged 11-15 years between 1994 and 2008. Rates of smoking initiation, progression to occasional smoking (experimentation), progression to daily smoking (escalation), and quitting were examined using discrete-time event history analysis. Results Initiation, experimentation and escalation rates declined over the study period while quitting rates increased. Decreases in initiation were concentrated among older adolescents and decreases in escalation among those who spent a year or two as occasional smokers. Socioeconomic disadvantage was associated with higher rates of initiation and escalation, with similar findings across SEP measures. Inequalities in initiation were stronger at younger ages. There was less evidence of associations between SEP and quitting or experimentation. Inequalities in escalation remained constant over time, while inequalities in initiation widened before narrowing. Further modelling suggested that differential initiation rates contributed more to inequalities in daily smoking at age 15 than did differential escalation. Conclusions Increasing tobacco control in the UK is associated with reduced uptake and more quitting in early adolescence, but socioeconomic inequalities remain. Interventions should focus on reducing inequalities in initiation among early adolescents