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Predicting Cigarette Use Among Hawai`i Adolescents

National Center for Indigenous Hawaiian Behavioral Health (NCIHBH; formerly the Native Hawaiian Mental Health Research Development Program [NHMHRDP]), Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa, elsei{at}dop.hawaii.edu, Asian Pacific Islander Youth Violence Prevention Center, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa, Alcohol Research Center of Hawai'i, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa

Earl S. Hishinuma

Asian Pacific Islander Youth Violence Prevention Center, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa, hishinumae{at}dop.hawaii.edu

Deborah A. Goebert

Alcohol Research Center of Hawai'i, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa, goebertd{at}dop.hawaii.edu, Asian Pacific Islander Youth Violence Prevention Center, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa

Stephanie T. Nishimura

Alcohol Research Center of Hawai'i, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa, nishimuras{at}dop.hawaii.edu, Asian Pacific Islander Youth Violence Prevention Center, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa

Suzanne Baker

National Center for Indigenous Hawaiian Behavioral Health (NCIHBH; formerly the Native Hawaiian Mental Health Research Development Program [NHMHRDP]), Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mnoa

The aim of the study was to determine rates and correlates and to predict cigarette use for Hawaiian and non-Hawaiian adolescents in Hawai`i. Data were collected on a multi-ethnic adolescent sample of 7,317 students in five high schools from three islands in the state of Hawai`i from 1992—1996. Psychopathology symptoms, school measures, environment and suicide/self injury accounted for the most variance in cigarette use. Non-Hawaiians (especially immigrant groups), females, speaking non-standard English, lower socioeconomic status and higher rates of suicide/self injury were related to cigarette use. Hawaiian culture was a small, but significant risk factor. For adolescents, psychopathology, school, environmental factors, the role of culture and the growing ethnic diversity of youth should be considered in smoking prevention and cessation interventions.

Key Words: adolescents • cigarette use • culture • Hawai`i • indigenous

School Psychology International, Vol. 29, No. 2, 230-247 (2008)
DOI: 10.1177/0143034308090062


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