Smoking acquisition among adolescents and young Latinas The role of socioenvironmental and personal factors Celia Patricia Kaplan a, *, Anna Na Âpoles-Springer a , Susan L. Stewart b , Eliseo J. Pe Ârez-Stable a a Room 335-G, Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California-San Francisco, 3333 California Street, San Francisco, CA 94143-0856, USA b Northern California Cancer Center, Union City, CA, USA Abstract This paper examined the effects of socioenvironmental and personal factors on two stages of the smoking continuum Ð onset of smoking and regular smoking Ð among a sample of 1411 Latina clients, ages 14±24, at two federally funded family planning clinics. The socioenvironmental factors included cultural indicators, smoking behavior of family and peers, and norms. The personal factors were risk-taking behaviors and intention to smoke in the future. Results showed that the indicators associated with experimentation were different than those linked with regular smoking. Socio- environmental factors associated with the transition from never having smoked to trying cigarettes included acculturation, as measured by language and familialism, and peer smoking behavior. Among the personal factors, risk-taking behavior past use of drugs, alcohol, and general risk attitude) and smoking intentions were correlates of experimentation. The transition from experimenter to regular smoker was associated with peer smoking behavior P < .05) in the socioenvironmental domain and drug use and intention to smoke in the future among the personal factors both P values < .001). Age, years of education, marital status, norms, and parental smoking did not independently predict either of the smoking outcomes. Intention to smoke was the strongest predictor of experimentation OR = 8.3, CI 5.87 ± 11.60) and regular smoking OR = 19.9, CI 12.31 ± 29.21) and could help identify those most likely to benefit from smoking prevention and cessation interventions. D 2001 Elsevier Science Ltd. All rights reserved. Keywords: Smoking acquisition; Adolescent smoking; Latinas * Corresponding author. Tel.: +1-415-502-5601; fax: +1-415-502-8291. E-mail address: ckaplan@itsa.ucsf.edu C.P. Kaplan). Addictive Behaviors 26 2001) 531±550 0306-4603/01/$ ± see front matter D 2001 Elsevier Science Ltd. All rights reserved. PII:S0306-460300)00143-X