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Weaker Self-Esteem in Adolescence Predicts Smoking

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      Abstract

      Background. To study whether weaker self-esteem in adolescence is connected with smoking behavior in adulthood. Methods. An age cohort born in 1979 responded to the Lawrence Self-Esteem Questionnaire (LAWSEQ) at the age of 16 ( n = 1,072). Respondents' smoking behavior was monitored annually during adolescence and 75.3% ( n = 813) of them remained nonsmokers during adolescence. A follow-up questionnaire eliciting smoking behavior was sent to the adolescent nonsmokers at the age of 29 years. Response rate at follow-up was 46.2% ( n = 376). Results. Weaker self-esteem (LAWSEQ score ≥ 3) during the adolescence was not significantly associated with smoking in adulthood. However, those respondents who had weaker self-esteem in adolescence had increased risk of having been smoking regularly (adjusted OR 1.8, 95% CI 1.1–3.0) although not all of them were smokers at the time of the follow-up. Conclusions. Those with weaker self-esteem in adolescence are more likely to smoke regularly in adulthood.

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      Most cited references 26

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      “The measurement of self-esteem,” in

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        Mortality in relation to smoking: 50 years' observations on male British doctors.

        To compare the hazards of cigarette smoking in men who formed their habits at different periods, and the extent of the reduction in risk when cigarette smoking is stopped at different ages. Prospective study that has continued from 1951 to 2001. United Kingdom. 34 439 male British doctors. Information about their smoking habits was obtained in 1951, and periodically thereafter; cause specific mortality was monitored for 50 years. Overall mortality by smoking habit, considering separately men born in different periods. The excess mortality associated with smoking chiefly involved vascular, neoplastic, and respiratory diseases that can be caused by smoking. Men born in 1900-1930 who smoked only cigarettes and continued smoking died on average about 10 years younger than lifelong non-smokers. Cessation at age 60, 50, 40, or 30 years gained, respectively, about 3, 6, 9, or 10 years of life expectancy. The excess mortality associated with cigarette smoking was less for men born in the 19th century and was greatest for men born in the 1920s. The cigarette smoker versus non-smoker probabilities of dying in middle age (35-69) were 42% nu 24% (a twofold death rate ratio) for those born in 1900-1909, but were 43% nu 15% (a threefold death rate ratio) for those born in the 1920s. At older ages, the cigarette smoker versus non-smoker probabilities of surviving from age 70 to 90 were 10% nu 12% at the death rates of the 1950s (that is, among men born around the 1870s) but were 7% nu 33% (again a threefold death rate ratio) at the death rates of the 1990s (that is, among men born around the 1910s). A substantial progressive decrease in the mortality rates among non-smokers over the past half century (due to prevention and improved treatment of disease) has been wholly outweighed, among cigarette smokers, by a progressive increase in the smoker nu non-smoker death rate ratio due to earlier and more intensive use of cigarettes. Among the men born around 1920, prolonged cigarette smoking from early adult life tripled age specific mortality rates, but cessation at age 50 halved the hazard, and cessation at age 30 avoided almost all of it.
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          Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem.

          The Rosenberg Self-Esteem Scale (RSES) was translated into 28 languages and administered to 16,998 participants across 53 nations. The RSES factor structure was largely invariant across nations. RSES scores correlated with neuroticism, extraversion, and romantic attachment styles within nearly all nations, providing additional support for cross-cultural equivalence of the RSES. All nations scored above the theoretical midpoint of the RSES, indicating generally positive self-evaluation may be culturally universal. Individual differences in self-esteem were variable across cultures, with a neutral response bias prevalent in more collectivist cultures. Self-competence and self-liking subscales of the RSES varied with cultural individualism. Although positively and negatively worded items of the RSES were correlated within cultures and were uniformly related to external personality variables, differences between aggregates of positive and negative items were smaller in developed nations. Because negatively worded items were interpreted differently across nations, direct cross-cultural comparisons using the RSES may have limited value.
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            Author and article information

            Affiliations
            1University of Tampere, School of Medicine, 33014 Tampere, Finland
            2JYTA, Tunkkari Health Care Centre, Mäntöläntie 2, 69730 Veteli, Finland
            3Social and Health Services, P.O. Box 241, 65101 Vaasa, Finland
            4Centre of General Practice, Pirkanmaa Hospital District, P.O. Box 2000, 33521 Tampere, Finland
            Author notes

            Academic Editor: Nasir Mushtaq

            Journal
            Biomed Res Int
            Biomed Res Int
            BMRI
            BioMed Research International
            Hindawi Publishing Corporation
            2314-6133
            2314-6141
            2015
            26 July 2015
            : 2015
            4529926 10.1155/2015/687541
            Copyright © 2015 Antti J. Saari et al.

            This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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