All selleck MG132 worked with youth aged 16�C24, and they reported a median of 20 active clients on their caseload for direct treatment or clinical supervision. The providers estimated the smoking prevalence in their caseload at 27% (SD = 0.17). Reasons for Smoking: Youth Interviews The youth identified a number of factors contributing to their use of tobacco (Figure 1a). Failure to enforce a no-smoking ban in the home was the most frequently identified factor (10 youth, 11 quotes) and parental smoking was common (8 youth, 11 quotes). One youth recalled, ��I smoked my first cigarette with my dad�� it was better to have him show me what smoking was like rather than have it as something that is hidden�� (23-year-old male). Another stated, ��My mom would give me money to buy cigarettes�� (22-year-old male).
A third stated, ��They [parents] say they don��t like me smoking, yet when they catch me, they just brush it off�� (18-year-old male). Peers also played a significant role in initiation and continued use of tobacco. Half the youth reported first smoking with friends, all reported currently having friends who smoke, and nine identified tobacco use by friends as a negative influence. One shared, ��When I didn��t smoke, everyone smoked�� and blew it in my face�� (21-year-old female). Another voiced concerns about maintaining friendships while quitting smoking stating, ��I��m trying to figure out how I can still be cool with them but don��t do all the things that they do�� (23-year-old female). Though sample sizes were small, females were more likely to report smoking with peers (6 of 6 females vs.
2 of 8 males), whereas males were more likely to report that their parents smoke or provide them with cigarettes (2 of 6 females vs. 8 of 8 males). Figure 1. Youth with mental health concerns: Reasons for smoking. Additionally, stress and affect, addiction, other substances, and media images were identified as driving tobacco use. The youth reported, ��when I get stressed or angry�� I go out and have a cigarette�� (20-year-old female); ��when I start to get frustrated or nervous, it just calms me down�� (22-year-old male); and ��hypermanic is when��I��ll smoke more�� (23-year-old male). Unable to quit, the youth described smoking as follows: ��first thing in the morning�� (19-year-old male), ��it made me addicted and now it��s hard for me to stop�� (21-year-old female), and ��I can��t stop because once I smell it�� I want to go smoke�� (16-year-old male).
Tobacco was used with illicit drugs ��to boost the high�� (23-year-old female) or as a drug substitute, Dacomitinib ��smoking more when the cravings [for other drugs] were getting out of control�� (23-year-old male). Three youth identified media images as triggers to smoke, ��When I see it on TV or in the movies, like when I see someone else smoking�� (19-year-old female).