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July 2003, Vol 93, No. 7 | American Journal of Public Health 1155-1160
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Parent’s Socioeconomic Status, Adolescents’ Disposable Income, and Adolescents’ Smoking Status in Massachusetts

Elpidoforos S. Soteriades, MD, MSc and Joseph R. DiFranza, MD

At the time of the study, Elpidoforos Soteriades was with the Department of Health and Social Behavior at the Harvard School of Public Health, Boston, Mass. Joseph DiFranza is with the Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester.

Correspondence: Requests for reprints should be sent to Joseph R. DiFranza, MD, Department of Family Medicine and Community Health, University of Massachusetts Medical Center, 55 Lake Ave, Worcester, MA 01655 (e-mail: difranzj{at}ummhc.org).

Objectives. This study examined the association between parental socioeconomic status (SES) and adolescent smoking.

Methods. We conducted telephone interviews with a probability sample of 1308 Massachusetts adolescents aged 12 to 17 years. We used multiple-variable-adjusted logistic regression models.

Results. The risk of adolescent smoking increased by 28% with each step down in parental education and increased by 30% for each step down in parental household income. These associations persisted after adjustment for age, sex, race/ethnicity, and adolescent disposable income. Parental smoking status was a mediator of these associations.

Conclusions. Parental SES is inversely associated with adolescent smoking. Parental smoking is a mediator but does not fully explain the association.




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