Smoking is the primary cause of lung cancer in US adults, and also an important cause of mortality from other conditions. Onset of smoking occurs during adolescence. Research provides extensive documentation of social influence effects on initiation, especially influence of parents and peers. We began studying the impact of movie smoking on early adolescent smoking behavior nine years ago in a sample of over 5000 Northern New England adolescents, and have continued the research with a longitudinal sample of over 6500 nationally representative US adolescents. We demonstrated and confirmed a cross-sectional association between exposure to movie smoking and adolescent smoking initiation and, among never smokers, endorsement of more positive expectancies and higher levels of susceptibility to smoking. We have followed up never-smokers in each cohort 1-2 years later, showing that baseline exposure to movie smoking predicted onset of smoking in the future, emphasizing controlling for confounding, and including up to 21 covariates in the most recent study. In this competing renewal application, covering the 5-year period beginning May 2007, we propose to shift our emphasis to understanding the process for the observed association. Continuing to follow our national sample of adolescents who were 10-14 years at baseline, we will test mediation and moderation (race and social risk) hypotheses with respect to smoking initiation. Proposed mediators include smoking risk prototypes, and coping expectancies. Additionally, we will model pathways to tobacco dependence as a function of ongoing exposure to movie smoking, examining multiple smoking dependence constructs: frequency/quantity measures, loss of autonomy, and perception of self as a smoker. To accomplish these goals, we will follow our longitudinal cohort biannually for 3 more waves (waves 5-7), until the group is 18 to 22 years of age. The sample will be enriched with African-American adolescents, to better study a group that appears in early adolescence to be resistant to the movie smoking effect on behavior. This study provides an unsurpassed opportunity to further investigate the mechanisms underlying the effect of exposure to movie smoking on smoking behavior in adolescents and young adults. Because U.S. movies are marketed and distributed all over the world, this research could have far-reaching public health implications for adolescents everywhere.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Research Project (R01)
Project #
Application #
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Vollinger, Robert
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Dartmouth College
Schools of Medicine
United States
Zip Code
Sargent, James D; Gabrielli, Joy; Budney, Alan et al. (2017) Adolescent smoking experimentation as a predictor of daily cigarette smoking. Drug Alcohol Depend 175:55-59
Mejia, Raul; Pérez, Adriana; Peña, Lorena et al. (2017) Smoking in Movies and Adolescent Smoking Initiation: A Longitudinal Study among Argentinian Adolescents. J Pediatr 180:222-228
Morgenstern, Matthis; Stoolmiller, Mike; Bergamini, Elaina et al. (2017) Did limits on payments for tobacco placements in US movies affect how movies are made? Tob Control 26:105-108
Soneji, Samir; Barrington-Trimis, Jessica L; Wills, Thomas A et al. (2017) Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-analysis. JAMA Pediatr 171:788-797
Peña, Lorena; Lorenzo-Blanco, Elma I; Pérez, Adriana et al. (2017) Parental Style and Its Association With Substance Use in Argentinean Youth. Subst Use Misuse 52:518-526
Gilbert-Diamond, D; Emond, J A; Lansigan, R K et al. (2017) Television food advertisement exposure and FTO rs9939609 genotype in relation to excess consumption in children. Int J Obes (Lond) 41:23-29
Soneji, Samir; Primack, Brian A; Pierce, John P et al. (2017) Re: Modeling the Effects of E-cigarettes on Smoking Behavior: Implications for Future Adult Smoking Prevalence. Epidemiology 28:e1
Gabrielli, Joy; Traore, Aminata; Stoolmiller, Mike et al. (2016) Industry Television Ratings for Violence, Sex, and Substance Use. Pediatrics 138:
Mejia, Raul; Pérez, Adriana; Abad-Vivero, Erika N et al. (2016) Exposure to Alcohol Use in Motion Pictures and Teen Drinking in Latin America. Alcohol Clin Exp Res 40:631-7
Soneji, Samir; Sargent, James; Tanski, Susanne (2016) Multiple tobacco product use among US adolescents and young adults. Tob Control 25:174-80

Showing the most recent 10 out of 97 publications