This study examined gender differences in how internalizing and externalizing symptoms affect adolescents’ decisions about smoking in Chile, where girls smoke at some of the highest rates in the world. In multivariate logistic regression analyses with 607 adolescents, internalizing symptoms, such as depressed mood and anxiety, predicted smoking among girls more than boys, with girls who were low in internalizing symptoms being more likely to smoke than those who were high in internalizing symptoms. In Chile’s high-risk context, internalizing symptoms may be indirectly protective for girls by decreasing their exposure to peer pressure and related influences that encourage cigarette use.
AchenbachTM (1991) Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: Department of Psychiatry, University of Vermont.
2.
AchenbachTMEdelbrockCS (1978) The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin85: 1275–1301.
AmosAGreavesLNichterM. (2011) Women and tobacco: A call for including gender in tobacco control research, policy and practice. Tobacco Control21: 236–243.
5.
BorzekowskiDLCohenJE (2013) International reach of tobacco marketing among young children. Pediatrics132(4): e825–e831.
6.
BrookJSCohenPBrookDW (1998) Longitudinal study of co-occurring psychiatric disorders and substance use. Journal of the American Academy of Child & Adolescent Psychiatry37(3): 322–330.
7.
BrookJSNingYBrookDW (2006) Personality risk factors associated with trajectories of tobacco use. American Journal on Addictions15(6): 426–433.
CostelloEJErkanliAFedermanE. (1999) Development of psychiatric comorbidity with substance abuse in adolescents: Effects of timing and sex. Journal of Clinical Child Psychology28(3): 298–311.
10.
CostelloEJMustilloSErkanliA. (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry60(8): 837–844.
11.
CroneMRReijneveldSA (2007) The association of behavioural and emotional problems with tobacco use in adolescence. Addictive Behaviors32(8): 1692–1698.
12.
DierkerLCVeselFSledjeskiEM. (2007) Testing the dual pathway hypothesis to substance use in adolescence and young adulthood. Drug and Alcohol Dependence87(1): 83–93.
13.
EriksenMMackayJSchlugerN. (2015) The Tobacco Atlas (5th edn). Available at: www.TobaccoAtlas.org (accessed 5 October 2015).
14.
EverettSAWarrenCWSharpD. (1999) Initiation of cigarette smoking and subsequent smoking behavior among U.S. high school students. Preventive Medicine29(5): 327–333. Available at: http://doi.org/10.1006/pmed.1999.0560
15.
FergussonDMHorwoodLJ (1999) Prospective childhood predictors of deviant peer affiliations in adolescence. Journal of Child Psychology and Psychiatry40(4): 581–592.
16.
FlemingCBMasonWAMazzaJJ. (2008) Latent growth modeling of the relationship between depressive symptoms and substance use during adolescence. Psychology of Addictive Behaviors22(2): 186–197.
17.
GoodmanECapitmanJ (2000) Depressive symptoms and cigarette smoking among teens. Pediatrics106(4): 748–755.
18.
HitchmanSCFongGT (2011) Gender empowerment and female-to-male smoking prevalence ratios. Bulletin of the World Health Organization89(3): 195–202.
19.
HussongAMJonesDJSteinGL. (2011) An internalizing pathway to alcohol use and disorder. Psychology of Addictive Behaviors25(3): 390–404.
20.
IaconoWGMaloneSMMcGueM (2008) Behavioral disinhibition and the development of early-onset addiction: Common and specific influences. Annual Review of Clinical Psychology4: 325–348.
JamalMVan der DoesAWPenninxBW. (2011) Age at smoking onset and the onset of depression and anxiety disorders. Nicotine & Tobacco Research13(9): 809–819.
KendlerKSMyersJDamajMI. (2014) Early smoking onset and risk for subsequent nicotine dependence: A monozygotic co-twin control study. American Journal of Psychiatry170: 408–413.
25.
KhantzianEJ (1997) The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry4(5): 231–244.
26.
KingSMIaconoWGMcGueM (2004) Childhood externalizing and internalizing psychopathology in the prediction of early substance use. Addiction99(12): 1548–1559.
27.
LeadbeaterBJKupermincGPBlattSJ. (1999) A multivariate model of gender differences in adolescents’ internalizing and externalizing problems. Developmental Psychology35(5): 1268–1282.
28.
LozoffBCastilloMClarkKM. (2012) Iron-fortified vs low-iron infant formula: Developmental outcome at 10 years. Archives of Pediatrics & Adolescent Medicine166(3): 208–215.
29.
LozoffBDe AndracaICastilloM. (2003) Behavioral and developmental effects of preventing iron-deficiency anemia in healthy full-term infants. Pediatrics112(4): 846–854.
30.
MiettunenJMurrayGKJonesPB. (2014) Longitudinal associations between childhood and adulthood externalizing and internalizing psychopathology and adolescent substance use. Psychological Medicine44(8): 1727–1738. Available at: http://doi.org/10.1017/S0033291713002328
31.
PattonGCCarlinJBCoffeyC. (1998) Depression, anxiety, and smoking initiation: A prospective study over 3 years. American Journal of Public Health88(10): 1518–1522.
32.
PoulinCHandDBoudreauB. (2005) Gender differences in the association between substance use and elevated depressive symptoms in a general adolescent population. Addiction100(4): 525–535.
33.
SchwinnTMSchinkeSPTrentDN (2010) Substance use among late adolescent urban youths: Mental health and gender influences. Addictive Behaviors35(1): 30–34.
34.
SticeEMyersMGBrownSA (1998) A longitudinal grouping analysis of adolescent substance use escalation and de-escalation. Psychology of Addictive Behaviors12(1): 14–27.
35.
TomlinsonKLBrownSA (2012) Self-medication or social learning? A comparison of models to predict early adolescent drinking. Addictive Behaviors37(2): 179–186.
36.
TuckerJSEllicksonPLKleinDJ (2003) Predictors of the transition to regular smoking during adolescence and young adulthood. Journal of Adolescent Health32(4): 314–324.
WestPSweetingHEcobR (1999) Family and friends’ influences on the uptake of regular smoking from mid-adolescence to early adulthood. Addiction94(9): 1397–1411.
39.
WuL-TAnthonyJC (1999) Tobacco smoking and depressed mood in late childhood and early adolescence. American Journal of Public Health89(12): 1837–1840.
40.
WuPGoodwinRDFullerC. (2009) The relationship between anxiety disorders and substance use among adolescents in the community: Specificity and gender differences. Journal of Youth and Adolescence39(2): 177–188. Available at: http://doi.org/10.1007/s10964-008-9385-5
41.
Zahn-WaxlerCElizabethEAMarceauK (2008) Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology4: 275–303.
