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The relation between teenage smoking and drinking, with special reference to non-standard family background

Matti Isohanni, Department of Psychiatry, University of Oulu, 90210 Oulu, Finland, Address for offprints: Matti Isohanni Dept of Psychiatry University of Oulu Kajaanintie 43 SF-90220 Oulu Finland

Hannu Oja

Hannu Oja, Department of Psychiatry, University of Oulu, 90210 Oulu, Finland

Irma Moilanen

Irma Moilanen, Department of Psychiatry, University of Oulu, 90210 Oulu, Finland

Paula Rantakallio

Paula Rantakallio, Department of Psychiatry, University of Oulu, 90210 Oulu, Finland

Markku Koiranen

Markku Koiranen, Department of Psychiatry, University of Oulu, 90210 Oulu, Finland

Associations between simultaneous teenage drinking and smoking are considered in a birth cohort born in Northern Finland in 1966 (n = 12058), especially in non-standard, mainly single parent families. Data were collected from pregnancy until the age of 14. ROC (receiver operating characteristic curve) analysis was used to assess how well smoking predicts use of alcohol. Smoking and drinking were more interconnected in the non-standard families among both boys (p = 0.007) and girls (p = 0.018), but only among boys (p = 0.064) when the data were standardized for social class and place of residence and not among girls (p = 0.191). A similar relation between smoking and having been drunk was found among boys in non-standard families (p = 0.016), even when adjusted as above (p = 0.029), but not among girls (unadjusted p = 0.235, adjusted p = 0.469). The findings suggest that the adolescent boy's self-protective behaviour with respect to the commencement of combined experimentation with smoking and drinking is more restricted in non-standard families than in standard families.

Key Words: Alcohol drinking • smoking • adolescent • nonstandard family • ROC analysis

Scandinavian Journal of Public Health, Vol. 21, No. 1, 24-30 (1993)
DOI: 10.1177/140349489302100105


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