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AIMS: Data from the Teenage Attitudes and Practices Survey were analyzed to assess the relationship between depressive symptoms and cigarette smoking. DESIGNS, SETTING, PARTICIPANTS: Nationally representative sample of adolescents interviewed in 1989 and again in 1993. MEASUREMENTS: Prevalence rate and adjusted odds ratio for smoking at follow-up by depressive symptoms status at baseline. FINDINGS: Adolescents with depressive symptoms were more likely than other adolescents to start smoking. CONCLUSIONS: The associations between depressive symptoms and regular smoking appears to be established by adolescence.
Escobedo et al. (Sun,) studied this question.