''Epidemic'' models of transitions between stages of cigarette smoking
describe the spread of smoking behavior through face-to-face encounte
rs. An epidemic model was successfully fitted that allowed epidemic pa
rameters to be conditioned on the smoking status of adolescents' paren
ts. Model comparisons supported the conclusion that the transition fro
m nonsmoker to trier involved social contacts, whereas the transition
from trier to regular smoker was best modeled as a constant rate (i.e.
, did not depend on the population prevalence of smokers). The transit
ion rate from nonsmoker to trier was more rapid in children of smoking
parents than in children of nonsmoking parents. Adolescents with and
without smoking parents did not differ in the rate of transition from
trier to regular smoking.