In a longitudinal study we investigated 5th- and 7th-grade children's
perceptions of smokers and nonsmokers, changes in perceptions from 5th
to 7th grades, and the degree to which these perceptions predict smok
ing in 9th grade. The participants were 1,663 students from 14 school
districts in Washington state. The results showed large developmental
shifts from 5th to 7th grade in children's perceptions of both smokers
and nonsmokers. Students at 7th grade saw smokers in a much more posi
tive light and nonsmokers in a much more negative light than they did
at 5th grade. Children's positive perceptions at 5th grade of smokers
predicted smoking 4 years later at 9th grade and were stronger predict
ors than positive perceptions at 7th grade. The results suggest that s
moking prevention interventions must begin before 5th grade to counter
perceptions predictive of subsequent smoking.