Gender and ethnic differences in young adolescents' sources of cigarettes

Objective-To identify the sources used by young adolescents to obtain cigar ettes. Design-In early 1994 a survey assessing usual sources of cigarettes and cha racteristics of the respondents was administered in homeroom classes. Setting-A large urban, predominantly African American school system. Subjec ts-A population-based sample of 6967 seventh graders averaging 13 years of age. Main outcome measure-Reports of usual sources of cigarettes. Results-At this age level, young smokers were more likely to get cigarettes from friends (31.2%) than buy them in stores (14.3%). However, the odds of purchasing varied for different groups of children. Regular smokers were m uch more likely (48.3%) to have purchased cigarettes than experimental smok ers (9.6%), p<0.001. Girls were less Likely to have bought their cigarettes than boys (p<0.001), and black smokers were less Likely to have purchased cigarettes than white children (p<0.001). Results suggested that family mem bers who smoke may constitute a more important source of tobacco products t han previously recognised, particularly for young girls. Conclusions-In this middle-school sample, peers provided the major point of cigarette distribution. However, even at this age, direct purchase was not uncommon. Sources of cigarettes varied significantly with gender, ethnicit y, and smoking rate.