1. Think about trying it Quit Regular Use Addiction Experiment Abstain Created by Nicole Muzard, health educator, April 2012

2.  Family use  Friends smoke or want to try  Advertising/Media  Availability of cigarettes  Low self-esteem Created by Nicole Muzard, health educator, April 2012

3.  Parental Support Know their parents disapprove Talk to their parents about it  Health Beliefs Know the negative effects  Think it looks/smells/tastes gross  It’s Illegal Created by Nicole Muzard, health educator, April 2012

4.  Parents smoke  Friends and siblings smoke  Lower parental monitoring  Uninvolved with school  Low academic achievement  Can’t resist peer pressure  Low self-esteem  Connect use to social acceptance  Underestimate health risks  Overestimate how many teens smoke Created by Nicole Muzard, health educator, April 2012

5.  With small groups of friends, usually same sex  Early afternoon-afterschool  Usually random Created by Nicole Muzard, health educator, April 2012

6.  Fear of becoming addicted  Fear of the negative consequences of smoking Health effects Parents Sports Created by Nicole Muzard, health educator, April 2012

7.  Feel like the health consequences won’t affect them  Rebellious  Friends/siblings smoke  “Positive” perception of the social image Think it’s cool  Peer acceptance  Low school performance  Low self-esteem  Weaker family ties Created by Nicole Muzard, health educator, April 2012

8.  Becomes difficult to stop  Enjoys smoking  Think they can stop when they want Created by Nicole Muzard, health educator, April 2012