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Do They Know What They are Doing? Risk Perceptions and Smoking Behaviour Among Swedish Teenagers

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Abstract

Cross-sectional survey data on Swedish adolescents aged 12–18 was used to analyse perceived risks of smoking-related lung cancer, the determinants of these risk perceptions, and how these perceptions related to smoking behaviour. Three major conclusions were drawn: (1) that both smokers and non-smokers overestimated the risks of lung cancer, (2) that these risk perceptions fell substantially with age, but nevertheless implied risk overestimation, and (3) that individuals with higher perceived risks were less likely to be smokers but that risk beliefs had no effect on the number of cigarettes smoked.

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References

  • Antoñanzas, Fernando, W. Kip Viscusi, Joan Rovira, Francisco J. Braña, Fabiola Portillo, and Irineu Carvalho. (2000). “Smoking Risks in Spain: Part I—Perceptions of Risks to the Smoker,” Journal of Risk and Uncertainty 21, 161-186.

    Google Scholar 

  • Becker, Gary S. and Kevin M. Murphy. (1988). “A Theory of Rational Addiction,” Journal of Political Economy 96, 675-701.

    Google Scholar 

  • Benjamin, Daniel K., William R. Dougan, and David Buschena. (2001). “Individuals' Estimates of the Risk of Death: Part II—New Evidence,” Journal of Risk and Uncertainty 22, 35-57.

    Google Scholar 

  • Benthin, Alida, Paul Slovic, and Herbert Severson. (1993). “Psychometric Study of Adolescent Risk Perception,” Journal of Adolescence 16, 153-168.

    Google Scholar 

  • Brookshire, David S., Mark A. Thayer, John Tschirhart, and William D. Schulze. (1985). “A Test of the Expected Utility Model: Evidence From Earthquake Risks,” Journal of Political Economy 92, 369-89.

    Google Scholar 

  • Bruvold, William H. (1993). “A Meta-Analysis of Adolescent Smoking Prevention Programs,” American Journal of Public Health 83, 872-880.

    Google Scholar 

  • CAN, Swedish Council for Information on Alcohol and other Drugs. (2002). Drogutvecklingen i Sverige—Rapport 2002 [The Development of Consumption of Alcohol and Drugs in Sweden in 2002]. Stockholm: Fritzes.

    Google Scholar 

  • Combs, Barbara and Paul Slovic. (1979). “Causes of Death: Biased Newspaper Coverage and Biased Judgements,” Journalism Quarterly 56, 837-843.

    Google Scholar 

  • DeCicca, Philip, Donald S. Kenkel, and Alan Mathios. (2000). “Racial Difference in the Determinants of Smoking Onset,” Journal of Risk and Uncertainty 21, 311-340.

    Google Scholar 

  • Doll, Richard and Richard Peto. (1978). “Cigarette Smoking and Bronchial Carcinoma: Dose and Time Relationships among Regular Smokers and Lifelong Non-smokers.” Journal of Epidemiology and Community Health 32, 303-313.

    Google Scholar 

  • Ettner, Susan L. (1996). “New Evidence on the Relationship Between Income and Health,” Journal of Health Economics 15, 67-85.

    Google Scholar 

  • Fischhoff, Baruch, Sarah Lichtenstein, Paul Slovic, Stephen L. Derby, and Ralph L. Keeney. (1981). Acceptable Risk. Cambridge: Cambridge University Press.

    Google Scholar 

  • Gaviria, Alejandro and Steven Raphael. (2001). “School-Based Peer Effects and Juvenile Behaviour,” Review of Economics and Statistics 83, 257-268.

    Google Scholar 

  • Gerdtham, Ulf-G. (1997). “Equity in Health Care Utilization: Further Tests Based on Hurdle Models and Swedish Micro Data,” Health Economics 6, 303-319.

    Google Scholar 

  • Greene, William H. (1995). LIMDEP Version 7.0 User's Manual. New York: Econometric Software, Inc.

    Google Scholar 

  • Greene, William H. (1997). Econometric Analysis. New Jersey: Prentice-Hall, Inc.

    Google Scholar 

  • Hausman, Jerry A. (1978). “Specification Tests in Econometrics,” Econometrica 46, 1251-1271.

    Google Scholar 

  • Hersch, Joni. (1996). “Smoking, Seat Belts, and Other Risky Consumer Decisions: Differences by Gender and Race,” Managerial and Decision Economics 17, 471-481.

    Google Scholar 

  • Hersch, Joni. (1998). “Teen Smoking Behaviour and the Regulatory Environment,” Duke Law Journal 47, 1143-1170.

    Google Scholar 

  • Hersch, Joni. (2000). “Gender, Income Levels, and the Demand for Cigarettes,” Journal of Risk and Uncertainty 21, 263-282.

    Google Scholar 

  • Hsieh, Chee-Ruey, Lee-Lan Yen, Jin-Tan Liu, and Chyongchiou Jeng Lin. (1996). “Smoking, Health Knowledge, and Anti-smoking Campaigns: An Empirical Study in Taiwan,” Journal of Health Economics 15, 87-104.

    Google Scholar 

  • Johnston, Lloyd D., Patrick M. O'Malley, and Jerald G. Bachman. (2001). Monitoring the Future National Survey Results on Drug Use, 1975–2000. Volume I: Secondary School Students (NIH Publication No. 01-4924). Bethesda, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Kenkel, Donald S. (1991). “Health Behavior, Health Knowledge, and Schooling,” Journal of Political Economy 99, 287-305.

    Google Scholar 

  • Kenkel, Donald S. and Likwang Chen. (2000). “Consumer Information and Tobacco Use.” In Jha Prabhat and Frank Chaloupka (eds.), Tobacco Control in Developing Countries. New York: Oxford University Press, Inc.

    Google Scholar 

  • Lange, Peter, Jorgen Nyboe, Merete Appleyard, Gorm Jensen, and Peter Schnohr. (1992). “Relationship of the Type of Tobacco and Inhalation Pattern to Pulmonary and Total Mortality,” European Respiratory Journal 5, 1111-1117.

    Google Scholar 

  • Lewit, Eugene M. and Douglas Coate. (1982). “The Potential for Using Excise Taxes to Reduce Smoking,” Journal of Health Economics 1, 121-145.

    Google Scholar 

  • Lichtenstein, Sarah, Paul Slovic, Baruch Fischhoff, Marl Layman, and Barbara Combs. (1978). “Judged Frequency of Lethal Events,” Journal of Experimental Psychology 4, 551-578.

    Google Scholar 

  • Liu, Jin-Tan and Chee-Ruey Hsieh. (1995). “Risk Perception and Smoking Behaviour: Empirical Evidence from Taiwan,” Journal of Risk and Uncertainty 11, 139-157.

    Google Scholar 

  • Lundborg, Petter and Björn Lindgren. (2002). “Risk Perceptions and Alcohol Consumption among Young People,” Journal of Risk and Uncertainty 25, 165-183.

    Google Scholar 

  • Lyna, Pauline, Colleen McBride, Greg Samsa, and Kathryn I. Pollak. (2002). “Exploring the Association Between Perceived Risks of Smoking and Benefits to Quitting. Who does Not See the Link?” Addictive Behaviours 28, 293-307.

    Google Scholar 

  • Maddala, G.S. (1983). Limited Dependent and Qualitative Variables in Econometrics. Cambridge: Cambridge University Press.

    Google Scholar 

  • Magnusson, Staffan and Paul Nordgren. (1994). Om Tobak. Bakgrund och Kommentarer till Tobakslagen [About Tobacco. Background and Comments to the Tobacco Law]. Stockholm: Publica, Fritzes.

    Google Scholar 

  • Mullahy, John. (1986). “Specification and Testing of Some Modified Count Data Models,” Journal of Econometrics 33, 341-365.

    Google Scholar 

  • Norton, Edward C., Richard C. Lindrooth, and Susan T. Ennet. (1998). “Controlling for the Endogeneity of Peer Substance Use on Adolescent Alcohol and Tobacco Use,” Health Economics 7, 439-453.

    Google Scholar 

  • Norton, Edward C., Richard C. Lindrooth, and Susan T. Ennet. (2003). “How Measures of Perception from Survey Data Lead to Inconsistent Regression Results: Evidence from Adolescent and Peer Substance Use,” Health Economics 12, 139-148.

    Google Scholar 

  • Peto, Richard. (1986). “Influence of Dose and Duration of Smoking on Lung Cancer Rates.” In David G. Zaridze and Richard Peto (eds.), Tobacco: A Major International Health Hazard. Lyon: International Agency for Research on Cancer.

    Google Scholar 

  • Pohlmeier, Winfried and Volker Ulrich. (1995). “An Econometric Model of the Two-Part Decision-Making Process in the Demand for Health Care,” Journal of Human Resources 30, 339-361.

    Google Scholar 

  • Quadrel, Marilyn Jacobs, Baruch Fischhoff, and William Davis. (1993). “Adolescent (In)vulnerability,” American Psychologist 48, 102-116.

    Google Scholar 

  • Reid, Donald. (1996). “Tobacco Control: Overview,” British Medical Bullentin 52, 108-120.

    Google Scholar 

  • Rivers, Douglas and Quang H. Vuong. (1988). “Limited Information Estimators and Exogeneity Tests for Simultaneous Probit Models,” Journal of Econometrics 39, 347-366.

    Google Scholar 

  • Rovira, Joan, W. Kip Viscusi, Fernando Antoñanzas, Joan Costa, Warren Hart, and Irineu Carvalho. (2000). “Smoking Risks in Spain: Part II—Perceptions of Environmental Tobacco Smoke Externalities,” Journal of Risk and Uncertainty 21, 187-212.

    Google Scholar 

  • Schoenbaum, Michael. (1997). “Do Smokers Understand the Mortality Effects of Smoking? Evidence from the Health and Retirement Survey,” American Journal of Public Health 87, 755-759.

    Google Scholar 

  • Slovic, Paul. (1998). “Do Adolescent Smokers Know the Risks?” Duke Law Journal 47, 1133-1142.

    Google Scholar 

  • Slovic, Paul. (1999). “Trust, Emotion, Sex, Politics, and Science: Surveying the Risk-Assessment Battlefield,” Risk Analysis 19, 689-701.

    Google Scholar 

  • Smith, V. Kerry and F. Reed Johnson. (1988). “How Do Risk Perceptions Respond to Information? The Case of Radon,” Review of Economics and Statistics 70, 1-8.

    Google Scholar 

  • SOU. (1999:137). Hälsa på lika villkor [Towards Public Health on Equal Terms]. Stockholm: Fritzes offentliga publikationer.

    Google Scholar 

  • Torell, Ulrika. (2002). Images of Smoking: On Tobacco in Swedish Popular Culture, 1950–2000. Stockholm: Carlsson Bokförlag.

    Google Scholar 

  • Viscusi, W. Kip. (1985). “A Bayesian Perspective on Biases in Risk Perception,” Economic Letters 17, 59-62.

    Google Scholar 

  • Viscusi, W. Kip. (1990). “Do Smokers Underestimate Risks?” Journal of Political Economy 98, 1253-1268.

    Google Scholar 

  • Viscusi, W. Kip. (1991). “Age Variations in Risk Perceptions and Smoking Decisions,” The Review of Economics and Statistics 73, 577-588.

    Google Scholar 

  • Viscusi, W. Kip. (1992). Smoking: Making the Risky Decision. New York: Oxford University Press.

    Google Scholar 

  • Viscusi, W. Kip. (1998). “Constructive Cigarette Regulation,” Duke Law Journal 47, 1095-1132.

    Google Scholar 

  • Viscusi, W. Kip, Irineu Carvalho, Fernando Antoñanzas, Joan Rovira, Francisco J. Braña, and Fabiola Portillo. (2000). “Smoking Risks in Spain: Part III-Determinants of Smoking Behavior,” Journal of Risk and Uncertainty 21, 213-234.

    Google Scholar 

  • Viscusi, W. Kip and Charles O'Connor. (1984). “Adaptive Responses to Chemical Labels,” American Economic Review 5, 942-956.

    Google Scholar 

  • Vuong, Quang H. (1989). “Likelihood Ratio Tests for Model Selection and Non-Nested Hypotheses,” Econometrica 57, 307-333.

    Google Scholar 

  • World Bank. (1999). Curbing the Epidemic: Governments and the Economics of Tobacco Control, htttp://www1.worldbank.org/tobacco/reports.htm.

  • Wynder, Ernst L. and Steven D. Stellman. (1979). “Impact of Long-term Filter Cigarette Usage on Lung and Larynx Cancer Risk: A Case-control Study,” Journal of the National Cancer Institute 62, 471-477.

    Google Scholar 

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Authors and Affiliations

  1. Lund University Centre for Health Economics (LUCHE), Department of Community Medicine, Lund University, P.O. Box 705, 220 07, Lund, Sweden

    Petter Lundborg & Björn Lindgren

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  1. Petter Lundborg
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  2. Björn Lindgren
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Correspondence to Petter Lundborg.

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Lundborg, P., Lindgren, B. Do They Know What They are Doing? Risk Perceptions and Smoking Behaviour Among Swedish Teenagers. Journal of Risk and Uncertainty 28, 261–286 (2004). https://doi.org/10.1023/B:RISK.0000026098.84109.62

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  • DOI: https://doi.org/10.1023/B:RISK.0000026098.84109.62

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