Children who try just one
cigarette are twice as likely to take up smoking
as those who have never tried it, a study
funded by Cancer Research UK suggests.
The 2,000-pupil study, in
Tobacco Control, found this was the case even
after a gap of three years or more.
It is the first to find a
smoking "sleeper effect" - where desire remains
years after the first cigarette.
Cancer Research UK said anti-smoking
campaigns should focus on preventing children
trying even one cigarette.
Around 14% of 11-year olds
and 62% of 15-year olds have smoked a cigarette.
Prevention messages should
also be targeted at children while they are
still at primary school, warned the researchers.
Young people in 36 London
schools were surveyed every year from the
age of 11 to 16.
The 12% of 11-12 year olds
who admitted smoking just once were more likely
to take up smoking when they were older compared
with those who had never smoked, even after
a gap of up to three years of not smoking.
The researchers said the
"sleeper effect" could be explained in several
ways.
Nicotine in a single cigarette
may effect pathways in the brain increasing
the likelihood that someone will start smoking
in response to other triggers, such as stress.
Alternatively, trying a cigarette
may break down barriers that might prevent
someone taking up smoking - such as fear of
being caught or insecurity about how to smoke.
Prevention
Study leader Dr Jennifer
Fidler, a research psychologist at the Cancer
Research UK health behaviour unit in London
said: "It is known that past smoking behaviour
predicts future behaviour and it could take
some time to progress from an experimental
to regular smoker.
"But this is the first study
that shows an early experience with one cigarette
leads to smoking several years in the future."
She added: "There are two
important messages - firstly it may be more
important than previously thought to try and
prevent children from trying even one cigarette
and, secondly, health professionals and those
working in smoking prevention in schools need
to be aware that those who have tried one
cigarette, but are not smokers, are at risk.
"Prevention efforts might
be most effective if focused on pre-secondary
school children."
Deborah Arnott, director
of anti-smoking charity Ash, said she would
not be surprised if further research showed
that one cigarette had an addictive effect.
"This is very interesting
because other bits of research seem to show
there is conditioning of nicotine receptors
and it also happens with second-hand smoke
because if parents smoke in front of their
children, they are more likely to smoke -
and there is evidence to show that's an effect
of nicotine conditioning as well."
Simon Clark, director of
the smokers' lobby group Forest, said: "The
idea that one cigarette can have such a profound
effect on anyone, including teenagers, seems
rather dubious.
"I accept that children who
smoke a cigarette at the age of 11 may be
more likely to take up smoking within the
next few years but, whatever this report says,
I suspect that has far more to do with immaturity,
a rebellious personality and a lack of parental
guidance."