Joseph R DiFranza

Summary

Publications

  1. doi request reprint An evaluation of a clinical approach to staging tobacco addiction
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    J Pediatr 159:999-1003.e1. 2011
  2. doi request reprint A comparison of the autonomy over tobacco scale and the Fagerström test for nicotine dependence
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    Addict Behav 37:856-61. 2012
  3. ncbi request reprint Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Arch Pediatr Adolesc Med 161:704-10. 2007
  4. ncbi request reprint Susceptibility to nicotine dependence: the Development and Assessment of Nicotine Dependence in Youth 2 study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Ave, Worcester, MA 01655, USA
    Pediatrics 120:e974-83. 2007
  5. pmc Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents
    Lori Pbert
    Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Pediatrics 128:926-36. 2011
  6. doi request reprint Perceived accessibility of cigarettes among youth: a prospective cohort study
    Chyke A Doubeni
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Am J Prev Med 36:239-42. 2009
  7. doi request reprint The assessment of tobacco dependence in young users of smokeless tobacco
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655, USA
    Tob Control 21:471-6. 2012
  8. pmc Perceived accessibility as a predictor of youth smoking
    Chyke A Doubeni
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Ann Fam Med 6:323-30. 2008
  9. ncbi request reprint Recollections and repercussions of the first inhaled cigarette
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA
    Addict Behav 29:261-72. 2004
  10. doi request reprint The loss of autonomy over smoking in relation to lifetime cigarette consumption
    W W Sanouri A Ursprung
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Addict Behav 35:14-8. 2010

Collaborators

Detail Information

Publications47

  1. doi request reprint An evaluation of a clinical approach to staging tobacco addiction
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    J Pediatr 159:999-1003.e1. 2011
    ..To determine whether adolescents' symptom reports are consistent with the developmental sequence of tobacco addiction and whether the sequential appearance of these symptoms signifies increasing addiction...
  2. doi request reprint A comparison of the autonomy over tobacco scale and the Fagerström test for nicotine dependence
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    Addict Behav 37:856-61. 2012
    ..Based on these results and those from prior studies, we conclude that the AUTOS offers researchers a valid and highly reliable, theory-based measure that is more versatile in its applications than the FTND...
  3. ncbi request reprint Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Arch Pediatr Adolesc Med 161:704-10. 2007
    ..The first study found that symptoms of dependence commonly appeared soon after the onset of intermittent smoking...
  4. ncbi request reprint Susceptibility to nicotine dependence: the Development and Assessment of Nicotine Dependence in Youth 2 study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Ave, Worcester, MA 01655, USA
    Pediatrics 120:e974-83. 2007
    ..We studied a cohort of 1246 public school 6th-graders in 6 Massachusetts communities (mean age at baseline: 12.2 years)...
  5. pmc Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents
    Lori Pbert
    Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Pediatrics 128:926-36. 2011
    ..To evaluate the effectiveness of a school nurse-delivered smoking-cessation intervention in increasing abstinence among adolescent smokers...
  6. doi request reprint Perceived accessibility of cigarettes among youth: a prospective cohort study
    Chyke A Doubeni
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Am J Prev Med 36:239-42. 2009
    ..This study examines the determinants of perceived accessibility from the perspective of a longitudinal study...
  7. doi request reprint The assessment of tobacco dependence in young users of smokeless tobacco
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655, USA
    Tob Control 21:471-6. 2012
    ..Dippers and smokers were also compared in relation to dependence, the pleasure derived from using tobacco and the latency to the onset of withdrawal...
  8. pmc Perceived accessibility as a predictor of youth smoking
    Chyke A Doubeni
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Ann Fam Med 6:323-30. 2008
    ..The objective of this study was to determine whether perceived accessibility predicted future smoking among youths...
  9. ncbi request reprint Recollections and repercussions of the first inhaled cigarette
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA
    Addict Behav 29:261-72. 2004
    ..It has not been determined if a youth's reaction to the first smoking experience is predictive of future nicotine dependence, or whether the impact of the first cigarette can be altered by manipulating levels of tar, nicotine and menthol...
  10. doi request reprint The loss of autonomy over smoking in relation to lifetime cigarette consumption
    W W Sanouri A Ursprung
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Addict Behav 35:14-8. 2010
    ..Diminished autonomy after one or two cigarettes, and DSM-IV nicotine dependence after 10-19, support the sensitization-homeostasis theory of nicotine addiction that the addiction process is initiated by the first few cigarettes...
  11. pmc Enforcement of underage sales laws as a predictor of daily smoking among adolescents: a national study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA
    BMC Public Health 9:107. 2009
    ..Our objective was to determine if state compliance with tobacco sales laws is associated with a decreased risk of current daily smoking among adolescents...
  12. ncbi request reprint A comparison of the Hooked on Nicotine Checklist and the Fagerström Test for Nicotine Dependence in adult smokers
    Robert J Wellman
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Nicotine Tob Res 8:575-80. 2006
    ..The HONC is uniquely suited for use with smokers whose cigarette consumption is low...
  13. doi request reprint Effect of a pediatric practice-based smoking prevention and cessation intervention for adolescents: a randomized, controlled trial
    Lori Pbert
    Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655, USA
    Pediatrics 121:e738-47. 2008
    ..The purpose of this work was to determine whether a pediatric practice-based smoking prevention and cessation intervention increases abstinence rates among adolescents...
  14. ncbi request reprint Trait anxiety and nicotine dependence in adolescents: a report from the DANDY study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA
    Addict Behav 29:911-9. 2004
    ..Trait anxiety and relaxation in response to the first dose of nicotine were unrelated and appear to be independent risk factors for the development of nicotine dependence and a reliance on tobacco to cope with stress...
  15. ncbi request reprint A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerström tolerance questionnaire
    Robert J Wellman
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    Addict Behav 31:486-95. 2006
    ..The most important advantage of the HONC is that it is measuring a clearly defined concept, diminished autonomy over tobacco, which begins when the sequelae of tobacco use present a barrier to quitting...
  16. ncbi request reprint Tobacco chippers report diminished autonomy over smoking
    Robert J Wellman
    University of Massachusetts Medical School, Department of Family Medicine and Community Health, Worcester 01655, United States
    Addict Behav 31:717-21. 2006
    ..Although chippers may not warrant a dependence diagnosis, they may benefit from help with cessation. Autonomy over smoking may be a more useful basis than cigarette consumption rates for classifying smokers...
  17. doi request reprint Let the children be heard: lessons from studies of the early onset of tobacco addiction
    Joseph R DiFranza
    University of Massachusetts Medical School, Department of Family Medicine and Community Health, 55 Lake Ave, Worcester, MA 01655, USA
    Pediatrics 121:623-4. 2008
  18. ncbi request reprint The effect of abstinence on cigarette consumption upon the resumption of smoking
    Robert J Wellman
    University of Massachusetts Medical School, Department of Family Medicine and Community Health, Worcester 01655, United States
    Addict Behav 31:711-6. 2006
    ..The shapes of the observed trajectories suggest that more than one process may be at work. Prospective studies are needed to confirm these findings...
  19. doi request reprint The Autonomy Over Smoking Scale
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Psychol Addict Behav 23:656-65. 2009
    ....
  20. doi request reprint Which interventions against the sale of tobacco to minors can be expected to reduce smoking?
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, Massachusetts 01655, USA
    Tob Control 21:436-42. 2012
    ..The object of this study was to determine if disrupting the sale of tobacco to minors can be expected to reduce tobacco use by youths...
  21. ncbi request reprint The relationship between level of cigarette consumption and latency to the onset of retrospectively reported withdrawal symptoms
    W W S A Fernando
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA
    Psychopharmacology (Berl) 188:335-42. 2006
    ..Subthreshold smokers (who smoke < or =5 cigarettes/day) experience withdrawal symptoms, yet they smoke less than is required to maintain serum nicotine levels...
  22. doi request reprint Might expectations explain early self-reported symptoms of nicotine dependence?
    W W Sanouri A Ursprung
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Addict Behav 34:227-31. 2009
    ..While youth do share expectations about nicotine dependence, it is not the expectation that they will become dependent; it is the expectation that if they smoke they will be able to quit whenever they want...
  23. ncbi request reprint Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist
    Katherine Carter Wheeler
    Department of Biology Biotechnology, Worcester Polytechnic Institute, 55 Lake Avenue, Worcester, MA 01655, USA
    J Adolesc Health 35:225-30. 2004
    ....
  24. ncbi request reprint Hooked from the first cigarette
    Joseph R DiFranza
    University of Massachusetts Medical School, Worcester, USA
    Sci Am 298:82-7. 2008
    ..These adaptations lead to withdrawal symptoms when the effects of nicotine wear off. The results highlight the importance of boosting government funding for antismoking campaigns, particularly those aimed at youngsters...
  25. pmc Early course of nicotine dependence in adolescent smokers
    Chyke A Doubeni
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655, USA
    Pediatrics 125:1127-33. 2010
    ..The goal was to characterize the early course of nicotine dependence...
  26. doi request reprint The latency to the onset of nicotine withdrawal: a test of the sensitization-homeostasis theory
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Addict Behav 33:1148-53. 2008
    ..The LTW correlated inversely with monthly cigarette consumption (Kendall's tau b=-.53, P<.001) and the duration of smoking (Kendall's tau b=-.25, P<.001) as predicted by the sensitization-homeostasis theory...
  27. pmc Progressive levels of physical dependence to tobacco coincide with changes in the anterior cingulum bundle microstructure
    Wei Huang
    Center for Comparative NeuroImaging, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America
    PLoS ONE 8:e67837. 2013
    ..This study sought to determine if advancing neurophysiologic dependence as measured by the Level of PD correlates with characteristics of white matter structure measured by Fractional Anisotropy (FA)...
  28. pmc Health effects of the Federal Bureau of Prisons tobacco ban
    Stephen A Martin
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Barre Family Health Center, 151 Worcester Road, Barre, MA 01005, USA
    BMC Pulm Med 12:64. 2012
    ..Despite this considerable harm, we know relatively little about the natural history of lung disease and respiratory impairment in adults, especially after smoking cessation...
  29. doi request reprint Does progression through the stages of physical addiction indicate increasing overall addiction to tobacco?
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    Psychopharmacology (Berl) 219:815-22. 2012
    ..As physical addiction advances, the desire to smoke changes in quality and intensity from wanting, to craving, to needing. A prior study in adolescents suggested that this progression signifies increasing addiction...
  30. doi request reprint Imaging brain activation in nicotine-sensitized rats
    Zhixin Li
    Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    Brain Res 1199:91-9. 2008
    ....
  31. ncbi request reprint Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Pediatrics 117:e1237-48. 2006
    ..We sought to determine whether there is evidence of a causal link between exposure to tobacco promotion and the initiation of tobacco use by children...
  32. ncbi request reprint The extent to which tobacco marketing and tobacco use in films contribute to children's use of tobacco: a meta-analysis
    Robert J Wellman
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Arch Pediatr Adolesc Med 160:1285-96. 2006
    ..To quantify the effect of exposure on initiation of tobacco use among adolescents...
  33. ncbi request reprint Preventing cancer by controlling youth tobacco use
    Joseph R DiFranza
    Department of Family and Community Medicine, University of Massachusetts Medical Center, 55 Lake Ave, Worcester, MA 01655, USA
    Semin Oncol Nurs 19:261-7. 2003
    ..To review the epidemiology and prevention of teen smoking and the risks of smoking among survivors of childhood cancer...
  34. ncbi request reprint A sensitization-homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Nicotine Tob Res 7:9-26. 2005
    ..It provides a framework for theory-based research...
  35. doi request reprint The developmental sequence of tobacco withdrawal symptoms of wanting, craving and needing
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Pharmacol Biochem Behav 100:494-7. 2012
    ..The objective of the current study was to determine if this observation would be confirmed by a second case series...
  36. doi request reprint A comparison of brain and behavioral effects of varenicline and nicotine in rats
    Jean King
    Center for Comparative NeuroImaging, University of Massachusetts Medical School, Worcester, MA 01655, USA
    Behav Brain Res 223:42-7. 2011
    ..This study points to different effects of varenicline and nicotine on neuronal and behavioral indices...
  37. doi request reprint Development of a measure of the latency to needing a cigarette
    W W Sanouri A Ursprung
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    J Adolesc Health 48:338-43. 2011
    ..We also investigated the relationship between the LTNC and dependence-related symptoms...
  38. ncbi request reprint Hooked from the first cigarette
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    J Fam Pract 56:1017-22. 2007
  39. pmc Symptoms of diminished autonomy over cigarettes with non-daily use
    Judith A Savageau
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Int J Environ Res Public Health 6:25-35. 2009
    ..9% of subjects who smoked less often than once per week. Among subjects who had not smoked 20 cigarettes in their lifetime, 12.6% had symptoms of nicotine withdrawal, and 25% had made an unsuccessful quit attempt...
  40. doi request reprint New insights into the compulsion to use tobacco from an adolescent case-series
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, Massachusetts 01655, USA
    J Adolesc 33:209-14. 2010
    ..Wanting, craving or needing tobacco, as described in this study, are pathognomonic for a compulsion to use tobacco...
  41. pmc Systematic literature review assessing tobacco smoke exposure as a risk factor for serious respiratory syncytial virus disease among infants and young children
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
    BMC Pediatr 12:81. 2012
    ..This systematic review was conducted to explore the association between ETS exposure and serious RSV disease in children younger than 5 years, including infants and young children with elevated risk for serious RSV disease...
  42. ncbi request reprint Implications of the autonomy theory of nicotine dependence
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA
    MedGenMed 4:8. 2002
  43. ncbi request reprint Sensitization to nicotine: how the animal literature might inform future human research
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655
    Nicotine Tob Res 9:9-20. 2007
    ..Sensitization is incorporated into two theories of addiction: incentive-sensitization and sensitization-homeostasis. Whether sensitization occurs in humans and how it is expressed is unclear, as is its role in human addiction...
  44. ncbi request reprint Prenatal and postnatal environmental tobacco smoke exposure and children's health
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
    Pediatrics 113:1007-15. 2004
    ....
  45. ncbi request reprint Best practices for enforcing state laws prohibiting the sale of tobacco to minors
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA
    J Public Health Manag Pract 11:559-65. 2005
    ..To determine best practices for enforcing public health laws prohibiting the sale of tobacco to minors...
  46. ncbi request reprint Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study
    Joseph R DiFranza
    Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Ave, Worcester, MA 01655, USA
    Arch Pediatr Adolesc Med 156:397-403. 2002
    ..We propose that nicotine dependence begins when autonomy is lost, ie, when the sequelae of tobacco use, either physical or psychological, present a barrier to quitting...
  47. ncbi request reprint A gadget can't fix what's wrong with the tobacco distribution system
    Joseph R DiFranza
    University of Massachusetts Medical School, Worcester 01655, USA
    J Public Health Policy 24:269-73. 2003