To examine if the recommended taxonomies for the stages of youth smoking onset are aligned with the beliefs of smoking youth.
The SHAPES Tobacco Module was administered to 23,047 students (grades 9 to 13) in a convenience sample of 29 secondary schools during the 2000-2001 school year in the province of Ontario, Canada. Cross-tabs were used to compare a student's self-perceived smoking status to their smoking status as determined with the currently recommended stage taxonomies for smoking behaviour.
The majority of students classified as regular smokers (52.4%) and experimental smokers (98.9%) did not actually consider themselves to be smokers. Self-reported smoking status appeared to be relatively consistent for the never smoker and established smoker categories.
Additional research is required to develop stage taxonomies that are aligned with the self-perceptions of non-established youth smokers.