Does one cigarette make an adolescent smoker, and is it influenced by age and age of smoking initiation? Evidence of association from the U.S. Youth Risk Behavior Surveillance System (2011)

Reidpath, Daniel D., Davey, Tamzyn M., Kadirvelu, Amudha, Soyiri, Ireneous N. and Allotey, Pascale (2014) Does one cigarette make an adolescent smoker, and is it influenced by age and age of smoking initiation? Evidence of association from the U.S. Youth Risk Behavior Surveillance System (2011). Preventive Medicine, 59 1: 37-41. doi:10.1016/j.ypmed.2013.11.011


Author Reidpath, Daniel D.
Davey, Tamzyn M.
Kadirvelu, Amudha
Soyiri, Ireneous N.
Allotey, Pascale
Title Does one cigarette make an adolescent smoker, and is it influenced by age and age of smoking initiation? Evidence of association from the U.S. Youth Risk Behavior Surveillance System (2011)
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
1096-0260
Publication date 2014-02
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2013.11.011
Open Access Status
Volume 59
Issue 1
Start page 37
End page 41
Total pages 5
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Objectives: Evidence that age of smoking initiation represents a risk factor for regular smoking in adolescence is complicated by inconsistencies in the operational definition of smoking initiation and simultaneous inclusion of age as an explanatory variable. The aim of this study was to examine the relationship between age, age of smoking initiation and subsequent regular smoking.

Methods: A secondary analysis was conducted of the U.S. Youth Risk Behavior Survey 2011. A sex stratified multivariable logistic regression analysis was used to model the likelihood of regular smoking with age and age of smoking initiation as explanatory variables and race/ethnicity as a covariate.

Results: After controlling for race/ethnicity, age and age of smoking initiation were independently associated with regular smoking in males and females. Independent of age, a one year's decrease in the age of smoking initiation was associated with a 1.27 times increase in odds of regular smoking in females (95% CI: 1.192-1.348); and similar associations for males (OR: 1.28; 95% CI: 1.216-1.341).

Conclusion: While the majority of high school students do not become regular smokers after initiating smoking, earlier initiation of smoking is associated with subsequent regular smoking irrespective of sex or race/ethnicity. These findings have potentially important implications for intervention targeting.
Keyword Smoking
Adolescent
Epidemiology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Public Health Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 15 May 2015, 12:41:58 EST by Tamzyn Davey on behalf of School of Public Health