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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.; Allotey, Pascale

Authors

Daniel D. Reidpath

Tamzyn M. Davey

Amudha Kadirvelu

Pascale Allotey



Contributors

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. © 2013 Elsevier Inc.

Journal Article Type Article
Publication Date Feb 1, 2014
Journal Preventive Medicine
Print ISSN 0091-7435
Electronic ISSN 1096-0260
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 59
Issue 1
Pages 37-41
APA6 Citation Reidpath, D. D., Davey, T. M., Kadirvelu, A., Soyiri, I. N., & Allotey, P. (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. https://doi.org/10.1016/j.ypmed.2013.11.011
DOI https://doi.org/10.1016/j.ypmed.2013.11.011
Keywords Smoking; Adolescent; Epidemiology
Publisher URL https://www.sciencedirect.com/science/article/pii/S0091743513004441?via%3Dihub
Additional Information This article is maintained by: Elsevier; Article 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 Title: Preventive Medicine; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.ypmed.2013.11.011; Content Type: article; Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.
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