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Long-term trends in adolescent and young adult smoking in the United States: Metapatterns and implications

Author

Listed:
  • Nelson, D.E.
  • Mowery, P.
  • Asman, K.
  • Pederson, L.L.
  • O'Malley, P.M.
  • Malarcher, A.
  • Maibach, E.W.
  • Pechacek, T.F.

Abstract

Objectives. We sought to describe long-term adolescent and young adult smoking trends and patterns. Methods. We analyzed adolescent data from Monitoring the Future, 1976 to 2005, and young adult (aged 18-24 years) data from the National Health Interview Survey, 1974 to 2005, overall and in subpopulations to identify trends in current cigarette smoking prevalence. Results. Five metapatterns emerged: we found (1) a large increase and subsequent decrease in overall smoking over the past 15 years, (2) a steep decline in smoking among Blacks through the early 1990s, (3) a gender gap reversal among older adolescents and young adults who smoked over the past 15 years, (4) similar trends in smoking for most subgroups since the early 1990s, and (5) a large decline in smoking among young adults with less than a high school education. Conclusions. Long-term patterns for adolescent and young adult cigarette smoking were decidedly nonlinear, and we found evidence of a cohort effect among young adults. Continued strong efforts and a long-term societal commitment to tobacco use prevention are needed, given the unprecedented declines in smoking among most subpopulations since the mid- to late 1990s.

Suggested Citation

  • Nelson, D.E. & Mowery, P. & Asman, K. & Pederson, L.L. & O'Malley, P.M. & Malarcher, A. & Maibach, E.W. & Pechacek, T.F., 2008. "Long-term trends in adolescent and young adult smoking in the United States: Metapatterns and implications," American Journal of Public Health, American Public Health Association, vol. 98(5), pages 905-915.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.115931_4
    DOI: 10.2105/AJPH.2007.115931
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    Cited by:

    1. Kravitz-Wirtz, Nicole, 2016. "A discrete-time analysis of the effects of more prolonged exposure to neighborhood poverty on the risk of smoking initiation by age 25," Social Science & Medicine, Elsevier, vol. 148(C), pages 79-92.
    2. Keaton Miller & Boyoung Seo, 2021. "The Effect of Cannabis Legalization on Substance Demand and Tax Revenues," National Tax Journal, University of Chicago Press, vol. 74(1), pages 107-145.
    3. Michael V Maciosek & Amy B LaFrance & Ann W St. Claire & Paula A Keller & Zack Xu & Barbara A Schillo, 2020. "The 20-year impact of tobacco price and tobacco control expenditure increases in Minnesota, 1998-2017," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-14, March.
    4. Frank Sloan & Alyssa Platt, 2011. "Information, risk perceptions, and smoking choices of youth," Journal of Risk and Uncertainty, Springer, vol. 42(2), pages 161-193, April.

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