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Smoking cessation in young adults: Age at initiation of cigarette smoking and other suspected influences

Author

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  • Breslau, N.
  • Peterson, E.L.

Abstract

Objectives. Previous research has suggested that early smoking initiation predicts longer duration of smoking, heavier daily consumption, and increased chances of nicotine dependence. This report set out to estimate the relationship between smoking cessation and age of initiation, as well as nicotine dependence, sex, race, and education. Methods. A sample of 1007 young adults was randomly selected from a large health maintenance organization in southeast Michigan. Hazard ratios of quitting associated with age at smoking initiation were estimated among 414 persons who smoked daily for 1 month or more. Results. With potential confounders controlled for, the likelihood of cessation was significantly higher in smokers who initiated smoking after age 13. The hazard ratio for quitting associated with smoking initiation at ages 14 to 16 was 1.6 and with initiation at or after age 17 was 2.0, compared with initiation at or before 13 years of age. Factors that decreased the likelihood of cessation were nicotine dependence and low education. Conclusions. Public policy to discourage early smoking, if it succeeds in delaying the initiation of smoking, might contribute to the reduction of smoking-related mortality and morbidity by increasing the potential for quitting.

Suggested Citation

  • Breslau, N. & Peterson, E.L., 1996. "Smoking cessation in young adults: Age at initiation of cigarette smoking and other suspected influences," American Journal of Public Health, American Public Health Association, vol. 86(2), pages 214-220.
    • Handle: RePEc:aph:ajpbhl:1996:86:2:214-220_9
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    Cited by:

    1. G. Guindon, 2014. "The impact of tobacco prices on smoking onset in Vietnam: duration analyses of retrospective data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(1), pages 19-39, January.
    2. Sreenivas P. Veeranki & Rijo M. John & Abdallah Ibrahim & Divya Pillendla & James F. Thrasher & Daniel Owusu & Ahmed E. O. Ouma & Hadii M. Mamudu, 2017. "Age of smoking initiation among adolescents in Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 63-72, January.
    3. Honjo, Kaori & Tsutsumi, Akizumi & Kawachi, Ichiro & Kawakami, Norito, 2006. "What accounts for the relationship between social class and smoking cessation? Results of a path analysis," Social Science & Medicine, Elsevier, vol. 62(2), pages 317-328, January.
    4. Pearl Bader & David Boisclair & Roberta Ferrence, 2011. "Effects of Tobacco Taxation and Pricing on Smoking Behavior in High Risk Populations: A Knowledge Synthesis," IJERPH, MDPI, vol. 8(11), pages 1-22, October.
    5. Mythily Subramaniam & Shazana Shahwan & Restria Fauziana & Pratika Satghare & Louisa Picco & Janhavi Ajit Vaingankar & Siow Ann Chong, 2015. "Perspectives on Smoking Initiation and Maintenance: A Qualitative Exploration among Singapore Youth," IJERPH, MDPI, vol. 12(8), pages 1-15, July.
    6. Youngmee Kim & Ji Sung Lee & Won-Kyung Cho, 2021. "Factors Associated with Successful Smoking Cessation According to Age Group: Findings of an 11-Year Korea National Survey," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    7. Göhlmann, Silja & Schmidt, Christoph M., 2008. "Smoking in Germany: Stylized Facts, Behavioral Models, and Health Policy," Ruhr Economic Papers 64, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    8. Kajal Lahiri & Jae G. Song, 2000. "The effect of smoking on health using a sequential self‐selection model," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 491-511, September.
    9. repec:zbw:rwirep:0064 is not listed on IDEAS
    10. Soteris Soteriades & Athanasios Basagiannis & Elpidoforos S. Soteriades & Anastasia Barbouni & Varvara Mouchtouri & George Rachiotis & Christos Hadjichristodoulou, 2020. "Nicotine Dependence and Loss of Autonomy among Greek Adolescent Smokers: A Countrywide Cross-Sectional Study," IJERPH, MDPI, vol. 17(21), pages 1-10, November.
    11. 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.
    12. Braciszewski, Jordan M. & Colby, Suzanne M., 2015. "Tobacco use among foster youth: Evidence of health disparities," Children and Youth Services Review, Elsevier, vol. 58(C), pages 142-145.
    13. Silja Göhlmann & Christoph M. Schmidt, 2008. "Smoking in Germany: Stylized Facts, Behavioral Models, and Health Policy," Ruhr Economic Papers 0064, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    14. Glied, Sherry, 2002. "Youth tobacco control: reconciling theory and empirical evidence," Journal of Health Economics, Elsevier, vol. 21(1), pages 117-135, January.
    15. Samira Golestan & Haslinda Binti Abdullah, 2015. "The Moderating Effects of Self-Efficacy on the Relationship Between Stress and Cigarette Smoking Behavior Among Adolescents in Kerman, Iran," Asian Culture and History, Canadian Center of Science and Education, vol. 7(1), pages 130-130, March.
    16. Adriana Pérez & Elena Penedo & Meagan A. Bluestein & Baojiang Chen & Cheryl L. Perry & Melissa B. Harrell, 2020. "The Recalled Age of Initiation of Multiple Tobacco Products among 26–34 Year Olds: Findings from the Population Assessment of Tobacco and Health (PATH) Study Wave 1 (2013–2014)," IJERPH, MDPI, vol. 17(23), pages 1-13, December.

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