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Socioeconomic status is associated with the prevalence and co-occurrence of risk factors for cigarette smoking initiation during adolescence

Author

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  • Robert J. Wellman

    (University of Massachusetts Medical School)

  • Marie-Pierre Sylvestre

    (Université de Montréal
    University of Montreal)

  • Erin K. O’Loughlin

    (Université de Montréal
    Concordia University)

  • Hartley Dutczak

    (Université de Montréal)

  • Annie Montreuil

    (Institut National de Santé Publique du Québec)

  • Geetanjali D. Datta

    (Université de Montréal
    University of Montreal)

  • Jennifer O’Loughlin

    (Université de Montréal
    University of Montreal
    Institut National de Santé Publique du Québec)

Abstract

Objectives To investigate whether the prevalence or co-occurrence of risk factors for cigarette smoking initiation differ by socioeconomic status (SES) and whether SES interacts with risk factors to increase initiation. Methods In 2005, 1451 5th grade never smokers (mean age 10.7 years) in Montréal, Canada, provided baseline data, with follow-up in 6th and/or 7th grade (2005–2007). Poisson regression analyses estimated the association between 13 risk factors and initiation. Excess risk of each risk factor in low vs. moderate–high SES participants was assessed. Results Cigarette smoking was initiated by 9.4% of participants (n = 137). Low SES was associated with a higher prevalence and co-occurrence of risk factors. The estimated association of most risk factors with initiation was similar across SES, although participants from low SES neighborhoods whose mothers had no university education had three times the risk of initiation [ARR = 3.10 (1.19, 8.08)] compared to more affluent peers. Conclusions Tobacco control efforts must address the higher prevalence and co-occurrence of risk factors in lower SES contexts since these may render initiation highly probable in many lower SES youth.

Suggested Citation

  • Robert J. Wellman & Marie-Pierre Sylvestre & Erin K. O’Loughlin & Hartley Dutczak & Annie Montreuil & Geetanjali D. Datta & Jennifer O’Loughlin, 2018. "Socioeconomic status is associated with the prevalence and co-occurrence of risk factors for cigarette smoking initiation during adolescence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 125-136, January.
  • Handle: RePEc:spr:ijphth:v:63:y:2018:i:1:d:10.1007_s00038-017-1051-9
    DOI: 10.1007/s00038-017-1051-9
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    References listed on IDEAS

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    1. Daniel J Corsi & Scott A Lear & Clara K Chow & S V Subramanian & Michael H Boyle & Koon K Teo, 2013. "Socioeconomic and Geographic Patterning of Smoking Behaviour in Canada: A Cross-Sectional Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-11, February.
    2. Rick L. Williams, 2000. "A Note on Robust Variance Estimation for Cluster-Correlated Data," Biometrics, The International Biometric Society, vol. 56(2), pages 645-646, June.
    3. repec:qsh:wpaper:112426 is not listed on IDEAS
    4. Damien Bricard & Florence Jusot & François Beck & Myriam Khlat & Stéphane Legleye, 2016. "Educational inequalities in smoking over the life cycle: an analysis by cohort and gender," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 101-109, January.
    5. Timo-Kolja Pförtner & Bart Clercq & Michela Lenzi & Alessio Vieno & Katharina Rathmann & Irene Moor & Anne Hublet & Michal Molcho & Anton Kunst & Matthias Richter, 2015. "Does the association between different dimension of social capital and adolescent smoking vary by socioeconomic status? a pooled cross-national analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 901-910, December.
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    Cited by:

    1. Rehab Auf & Mary Jo Trepka & Mazen Selim & Ziyad Ben Taleb & Mario De La Rosa & Elena Bastida & Miguel Ángel Cano, 2019. "E-cigarette use is associated with other tobacco use among US adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 125-134, January.
    2. Petr David & Marek Litzman & Petr Rozmahel, 2022. "The Real Effect of the Czech Tax Policy for Combating the Tobacco Epidemic," Journal of Economics / Ekonomicky casopis, Institute of Economic Research, Slovak Academy of Sciences, vol. 70(7-8), pages 589-602, July.
    3. Mi Young Kwon & Myoung Sun Cho, 2022. "Association of Residence Type on Smoking in South Korean Adolescents during the COVID-19 Pandemic: Findings from a National Survey," IJERPH, MDPI, vol. 19(19), pages 1-12, October.
    4. Martin, Leanne & White, Mathew P. & Pahl, Sabine & May, Jon & Wheeler, Benedict W., 2020. "Neighbourhood greenspace and smoking prevalence: Results from a nationally representative survey in England," Social Science & Medicine, Elsevier, vol. 265(C).

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