Healthy People 2020: Social Determinants of Cigarette Smoking and Electronic Cigarette Smoking among Youth in the United States 2010-2018.

Gang Wang,Liyun Wu

doi:10.3390/ijerph17207503

Abstract

The purpose of this study was to determine social determinants of cigarette smoking and ever using electronic cigarettes (e-cigarettes) among young adults aged 18 to 25 years in the United States between 2010 and 2018. Using secondary data from National Health Interview Surveys (NHIS) across the 2010, 2014, and 2018 survey years, this study analyzed the prevalence rates of cigarette smoking and ever using e-cigarettes between 2010 and 2018, demographic and socioeconomic disparities in smoking, and the relationship between previous e-cigarette use and current smoking. First, the past decade witnessed a notable decline in conventional cigarette smoking and a sharp increase in e-cigarette use among youth. These trends were consistent regardless of socioeconomic status. Second, demographic and socioeconomic disparities persisted in cigarette smoking. Non-Hispanic white male youth were more likely to become smokers as they grew older. Young people with lower educational attainment, living below the U.S. federal poverty level, and having a poor physical health status had a higher smoking prevalence. Third, previous e-cigarette use was more likely to relate to subsequent cigarette use among young people. To achieve the Healthy People 2020 objectives, tobacco control programs and interventions need to be more specific in higher prevalence groups and service providers should not assume that there is a one-size-fits-all model for youth.

Highlights

By the end of 2017, the United States had over 34 million current cigarette smokers, 14% of U.S.adults, who smoked either every day or some days during the typical week, a significant decline from20.9% in 2005 [1]
People 2020 objectives, tobacco control programs and interventions need to be more specific in higher prevalence groups and service providers should not assume that there is a one-size-fits-all model for youth
These findings suggested that risks associated with cigarette smoking may be evident as these social determinants clearly resulted in negative health outcomes

Summary

Introduction

By the end of 2017, the United States had over 34 million current cigarette smokers, 14% of U.S.adults, who smoked either every day or some days during the typical week, a significant decline from20.9% in 2005 [1]. By the end of 2017, the United States had over 34 million current cigarette smokers, 14% of U.S. adults, who smoked either every day or some days during the typical week, a significant decline from. In a report which summarized 50 years of progress in tobacco control and prevention, the Office of the Surgeon General [2] specified that more than 16 million Americans suffered from a disease caused by smoking. 87 percent of lung cancer deaths, 32 percent of coronary heart disease deaths, and 79 percent of all cases of chronic obstructive pulmonary disease, were caused by smoking, and smoking has become the leading cause of preventable disease and death (about 1 in 5 deaths) in the United States [3].

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Discussion

Conclusion