Smoking In Early Adulthood Research Articles

Intergenerational transmission of tobacco smoking: The role of the child’s behavioral difficulties. Data from the Danish National Birth cohort (DNBC)

AimsThis study explores the role of offspring behavioral difficulties in the intergeneration transmission of tobacco smoking. MethodsThis longitudinal cohort study is based on children born in Denmark in 1996–2003 participating in the Danish National Birth Cohort (DNBC), followed-up until 18years of age. We included mother-child pairs with complete data regarding the exposure (4 trajectories of maternal daily smoking quantity during pregnancy: low, intermediate/stable, intermediate/decreasing and high), outcome (offspring daily smoking status at 18 years) and mediator (offspring symptoms of hyperactivity-inattention at 11 years), that is 24,588 mother-child pairs. ResultsIn our study population, during pregnancy respectively 86.2%, 6.80%, 4.08% and 2.97% mothers belonged to the low, intermediate/stable, intermediate/decreasing and high smoking trajectory groups. After controlling for covariates using propensity scores, the direct effect of maternal smoking in pregnancy on offspring smoking in adolescence was statistically significant, especially when the mother belonged to the intermediate/stable smoking trajectory group (ORIPW = 2.09, 95% CI: 1.70 – 2.61) or to the high smoking trajectory group (ORIPW = 2.08, 95% CI: 1.52 – 3.11) compared to the low smoking trajectory group. None of the indirect effects of maternal smoking in pregnancy were statistically significant, and neither were the proportions mediated. ConclusionMaternal pregnancy smoking seems to have an influence on offspring smoking in early adulthood, which does not appear to be mediated by offspring behavioral difficulties. Women should be strongly encouraged to quit smoking in pregnancy to reduce both short and long-term health risks among their offspring.

Assessment of Respiratory Morbidity and Epidemiological Survey of Tobacco Smokers and Non-Smokers Among Educated Young Adults in Visva-Bharati, Santiniketan: A Case Study

Tobacco smoking among adults have become a serious health concern worldwide due to its increasing addicting nature. Tobacco smoke contains highly harmful gaseous and volatile chemical substances that impair the respiratory system and reduce lung function capacity. The study's primary objectives were to investigate the cause of smoking, behaviour of smokers, social responsibility, family history of the smoker, and significant respiratory health problems among young educated adults. The survey was conducted with some pre-framed questionnaires and screening relevant to the subjects for our study. The respiratory health assessment was carried out by questionnaire-based personal interviews for different respiratory and non-respiratory health symptoms. Subsequently, the lung function or pulmonary function test (LFT or PFT) for selected individuals was performed, revealing the lung performances of smokers and non-smokers. The LFT or PFT test predicts the normal and abnormal breathing patterns of exposed and non-exposed studied groups. The significant findings indicated that curiosity (72%) and displaying of smartness were the leading cause of smoking in early adulthood (16 to 20 years). Family history of smoking also influenced young adults to initiate regular smoking. Smoking within thirty minutes after waking up in the morning was - a habit in 52% of smokers. Findings revealed that 50% of the heavy smokers smoke 11-15 units daily. The average weekly expenditure for the smoking materials was INR 100 to 150 (26.32%) rupees for smokers. Spirometric indices such as forced vital capacity (FVC), forced expiratory volume in one second (FEV1), percentage forced expiratory volume in one second (FEV1%), and peak expiratory flow rate (PEFR), showed a reduced performance of lungs in smokers as compared to their fellow non-smokers. This study has focused on the smoking behaviour of educated young adults and revealed the presence of different respiratory symptoms in smokers than non-smokers, which is an immerging health issue. The study revealed that smokers grouped are more susceptible to lung diseases than non-smokers in the future due to their reduced lung function capacity compared to non-smokers.

Smoking Behavior Among Students: Using Health Belief Model and Zero-Inflated Ordered Probit Model

Background: Smoking is increasing among adolescents and young adults. Adolescents’ smoking can predict frequent smoking in early adulthood. This study aimed to explore the predictors of smoking among high school students using health belief model (HBM). Materials and Methods: In this cross-sectional study conducted in 2019 in Bandar-Abbas city, South of Iran, 444 male high-school students aged 15-19 years (mean age: 16.7±0.85) were explored. Data were collected using a researcher-made questionnaire consisted of two main sections: sociodemographic characteristics and HBM constructs. The zero-inflated ordered probit (ZIOP) model was adopted for investigating the association between HBM constructs and smoking behavior. Results: Results indicated that 82% of the participants never smoked cigarette. The results of ZIOP model showed that the knowledge (P=0.026), susceptibility (P<0.001), severity (P=0.035), benefits (P=0.004), and cues to action (P=0.019) had significant effects on smoking cigarette after being adjusted for other covariates (i.e., age, parents’ education, losing one of the parents). Moreover, having a smoker friend was found to be an inflation factor (P<0.001). Adolescents with smoking friends were 44% less likely to avoid smoking. Conclusion: It was concluded that having a smoker friend, knowledge, susceptibility, severity, benefits, and cues to action had considerable predictive capacity for predicting smoking attitude. Therefore, it was recommended that these factors should be seriously considered when designing educational programs with the aim of reducing adolescent smoking.

Smoking in early adulthood is prospectively associated with prescriptions of antipsychotics, mood stabilizers, antidepressants and anxiolytics.

Whether smoking should be regarded as a risk factor for mental disorders remains unresolved. Prescribed psychotropic drugs can be used as indications for mental disorders. We investigated how smoking was prospectively related to prescription of antipsychotics, mood stabilizers, antidepressants, and anxiolytics. Information about smoking, including the Fagerström Test for Nicotine Dependence, and relevant confounders, were obtained from the population-based Young in Norway Study (N = 2602), with four data collection waves between 1992 and 2006. These survey data were linked with information on prescriptions for psychotropic drugs from the comprehensive, nationwide Norwegian Prescription Database from 2007 to 2015. Daily smoking with high dependence in 2006 at age 28.5 (s.d. = 2.0) was associated with filling prescriptions of antipsychotics (OR, 6.57, 95% CI 2.19-19.70, p = 0.001), mood stabilizers (OR, 7.11, 95% CI 2.51-20.15, p < 0.001) and antidepressants (OR, 1.91, 95% CI 1.13-3.23, p = 0.016) 1-9 years later. Associations remained significant after adjustment for a variety of potential confounders measured before the assessment of smoking, including sociodemographic background, conduct problems, cannabis use, mental distress, and previous prescriptions for psychotropic medications. The association between smoking and prescription of anxiolytics was weaker and more unstable. In this study of young adults, daily smoking with high dependence was associated with later prescriptions of antipsychotics, mood stabilizers and antidepressants, indicating smoking as a risk factor for mental disorders treated with these drugs.

Trends in the Age of Cigarette Smoking Initiation Among Young Adults in the US From 2002 to 2018

Success in reducing the prevalence of adolescent smoking could reflect complete prevention of smoking initiation or a shift in the age of cigarette smoking initiation from adolescence into early adulthood. To assess trends in early adult (ages 18-23 years) vs adolescent (age <18 years) cigarette smoking initiation and transition to daily cigarette smoking from 2002 to 2018. Ages at initiation of smoking and the transition to daily smoking were ascertained from the National Survey on Drug Use and Health (2002-2018), an annual, population-based, repeated cross-sectional study representative of the US population. This cross-sectional analysis was restricted to young adults who completed the survey at ages 22 to 23 years during survey years 2002 to 2018 to limit potential age-related recall bias. Retrospectively collected age of cigarette smoking initiation was assessed among ever cigarette smokers; age of transition to daily smoking was assessed among ever daily cigarette smokers. Data analysis was performed from June 2019 to July 2020. Calendar year of survey (2002 to 2018). The main outcomes were population-weighted cigarette smoking prevalence and cigarette smoking initiation and transition to daily smoking in adolescence (age <18 years) vs early adulthood (ages 18-23 years). Among 71 756 young adults aged 22 to 23 years (38 226 women [50.5%]), ever cigarette smoking prevalence decreased from a population-weighted estimate of 74.6% (95% CI, 73.1%-75.9%) in 2002 to 51.4% (95% CI, 49.3%-53.5%) in 2018 (P < .001). Daily smoking prevalence rates similarly decreased from 41.1% (95% CI, 39.1%-43.1%) in 2002 to 20.2% (95% CI, 18.6%-21.8%) in 2018 (P < .001). However, among 48 015 ever smokers, the proportion initiating smoking in early adulthood (ages 18-23 years) increased over this time, from 20.6% (95% CI, 18.5%-22.8%) in 2002 to 42.6% (95% CI, 39.6%-45.7%) in 2018 (P < .001). Similarly, among 24 490 daily cigarette smokers, the proportion who transitioned to daily smoking in early adulthood increased from 38.7% (95% CI, 35.9%-41.6%) in 2002 to 55.9% (95% CI, 52.0%-59.8%) in 2018 (P < .001). A substantial proportion of beginning smokers and most new daily smokers are now young adults, reflecting a shift from adolescence to early adulthood, a population segment once considered beyond the critical risk period for cigarette smoking onset. Expanding the long-standing emphasis on adolescent surveillance and prevention in adolescence to include the young adult population is warranted.

Estimated and projected burden of multiple sclerosis attributable to smoking and childhood and adolescent high body-mass index: a comparative risk assessment.

Smoking and childhood and adolescent high body-mass index (BMI) are leading lifestyle-related risk factors of global premature morbidity and mortality, and have been associated with an increased risk of developing multiple sclerosis (MS). This study aims to estimate and project the proportion of MS incidence that could be prevented with elimination of these risk factors. Prevalence estimates of high BMI during childhood/adolescence and smoking in early adulthood, and relative risks of MS, were obtained from published literature. A time-lag of 10 years was assumed between smoking in early adulthood and MS incidence, and a time-lag of 20 years was assumed between childhood/adolescent high BMI and MS incidence. The MS population attributable fractions (PAFs) of smoking and high BMI were estimated as individual and combined risk factors, by age, country and sex in 2015, 2025 and 2035 where feasible. The combined estimated PAFs for smoking and high BMI in 2015 were 14, 11, 12 and 12% for the UK, USA, Russia and Australia in a conservative estimate, and 21, 20, 19 and 16% in an independent estimate, respectively. Estimates for smoking are declining over time, whereas estimates for high early life BMI are rising. The PAF for high early life BMI is highest in the USA and is estimated to increase to 14% by 2035. Assuming causality, there is the potential to substantially reduce MS incidence with the elimination of lifestyle-related modifiable risk factors, which are the target of global public health prevention strategies.

Associations between child maltreatment, cigarette smoking, and nicotine dependence in young adults with a history of regular smoking

PurposeThe purpose of this study was to evaluate whether childhood maltreatment is associated with smoking behaviors and lifetime nicotine dependence and if associations are moderated by sex. We examined these associations among individuals who ever reported being regular smokers. MethodsUsing data from the National Longitudinal Study of Adolescent to Adult Health, we examined relationships between retrospectively self-reported child maltreatment (parent/caregiver-perpetrated emotional, physical, sexual abuse, and neglect; and non-parent/caregiver-perpetrated sexual abuse) and self-reported smoking behaviors among individuals with a history of regular smoking. Outcomes were any current smoking in early adulthood (mean age = 28 years), current smoking in adolescent study waves only, adulthood only, and adolescence and adulthood (n = 3581); and lifetime history of nicotine dependence (n = 3594) per the Fagerstrom scale. ResultsPoly-maltreatment (aRR for 2+ vs. 0 exposures = 1.20, 95% CI: 1.08, 1.34) was associated with lifetime nicotine dependence; associations between nicotine dependence and neglect and non-parent/caregiver sexual abuse by force were only present in women. Neglect and non-parent/caregiver sexual abuse by nonphysical threat were associated with continued smoking, and an association between non-parent/caregiver sexual abuse by physical force and continued smoking was also noted in women only. Women who experienced poly-maltreatment were less likely to report current smoking in adolescence but not adulthood. ConclusionsThese data suggest in a nationally representative sample of ever regular smokers, child maltreatment is associated with outcomes that suggest an inability to quit smoking and some associations may vary by sex.

Effects of short-term smoking on lung function and airway hyper-responsiveness in young patients with untreated intermittent adult-onset asthma: retrospective cross-sectional study at a primary–tertiary care hospital in Japan

ObjectiveIn daily clinical practice, smokers with asthma and with intermittent disease severity are frequently encountered. The effects of short-term smoking on lung function or disease presentation in younger patients with...

Association of snus experimentation in late adolescence with daily cigarette smoking in early adulthood: A longitudinal study among Finnish men.

Aims: Swedish smokeless tobacco (snus) is a lower-risk tobacco product than cigarette smoking for individuals. However, the public health impact of snus use is less well studied. Critically, it is uncertain whether use of snus leads to the onset of smoking. This study aimed to investigate prospectively the association between snus experimentation in late adolescence and daily cigarette smoking in early adulthood among Finnish young men. Methods: Data were obtained from 1090 young men within the population-based FinnTwin12 cohort. At baseline (mean age 17 years), we assessed lifetime use of cigarettes and snus, plus other potential predictors of cigarette smoking. At follow-up (mean age 24 years), participants were categorized according to their current smoking status. The final analyses were conducted among 375 young men who were never smokers at baseline with adequate data on follow-up smoking status and other potential predictors of cigarette smoking. Results: Age-adjusted logistic regressions showed an increased risk of becoming a daily smoker at follow-up among those participants who had at least tried snus but had never smoked cigarettes at baseline (odds ratio (OR) 6.48, 95% confidence interval (CI) 2.02-20.7), compared with those who had never used snus. When additionally adjusted for monthly alcohol intoxication, maternal smoking, and peer drug use, the association between snus experimentation and later daily cigarette smoking was attenuated, but remained significant (OR 3.94, 95% CI 1.22-12.7). Conclusions: Our data support the proposition that snus experimentation during late adolescence is longitudinally associated with daily cigarette smoking in early adulthood. Although a causal association cannot be inferred with certainty, snus experimentation might constitute an indicator of the propensity to proceed to regular snus use and initiation of use of other tobacco or nicotine products.

Generational changes in tobacco use by young women: a cross-generational analysis of mother-daughter dyads.

Cross-generational evidence is needed to confirm the decline in young female smoking and to identify factors that impede cessation despite two decades of government intervention. Data are from the Mater University Study of Pregnancy, a cross-generational pre-birth cohort study beginning in 1981 in Australia. The sample comprised of 993 mother-daughter dyads, for which mothers were aged 18 ≤ 25 at the baseline measurement and their daughters were between the same ages when assessed 21 years later. We used multinomial logistic regression for clustered data to assess associations between four levels of cross-generationally measured mothers and daughters smoking in early adulthood, and assessed the role of education and depressive symptoms. The rate of smoking had declined substantially in the daughters' generation, with mothers having 5.77 (95% confidence interval 4.24, 8.09) and 2.04 (95% confidence interval 1.60, 2.64) times the odds of smoking at heavy and moderate levels, respectively. Smoking across the two cohorts was found to interact with education and depressive symptoms, such that daughters who did not complete secondary school or who had depressive symptoms were at greater risk of smoking than their mothers were 20 years earlier. Over two generations of mothers and daughters, smoking prevalence and smoking intensity has declined, largely in line with findings from national surveys. The remaining smoking has concentrated heavily among those who did not complete secondary education, and there is evidence that increases in light smoking among the daughters may be related to depression.

Mieux prendre en charge le tabagisme : il est urgent d’agir

Le nombre de deces attribuables au tabac a ete d’environ 100 millions de personnes au cours du 20e siecle. Actuellement, 1,3 milliard de personnes fument dans le monde. Les personnes qui commencent a fumer pendant l’adolescence et qui stoppent leur consommation avant l’âge de 40 ans evitent 90 % de la surmortalite attribuable au tabac. L’entretien motivationnel, le traitement substitutif nicotinique et la therapie cognitivo-comportementale sont les elements cles du sevrage tabagique. Les cigarettes electroniques avec ou sans nicotine ne sont pas plus efficaces que le timbre nicotinique et la toxicite a long terme n’est pas connue. Le prix est un facteur majeur de regulation de la consommation tabagique. Seule une augmentation importante du prix du tabac pourrait permettre d’atteindre une baisse importante de la consommation de tabac. Dans l’Union Europeenne, toute publicite sur le tabac est interdite, mais l’industrie du tabac peut continuer a depenser 8,6 milliards de dollars chaque annee aux Etats-Unis dans la publicite. Une reelle volonte politique est indispensable pour lutter contre ce fleau qui sevit dans le monde.

Determinants of Obesity: Results from a Longitudinal Study of Adolescents and Adults Living in an Urban Area

This study examined the relation of cigarette smoking, psychological symptoms (e.g., depressive symptoms, anxiety), physical activity, and body mass index (BMI) separately by sex. The sample consisted of 815 African Americans and Puerto Ricans (324 males, 491 females). The participants were originally 14 years of age, and were followed to 32 years of age, and gave information on smoking, depressive symptoms, anxiety, physical activity, and BMI. Structural equation modeling showed that for males cigarette smoking in mid/late adolescence was related to cigarette smoking in emerging adulthood and early adulthood. Finally, cigarette smoking in early adulthood was negatively related to BMI in adulthood only for male participants. For female participants, cigarette smoking in adolescence was related to psychological symptoms (e.g., depressive symptoms, anxiety) in emerging adulthood and early adulthood. Psychological symptoms in early adulthood predicted less physical activity in adulthood, which in turn, was related to BMI. With one exception, all of the standardized coefficients were statistically significant. Implications for preventive interventions are discussed.

Emergence of Socioeconomic Inequalities in Smoking and Overweight and Obesity in Early Adulthood: The National Longitudinal Study of Adolescent Health

We examined whether socioeconomic inequalities in smoking and overweight and obesity emerged in early adulthood and the contribution of family background, adolescent smoking, and body mass index to socioeconomic inequalities. Using data from the National Longitudinal Study of Adolescent Health we employed multinomial regression analyses to estimate relative odds of heavy or light-to-moderate smoking to nonsmoking and of overweight or obesity to normal weight. For smoking, we found inequalities by young adult socioeconomic position in both genders after controlling for family background and smoking during adolescence. However, family socioeconomic position was not strongly associated with smoking in early adulthood. For overweight and obesity, we found socioeconomic inequalities only among women both by young adult and family socioeconomic position after adjusting for birthweight, other family background, and body mass index during adolescence. Socioeconomic inequalities in smoking emerged in early adulthood according to socioeconomic position. Among women, inequalities in overweight or obesity were already evident by family socioeconomic position and strengthened by their own socioeconomic position. The relative importance of family background and current socioeconomic circumstances varied between smoking and overweight or obesity.

The impact of pre‐ and post‐natal smoke exposure on future asthma and bronchial hyper‐responsiveness

To analyse the impact of pre- and post-natal smoke exposure on asthma presence, bronchial hyper-responsiveness, airway function and active smoking in early adulthood. We have prospectively studied 101 children hospitalized due to wheezing before the age of 2 years. The cohort was re-investigated at age 17-20 years and tested for airway function and bronchial hyper-responsiveness. Data on maternal smoking during pregnancy were obtained from the Swedish Medical Birth Register. There was a significant, independent correlation between both pre- and post-natal smoke exposure and asthma at age 17-20 years, OR 3.5 (1.1-11.3) and 3.4 (1.2-10.1), respectively. Maternal smoking during pregnancy was an independent risk factor for current bronchial hyper-responsiveness, OR 6.6 (1.2-35.5). Pre-natal smoke exposure seemed to negatively affect small airway function in early adulthood due to structural changes. Post-natal smoke exposure was independently associated with an increased risk of current smoking, OR 7.4 (1.6-35.2). In subjects hospitalized due to early wheezing, pre- and post-natal smoke exposure increase the risk of asthma in early adulthood. The connection between pre-natal smoke exposure and asthma appears to be mediated via the development of bronchial hyper-responsiveness. Smoke exposure in infancy is associated with an increased risk of active smoking in early adult age, which is in turn linked to current asthma.

Influence of parental education, childhood adversities, and current living conditions on daily smoking in early adulthood

To assess the association of parental education, childhood living conditions and adversities with daily smoking in early adulthood and to analyse the effect of the respondent's own education, main economic activity, and current family structure on these associations. The study is based on a representative two-stage cluster sample (N = 1894, participation rate 79%) of young adults aged 18-29, in 2000, in Finland. The outcome measure is daily smoking. Parental smoking and the respondent's own education had the strongest effects on daily smoking. If both parents of the respondent were smokers, then the respondent was most likely to be a smoker too (for men OR (odds ratio) = 3.01, for women OR = 2.41 after all adjustments). Young adults in the lowest educational category had a much higher risk of daily smoking than those in the highest category (OR = 5.88 for women, 4.48 for men). For women parental divorce (OR = 2.31) and current family structure also determined daily smoking. Parental education had a strong gradient in daily smoking and the effect appeared to be mediated largely by the respondent's own educational level. Childhood living conditions are strong determinants of daily smoking. Much of their influence seems to be mediated through current living conditions, which are also determined by childhood conditions. Determinants of smoking behaviour are developed throughout the life course. The findings stress the importance of the respondent's education and parental smoking as determinants of smoking behaviour. Our results support the notion that intervention on smoking initiation and cessation should be considered throughout the life course. Parental involvement in fostering non-smoking would be important.

Juvenile and early adulthood smoking and adult educational achievements - A 31-year follow-up of the Northern Finland 1966 Birth Cohort

Juvenile and early adulthood smoking and adult educational achievements - A 31-year follow-up of the Northern Finland 1966 Birth Cohort

Juvenile and early adulthood smoking and adult educational achievements--a 31-year follow-up of the Northern Finland 1966 Birth Cohort.

To investigate the association between juvenile and early adult cigarette smoking and educational achievements up to the age of 31 years. As a part of the follow-up of the North Finland 1966 Birth Cohort (n = 10542) from 1966 to 1997, smoking was assessed at the ages of 14 and 31 by postal questionnaires. The highest level of educational attainment was obtained from the National Education Registry of Statistics Finland up to the age of 31 years. Adult smoking (at age 31) and prolonged smoking (at ages 14 and 31) were both associated with an approximately two- to sixfold, adjusted odds for educational underachievement. Smoking only at age 14 showed none of these associations. These results are unlikely to be causal, but may be explained by other characteristics associated with smoking such as personality or lifestyle factors, as well as the effect of knowledge related to smoking gained during higher education.