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Published in: International Journal of Public Health 1/2018

01-01-2018 | Original Article

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

Authors: Robert J. Wellman, Marie-Pierre Sylvestre, Erin K. O’Loughlin, Hartley Dutczak, Annie Montreuil, Geetanjali D. Datta, Jennifer O’Loughlin

Published in: International Journal of Public Health | Issue 1/2018

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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.
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Metadata
Title
Socioeconomic status is associated with the prevalence and co-occurrence of risk factors for cigarette smoking initiation during adolescence
Authors
Robert J. Wellman
Marie-Pierre Sylvestre
Erin K. O’Loughlin
Hartley Dutczak
Annie Montreuil
Geetanjali D. Datta
Jennifer O’Loughlin
Publication date
01-01-2018
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 1/2018
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-017-1051-9

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ACKNOWLEDGEMENT TO REVIEWERS

Acknowledgement to Reviewers 2017