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http://dx.doi.org/10.3961/jpmph.14.032

Age at Smoking Initiation and Subsequent Smoking Among Korean Adolescent Smokers  

Hwang, Jun Hyun (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.47, no.5, 2014 , pp. 266-272 More about this Journal
Abstract
Objectives: The aim of this study was to investigate the relationship between age at cigarette smoking initiation and smoking level among adolescent current smokers. Methods: In 2007, students from one or two classes of the 10th or 11th grade were randomly selected using the probability proportional to size sampling method. In total, 743 current smokers were included. Multiple logistic regression was used to determine the association between age at smoking initiation and smoking level as either frequent, daily, or heavy smokers. Results: The adjusted odds ratios for each smoking level were significantly higher for younger ages of smoking initiation than those for older ages of initiation were (p for trend <0.001). Compared with the students who started smoking in grades 10 to 11, the adjusted odds ratios for frequent, daily, and heavy smokers increased from 2.24 (95% confidence interval [CI], 1.30 to 3.87) to 3.90 (95% CI, 2.02 to 7.56), from 1.56 (95% CI, 0.92 to 2.62) to 3.17 (95% CI, 1.70 to 5.92), and from 2.56 (95% CI, 1.21 to 5.42) to 5.67 (95% CI, 2.61 to 12.30) with younger ages of smoking initiation. Conclusions: Smoking frequency and amount were closely associated with age at smoking initiation. Therefore, smoking prevention programs should be initiated from the young adolescent period.
Keywords
Adolescent; Age of onset; Smoking;
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1 Ellickson PL, Tucker JS, Klein DJ. High-risk behaviors associated with early smoking: results from a 5-year follow-up. J Adolesc Health 2001;28(6):465-473.   DOI   ScienceOn
2 Mathers M, Toumbourou JW, Catalano RF, Williams J, Patton GC. Consequences of youth tobacco use: a review of prospective behavioural studies. Addiction 2006;101(7):948-958.   DOI   ScienceOn
3 US Department of Health and Human Services. Preventing tobacco use among young people: a report of the Surgeon General. Washington, DC: US Department of Health and Human Services; 1994, p. 65-66, 107-110.
4 Breslau N, Peterson EL. Smoking cessation in young adults: age at initiation of cigarette smoking and other suspected influences. Am J Public Health 1996;86(2):214-220.   DOI   ScienceOn
5 Chen J, Millar WJ. Age of smoking initiation: implications for quitting. Health Rep 1998;9(4):39-46.
6 Fernandez E, Schiaffino A, La Vecchia C, Borras JM, Nebot M, Salto E, et al. Age at starting smoking and number of cigarettes smoked in Catalonia, Spain. Prev Med 1999;28(4):361-366.   DOI   ScienceOn
7 Khuder SA, Dayal HH, Mutgi AB. Age at smoking onset and its effect on smoking cessation. Addict Behav 1999;24(5):673-677.   DOI   ScienceOn
8 Lando HA, Thai DT, Murray DM, Robinson LA, Jeffery RW, Sherwood NE, et al. Age of initiation, smoking patterns, and risk in a population of working adults. Prev Med 1999;29(6 Pt 1):590-598.   DOI   ScienceOn
9 Park SM, Son KY, Lee YJ, Lee HC, Kang JH, Lee YJ, et al. A preliminary investigation of early smoking initiation and nicotine dependence in Korean adults. Drug Alcohol Depend 2004;74(2)197-203.   DOI   ScienceOn
10 Morrell HE, Song AV, Halpern-Felsher BL. Earlier age of smoking initiation may not predict heavier cigarette consumption in later adolescence. Prev Sci 2011;12(3):247-254.   DOI
11 O'Loughlin J, Karp I, Koulis T, Paradis G, Difranza J. Determinants of first puff and daily cigarette smoking in adolescents. Am J Epidemiol 2009;170(5):585-597.   DOI   ScienceOn
12 Everett SA, Warren CW, Sharp D, Kann L, Husten CG, Crossett LS. Initiation of cigarette smoking and subsequent smoking behavior among U.S. high school students. Prev Med 1999;29(5):327-333.
13 Reidpath DD, Ling ML, Wellington E, Al-Sadat N, Yasin S. The relationship between age of smoking initiation and current smoking: an analysis of school surveys in three European countries. Nicotine Tob Res 2013;15(3):729-733.   DOI   ScienceOn
14 Escobedo LG, Marcus SE, Holtzman D, Giovino GA. Sports participation, age at smoking initiation, and the risk of smoking among US high school students. JAMA 1993;269(11):1391-1395.   DOI   ScienceOn
15 Takakura M, Wake N. Association of age at onset of cigarette and alcohol use with subsequent smoking and drinking patterns among Japanese high school students. J Sch Health 2003;73(6):226-231.   DOI   ScienceOn
16 World Health Organization. Guidelines for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998, p. 76-78.
17 Kim JY, Park SW. Predictors of current smoking among male students in a technical high school: a prospective study. J Prev Med Public Health 2009;42(1):59-66 (Korean).   DOI   ScienceOn
18 Breslau N, Fenn N, Peterson EL. Early smoking initiation and nicotine dependence in a cohort of young adults. Drug Alcohol Depend 1993;33(2):129-137.   DOI   ScienceOn
19 Zhu SH, Sun J, Billings SC, Choi WS, Malarcher A. Predictors of smoking cessation in U.S. adolescents. Am J Prev Med 1999;16(3):202-207.
20 Storr CL, Ialongo NS, Kellam SG, Anthony JC. A randomized controlled trial of two primary school intervention strategies to prevent early onset tobacco smoking. Drug Alcohol Depend 2002;66(1):51-60.   DOI   ScienceOn
21 Chung HH, Elias M, Schneider K. Patterns of individual adjustment changes during middle school transition. J Sch Psychol 1998;36(1):83-101.   DOI   ScienceOn
22 Glynn TJ. Essential elements of school-based smoking prevention programs. J Sch Health 1989;59(5):181-188.   DOI   ScienceOn