Nondaily, Low-Rate Daily, and High-Rate Daily Smoking in Young Adults: A 17-Year Follow-Up

Robertson, Lindsay; Iosua, Ella; McGee, Rob; Hancox, Robert J.

doi:10.1093/ntr/ntv167

Cited by 38 publications

(32 citation statements)

References 31 publications

(58 reference statements)

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“…In line with previous student studies a high proportion of smokers in this study (58% occasional, 52% daily) had attempted to quit smoking in the previous year [2] [5] [30]. In addition, a large proportion intended to quit in the next 6 months (52% occasional, 56% daily) or next 30 days (43% occasional, 26% daily).…”

Section: Discussionsupporting

confidence: 80%

“…Occasional smoking as well as daily smoking has been shown to have significant negative impacts on health; this message needs to be communicated more strongly to occasional smokers [28]. As in previous research, a sizable proportion of students in this study did not use support in their quitting attempts [30] The less than optimal utilization of supports may in part be due to the high proportion of smokers who were unsure if the university had enough supports for students to quit smoking or the nature of those supports. This suggests that better advertising is required to highlight campus cessation supports available.…”

Section: Discussionmentioning

confidence: 48%

“…From our study, addressing misconceptions about health and harm of smoking may provide additional motivation to quit in the student population particularly among daily smokers. Smoking bans, including smoke-free campuses, have been linked to decreased prevalence of smoking and have been seen to provide limited impetus for quitting smoking [2] [5] [18] [19] [30]. To inform the development of an effective tobacco free campus policy, policy developers should be cognizant of the demographic characteristics and the smoking status of the population [15].…”

Section: Discussionmentioning

confidence: 99%

“…This paper has identified some of the known antecedents of smoking behavior which can be more beneficially incorporated into an integrated model of change and the supports needed to facilitate this change [16]. This needs to be addressed if we are to stop the transition to smoking that occurs in this age group: non-daily smokers have a higher risk of becoming continuous smokers than non-smokers with up to a third of non-daily smokers at age 21 becoming daily smokers by 26 [30]. Our findings will inform the development of content of smoking-related messages for on-site posters, information screens and social media and increase awareness of university cessation supports, which will aid the implementation of the smoke-free campus initiative.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of Daily and Occasional Smoking and Quitting in Irish University Students

McKee¹,

Barry²,

Mullin³

et al. 2017

Health

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Knowledge of student smoking behaviors and attitudes was sought to inform a proposal to implement a smoke-free university campus. This study assessed prevalence of student smoking and quitting behaviors and associated demographic, contextual and attitudinal factors. A cross-sectional design using a convenience sample on a single university site was utilized. Data were collected by anonymous self-administered questionnaires and analyzed using bivariate and multivariable logistic models comparing smokers and non-smokers (Model 1) and daily with occasional smokers Model 2. Of 739 respondents, 19% of students smoked; 12% occasional (non-daily) and 7% daily smokers. Smokers were more likely to be ≥22 years and to allow smoking inside their accommodation (Model 1). They were less likely to agree that tobacco was addictive and to consider those who smoked at parties and weekends to be regular smokers. In Model 2, daily smokers were older and nine times more likely to report increased difficulty in handling stress if they quit smoking. Forty-four percent of all smokers had attempted to quit in the past year, 35% of smokers intended to quit in the next 30 days and 53% in the next six months. Forty percent did not use quitting supports. Occasional rather than daily smoking was more prevalent in university students. Smokers differed from non-smokers in their perception of smoking-related health risks. Increasing age was the best predictor of regular and occasional smoking. Intentions to quit smoking and quit attempts were high among all smokers although use of on-site cessation supports was less than the optimal. These combined factors indicate a need for better targeting of our prevention strategies and the need to promote greater awareness of cessation supports for successful implementation of a smoke-free campus.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Predictors of Daily and Occasional Smoking and Quitting in Irish University Students

McKee¹,

Barry²,

Mullin³

et al. 2017

Health

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“…6 Evidence suggests that even light and intermittent smoking (which is more prevalent among young adults) has a high risk of promoting daily smoking, morbidity and mortality in adulthood. 31,32 Young adulthood initiation needs to be part of the focus of future tobacco control initiatives. One first step in this direction should be the systematic inclusion of young adults in Canadian youth tobacco surveillance enterprises in order to produce strong evidence on young adult smoking.…”

Section: Resultsmentioning

confidence: 99%

Trends in smoking initiation in Canada: Does non-inclusion of young adults in tobacco control strategies represent a missed opportunity?

Gagné

Veenstra

2017

Can J Public Health

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OBJECTIVES: Young adults face high prevalence rates for smoking. Recent evidence suggests that many people initiate smoking during young adulthood, but little is currently known about trends in initiation rates for this age group. METHODS:We examined rates of initiation to first cigarette (FC) and daily smoking (DS) during youth (5-17 years) and young adulthood (18-25 years) using nationally representative data from the 2001, 2003, 2005, 2007, 2009, 2011 and 2013 cycles of the Canadian Community Health Survey. We included all participants aged 25-26 to obtain seven mutually exclusive retrospective cohorts (n = 16 216). We used logistic regression to examine four correlates of smoking -sex, education, poverty status, and immigration status -and whether these factors modify time trends in smoking. RESULTS:We found that initiation rates decreased during youth (p < 0.001 for FC, p = 0.02 for DS) but not during young adulthood (p = 0.94 for FC, p = 0.28 for DS). We found that men and respondents with fewer educational credentials had relatively higher odds of initiating during young adulthood. Trends in young adulthood stayed constant across subgroups. Trends in youth were modified by education: participants who did not complete high school had no decrease in initiation to FC and DS while those with post-secondary education experienced a decrease in both outcomes. CONCLUSION:Tobacco control has failed to address smoking initiation during young adulthood. Given the considerable amount of initiation that occurs during this period, practitioners and policy-makers should direct more of their planning toward young adults.KEY WORDS: Smoking; young adult; socioeconomic factors; Canada La traduction du résumé se trouve à la fin de l'article.

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Switching away from smoking at 12 months among adult JUUL users varying in recent history of quit attempts made with and without smoking cessation medication

Shiffman,

Hannon

2023

Drug Testing and Analysis

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Some smokers switch away from smoking using e‐cigarettes, but guidelines recommend trying approved medications first. We analyzed switching in adult smokers using JUUL by their recent history of quit attempts and use of smoking cessation medications. Participants were 8511 adult (21+) established smokers (at baseline), in which 50.3% are daily smokers, in a longitudinal observational study who completed a survey 12 months after first purchasing a JUUL Starter Kit. At baseline, participants reported attempts to quit smoking in the prior year and use of pharmacotherapy (nicotine replacement therapy [NRT] or prescription medication) in their most recent attempt. The outcomes were switching (self‐reported no past‐30‐day smoking) and 50%+ reductions in cigarette consumption. Multivariable analyses were adjusted for baseline covariates. Two thirds of the participants had made a quit attempt in the year before purchasing JUUL. Overall, 59% [58%, 60%] had switched at 12 months. Switching was more likely in those who had used NRT and who attempted quitting without medication versus those who used prescription medications or made no quit attempt. In adjusted multivariable analyses, only making a past‐year quit attempt (vs. not) was associated with higher odds of switching (OR = 1.15 [1.04, 1.28]). Over 60% of dual users reduced cigarette consumption by ≥50%. These associations were largely similar in daily smokers. Twelve months after purchasing JUUL, almost all smokers reported either switching or reducing their smoking by 50%+, including those who had recently failed to quit smoking with approved pharmacotherapies. E‐cigarettes provide an alternative route to abstinence from smoking for smokers with a history of cessation and cessation treatment failure.

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Nondaily, Low-Rate Daily, and High-Rate Daily Smoking in Young Adults: A 17-Year Follow-Up

Cited by 38 publications

References 31 publications

Predictors of Daily and Occasional Smoking and Quitting in Irish University Students

Predictors of Daily and Occasional Smoking and Quitting in Irish University Students

Trends in smoking initiation in Canada: Does non-inclusion of young adults in tobacco control strategies represent a missed opportunity?

Switching away from smoking at 12 months among adult JUUL users varying in recent history of quit attempts made with and without smoking cessation medication

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