Childhood/Adolescent Smoking and Adult Smoking and Cessation: The International Childhood Cardiovascular Cohort (i3C) Consortium

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

Mika Kähönen¹  Trudy L. Burns²  Lydia A. Bazzano³  Markus Juonala⁴  Jorma Viikari⁴  Stephen R. Daniels⁵  Alan R. Sinaiko⁶  Julia Steinberger⁶  Jessica G. Woo⁷  David R. Jacobs⁸  Tian Hu⁸  Rachel Widome⁸  Ronald J. Prineas⁹  Alison Venn^1,10  Seana L. Gall^1,10  Terence Dwyer^1,11  Olli Raitakari^1,12  Johanna Ikonen^1,12  Elaine M. Urbina^1,13 

[1] Department of Clinical Physiology Tampere University Hospital Tampere Finland;Department of Epidemiology College of Public Health University of Iowa Iowa City IA;Department of Epidemiology School of Public Health and Tropical Medicine Tulane University New Orleans LA;Department of Internal Medicine University of Turku Finland;Department of Pediatrics University of Colorado School of Medicine Aurora CO;Department of Pediatrics University of Minnesota School of Medicine Minneapolis MN;Division of Biostatistics and Epidemiology Cincinnati Children's Hospital Medical Center Cincinnati OH;Division of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis MN;Division of Public Health Science Wake Forest University Winston‐Salem NC;Menzies Institute for Medical Research University of Tasmania Hobart Australia;Oxford Martin School Oxford University Oxford United Kingdom;Research Centre of Applied and Preventive Cardiovascular Medicine University of Turku Finland;The Heart Institute Cincinnati Children's Hospital Medical Center Cincinnati OH;

关键词: adult smoking;    childhood smoking intensity;    public policy;    smoking;    smoking cessation;   

DOI  :  10.1161/JAHA.119.014381

来源: DOAJ

【 摘 要 】

Background Despite declining US adolescent smoking prevalence from 40% among 12th graders in 1995 to around 10% in 2018, adolescent smoking is still a significant problem. Using the International Childhood Cardiovascular Cohort (i3C) Consortium, which includes 7 international cohorts recruited in childhood and followed into adulthood, the present study was designed to confirm the important relation between adolescent smoking and daily adult smoking and present new data on adult smoking into the forties and comparison of smoking in the United States, Finland, and Australia. Methods and Results Childhood smoking experience during ages 6 to 19 in the 1970s and 1980s was classifiable in 6687 i3C participants who also provided smoking status in their twenties and forties through 2011–2018. Prevalence of daily smoking in their twenties was directly related to degree of smoking during adolescence and inversely related to the age at which that smoking experience occurred (P trend, <0.001). Similar patterns were observed for prediction of smoking during age forties. Among the 2465 smokers in their twenties, cessation by their forties was generally inverse to degree of smoking in ages 6 to 19 (P trend, <0.001). Prevalence of smoking during adolescence and adulthood was similar among US, Finnish, and Australian participants. Conclusions These long‐term follow‐up data show that smoking intensity increased throughout adolescence. Prevalence of adult smoking and cessation by the forties were both correlated with levels of childhood smoking intensity. These data lend support to preventive strategies designed to reduce, delay, or eliminate any youth access to cigarettes.

【 授权许可】

Unknown