Correlates of Smoking Initiation Among Young Adults in Ukraine: a Cross-sectional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2007 Jun 15

PMID 17562020

Citations 13

Authors

Tatiana I Andreeva

Konstantin S Krasovsky

Daria S Semenova

Affiliations

Soon will be listed here.

Abstract

Background:

Aim: To estimate the impact of smoking restrictions in homes and schools, and tobacco advertising and information on smoking initiation by young people in Ukraine.

Methods: Data of 609 young people aged 15-29 was taken from the national representative survey conducted in June 2005.

Outcome Measures: The reported age of cigarette initiation was used to characterize the start of smoking experimentation, and the reported age of daily smoking initiation was considered to be a characteristic of established smoking.

Analysis: survival analysis Cox proportional hazard regression models were used.

Results: Age of smoking initiation was reported by 87% of young men and 61% of young women, the beginning of daily smoking by 71% and 33% respectively. Being frequently exposed to second-hand smoke and having no household smoking restrictions was associated with a higher risk of earlier smoking initiation both for men and women. For women, this risk was associated with age, HR = 0.95, (95% CI 0.91-0.98), that is, younger girls were more likely to smoke their first cigarette earlier in their lifetime. Those women had a higher risk of early smoking initiation who reported to receive tobacco-related information from magazines, HR = 1.40 (1.01-1.92), and outdoor tobacco advertising, HR = 1.99 (1.45-2.75). With both men and women, the risk of establishing daily smoking was higher in those with lower levels of tobacco-related knowledge and less household smoking restrictions. For women, the risk was higher in those who live in larger cities HR = 1.77 (1.10-2.86), and who received information about tobacco smoking from colleagues or friends HR = 1.83 (1.13-2.95).

Conclusion: Encouraging people to eliminate their homes of tobacco smoke and tobacco advertising bans can be effective measures in preventing the initiation of smoking among young people. Young female smoking initiation is of special concern in Ukraine, since they are more responsive to tobacco marketing and pro-smoking peer influence.

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References

Sowden A, Arblaster L . Mass media interventions for preventing smoking in young people. Cochrane Database Syst Rev. 2000; (2):CD001006. DOI: 10.1002/14651858.CD001006. View

Vitoria P, Kremers S, Mudde A, Pais-Clemente M, de Vries H . Psychosocial factors related with smoking behaviour in Portuguese adolescents. Eur J Cancer Prev. 2006; 15(6):531-40. DOI: 10.1097/01.cej.0000220638.23599.ec. View

Gilpin E, White M, Farkas A, Pierce J . Home smoking restrictions: which smokers have them and how they are associated with smoking behavior. Nicotine Tob Res. 2000; 1(2):153-62. DOI: 10.1080/14622299050011261. View

. Tobacco use among youth: a cross country comparison. Tob Control. 2002; 11(3):252-70. PMC: 1759013. DOI: 10.1136/tc.11.3.252. View

Sowden A, Arblaster L, Stead L . Community interventions for preventing smoking in young people. Cochrane Database Syst Rev. 2003; (1):CD001291. DOI: 10.1002/14651858.CD001291. View

Gritz E, Prokhorov A, Hudmon K, Mullin Jones M, Rosenblum C, Chang C . Predictors of susceptibility to smoking and ever smoking: a longitudinal study in a triethnic sample of adolescents. Nicotine Tob Res. 2003; 5(4):493-506. DOI: 10.1080/1462220031000118568. View

Lovato C, Linn G, Stead L, Best A . Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database Syst Rev. 2003; (4):CD003439. DOI: 10.1002/14651858.CD003439. View

Turner L, Mermelstein R, Flay B . Individual and contextual influences on adolescent smoking. Ann N Y Acad Sci. 2004; 1021:175-97. DOI: 10.1196/annals.1308.023. View

Conrad K, Flay B, Hill D . Why children start smoking cigarettes: predictors of onset. Br J Addict. 1992; 87(12):1711-24. DOI: 10.1111/j.1360-0443.1992.tb02684.x. View

10.

Cummings K, Shah D . Trends in smoking initiation among adolescents and young adults--United States, 1980-1989. MMWR Morb Mortal Wkly Rep. 1995; 44(28):521-5. View

11.

Evans N, Farkas A, Gilpin E, Berry C, Pierce J . Influence of tobacco marketing and exposure to smokers on adolescent susceptibility to smoking. J Natl Cancer Inst. 1995; 87(20):1538-45. DOI: 10.1093/jnci/87.20.1538. View

12.

Pierce J, Choi W, Gilpin E, Farkas A, Berry C . Tobacco industry promotion of cigarettes and adolescent smoking. JAMA. 1998; 279(7):511-5. DOI: 10.1001/jama.279.7.511. View

13.

Gilpin E, Lee L, Pierce J . How have smoking risk factors changed with recent declines in California adolescent smoking?. Addiction. 2004; 100(1):117-25. DOI: 10.1111/j.1360-0443.2005.00938.x. View

14.

Anderson S, Glantz S, Ling P . Emotions for sale: cigarette advertising and women's psychosocial needs. Tob Control. 2005; 14(2):127-35. PMC: 1748016. DOI: 10.1136/tc.2004.009076. View

15.

Fernandez S, Hickman N, Klonoff E, Landrine H, Kashima K, Parekh B . Cigarette advertising in magazines for Latinas, White women, and men, 1998--2002: a preliminary investigation. J Community Health. 2005; 30(2):141-51. DOI: 10.1007/s10900-004-1097-5. View

16.

Thomson C, Siegel M, Winickoff J, Biener L, Rigotti N . Household smoking bans and adolescents' perceived prevalence of smoking and social acceptability of smoking. Prev Med. 2005; 41(2):349-56. DOI: 10.1016/j.ypmed.2004.12.003. View

17.

Toll B, Ling P . The Virginia Slims identity crisis: an inside look at tobacco industry marketing to women. Tob Control. 2005; 14(3):172-80. PMC: 1748044. DOI: 10.1136/tc.2004.008953. View

18.

DiFranza J, Wellman R, Sargent J, Weitzman M, Hipple B, Winickoff J . Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality. Pediatrics. 2006; 117(6):e1237-48. DOI: 10.1542/peds.2005-1817. View

19.

Weiss J, Cen S, Schuster D, Unger J, Johnson C, Mouttapa M . Longitudinal effects of pro-tobacco and anti-tobacco messages on adolescent smoking susceptibility. Nicotine Tob Res. 2006; 8(3):455-65. DOI: 10.1080/14622200600670454. View

20.

Farkas A, Gilpin E, White M, Pierce J . Association between household and workplace smoking restrictions and adolescent smoking. JAMA. 2000; 284(6):717-22. DOI: 10.1001/jama.284.6.717. View