A long way to go: 20-year trends from multiple surveillance systems show a still huge use of tobacco in minors in Italy

Gorini, Giuseppe; Gallus, Silvano; Carreras, Giulia; Cortini, Barbara; Vannacci, Virginia; Charrier, Lorena; Cavallo, Franco; Molinaro, Sabrina; Galeone, Daniela; Spizzichino, Lorenzo; Mei, Barbara De; Pacifici, Roberta; Faggiano, Fabrizio

doi:10.1093/eurpub/cky132

Cited by 12 publications

(15 citation statements)

References 7 publications

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“…[2] Among adolescents aged 15-16 years, current (past 30-day) smoking prevalence in Europe declined from 36% in 1999 to 22% in 2015a 35% reductionwith significant differences among countries: Finland, Sweden, and Ireland recorded a more than 50% decline, whereas Italy, Croatia, and Slovakia recorded a stalling or a slight decrease, from 37%-40% to 31%-37%. [3,4] In England, among 11-15 year old students, current smokers decreased from 17% in 1998 to 6% in 2016. [5] In the USA current smokers in high school students (commonly aged 14-18 years) declined from 15.8% in 2011 to 8.1% in 2018.…”

Section: J O U R N a L P R E -P R O O F Introductionmentioning

confidence: 99%

“…[8] In the USA, current users among high school students increased from 1.5% in 2011 to 11.7% in 2017, and even to 20.8% in 2018. [6] In Italy tobacco smoking among adolescents is still high and stalling in last decades (37% in [15][16] year old students; 23% in students aged 13-15 years in 2014-2015) [4]. Moreover, Italy has a regulatory environment on electronic cigarettes quite different from other countries [9,10]: up to 2014, electronic cigarettes were and are still sold as consumer products, no rules on their use in smoke-free public areas were implemented; advertising was allowed.…”

Section: J O U R N a L P R E -P R O O F Introductionmentioning

confidence: 99%

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Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Gorini¹,

Gallus

Carreras³

et al. 2020

Preventive Medicine

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Section: J O U R N a L P R E -P R O O F Introductionmentioning

confidence: 99%

Section: J O U R N a L P R E -P R O O F Introductionmentioning

confidence: 99%

Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Gorini¹,

Gallus

Carreras³

et al. 2020

Preventive Medicine

Self Cite

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“…Globally, 1 out of every 10 girls and 1 in every 5 boys aged 13–15 years use tobacco, with the highest smoking rates reported for the Western Pacific regions and Europe (World Health Organization [WHO], ). Findings from two surveys (2010 waves of the Health Behaviour in School‐Aged Children [HBSC] and the Global Youth Tobacco Surveillance [GYTS]) showed that, by the age of 15 years, over 50% of Italian adolescents had already experimented with tobacco products and that nearly 15% are daily smokers (Charrier et al., ; Gorini et al., ). Furthermore, data on susceptibility to initiate smoking within one year among those who had not yet tried indicate that about 40% of never smokers fell into the “susceptible” category in 2010, which decreased to 33.4% in 2014 (Charrier, Berchialla, & Gruppo HBSC Italia ; Global Youth Tobacco Surveillance, , ).…”

Section: Introductionmentioning

confidence: 99%

Cigarette Smoking and Multiple Health Risk Behaviors: A Latent Class Regression Model to Identify a Profile of Young Adolescents

et al. 2019

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Cigarette smoking is often established during adolescence when other health-related risk behaviors tend to occur. The aim of the study was to further investigate the hypothesis that risky health behaviors tend to cluster together and to identify distinctive profiles of young adolescents based on their smoking habits. To explore the idea that smoking behavior can predict membership in a specific risk profile of adolescents, with heavy smokers being more likely to exhibit other risk behaviors, we reanalyzed the data from the 2014 Health Behaviour in School-Aged Children Italian survey of about 60,000 first-and third-grade junior high school (JHS) and second-grade high school (HS) students. A Bayesian approach was adopted for selecting the manifest variables associated with smoking; a latent class regression model was employed to identify smoking behaviors among adolescents. Finally, a health-related risk pattern associated with different types of smoking behaviors was found. Heavy smokers engaged in higher alcohol use and abuse and experienced school failure more often than their peers. Frequent smokers reported below-average academic achievement and self-rated their health as fair/poor more frequently than nonsmokers. Lifetime cannabis use and early sexual intercourse were more frequent among heavy smokers. Our findings provide elements for constructing a profile of frequent adolescent smokers and for identifying behavioral risk patterns during the transition from JHS to HS. This may provide an additional opportunity to devise interventions that could be more effective to improve smoking cessation among occasional smokers and to adequately address other risk behaviors among frequent smokers.

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“…Similar conclusions were drawn in an evaluation of the WHO's MPOWER measures to reduce smoking‐related deaths, with 88 countries having adopted at least one of the six measures, for which increased cigarette taxes and comprehensive smoke‐free laws were estimated to have averted over 5 million smoking‐attributable deaths (Levy et al ., ). On the other hand, as an example of outstanding challenges, tobacco surveillance in Italian minors over the past 20 years has shown only modest success in reduction in smoking prevalence, with declines in 11‐ to 13‐year‐olds but no decline in current and even an increase in daily smokers among 15‐ to 16‐year‐olds (Gorini et al ., ), illustrating the need for stronger tobacco control measures in adolescents.…”

Section: Barriers To Overcome In Primary Prevention Of Cancermentioning

confidence: 99%

Primary prevention: a need for concerted action

2019

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The burden of cancer is increasing worldwide, and Europe is no exception in this regard. Cancer incidence rate for men in 2018, excluding nonmelanoma skin cancers, averaged over the 40 UN ‐defined European countries has been estimated as 436/100 000. For women, the estimated incidence rate is 332.6/100 000. Although mortality rates are declining in most European countries, the total number of cancer deaths continues to rise due to an increase in the number of older people in the age range when the cancer typically occurs. The increase in incident cases and cancer deaths increases the pressure on healthcare infrastructure and related costs, thus presenting a challenge to health service sustainability in countries. In the general population, there remains a perception of an ever‐increasing cancer risk. Hence, treatment alone is not a solution to address the cancer burden. At the same time, recent estimates of preventable fractions of cancer suggest that about half of all cancer cases could be prevented through rigorous implementation of successful prevention measures, among other actions, by following the cancer prevention recommendations of the European Code against Cancer. Smoking alone explains almost half of all preventable cancers, and the scattered way of implementing tobacco control in Europe with still increasing numbers of lung cancers in women demonstrates the gap between prevention potential and effectively implemented prevention. Cancer prevention clearly needs more resources, stronger support from decision‐makers and society, and a solid network to better speak with one voice. The newly established ‘Cancer Prevention Europe’ (Forman et al ., 2018 ) offers promising opportunities for the latter.

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A long way to go: 20-year trends from multiple surveillance systems show a still huge use of tobacco in minors in Italy

Cited by 12 publications

References 7 publications

Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Cigarette Smoking and Multiple Health Risk Behaviors: A Latent Class Regression Model to Identify a Profile of Young Adolescents

Primary prevention: a need for concerted action

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