Social gradient in initiation and transition to daily use of tobacco and cannabis during adolescence: a retrospective cohort study

Legleye, Stéphane; Janssen, Eric; Beck, François; Chau, Nearkasèn; Khlat, Myriam

doi:10.1111/j.1360-0443.2011.03447.x

Cited by 69 publications

(74 citation statements)

References 65 publications

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“…As with other studies conducted in different settings, we found that participants who did not achieve a high school degree, completed vocational (rather than general) education or experienced grade retention were more likely to smoke persistently and at high levels [13,14,[36][37][38]. Smoking is a social behavior -particularly in adolescence -and this finding highlights higher acceptability of tobacco use in socioeconomically disadvantaged groups [39].…”

Section: Individual Characteristics and Tobacco Use Trajectoriessupporting

confidence: 82%

“…In particular, our data confirm the predictive role of early tobacco and cannabis initiation, which are associated with elevated odds of persistent high-level smoking as well as high-level smoking followed by cessation [13]. Early substance use initiation could be indicative of a propensity for addiction -reflecting both genetic and environmental influences [29,30], which may lead to longterm patterns of substance use.…”

Section: Individual Characteristics and Tobacco Use Trajectoriessupporting

confidence: 77%

“…Individual and family characteristics, previously associated with tobacco use in adolescence and/or young adulthood which we considered, include participants' age at tobacco and cannabis initiation, juvenile behavioral problems, schooling characteristics, as well as familial characteristics [5][6][7][8][9][10][11][12][13]22].…”

Section: Individual and Family Characteristicsmentioning

confidence: 99%

“…Tobacco use is multifactorial and influenced by family, individual, and school characteristics including parental smoking, male sex, and the experience of behavioral and school difficulties [5][6][7][8][9][10][11][12]. Moreover, among adolescents as among adults, the likelihood of regular tobacco use follows a social gradient, that is persons who belong to socioeconomically disadvantaged groups are more likely to smoke than those who have a more favorable background [13]. These social inequalities have increased over time [14,15].…”

Section: Introductionmentioning

confidence: 99%

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Early Predictors of Trajectories of Tobacco Use Level from Adolescence to Young Adulthood: A 16-Year Follow-Up of the TEMPO Cohort Study (1999–2015)

et al. 2018

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Purpose: Individual and family characteristics early on in life are associated with adolescent smoking; however, their role with regard to long-term tobacco smoking trajectories into young adulthood is not well-known, which is what we set out to study using data from a longitudinal community-based cohort. Methods: We used data from 2,025 youths in France (12–26 years at baseline, 16 years of follow-up), participating in the longitudinal TEMPO cohort study. First, we modeled smoking trajectories from adolescence onwards using Group-Based Trajectory Modeling, by using the declared consumption of cigarettes at different ages. Second, among trajectories of smokers, associations with individual and family characteristics in childhood and adolescence were studied using multinomial logistic regression. Results: We observed 5 smoking trajectories: non-smokers (62.3%), 3 groups of persistent smokers with different levels of tobacco use (low, intermediate, high), and a group characterized by high-level smoking followed by cessation. Among participants who were lifetime smokers (n = 763), the trajectory of tobacco use was associated with early substance use initiation, academic attainment, grade retention, and parental smoking. Early tobacco and cannabis use initiation predicted high-level tobacco use, whether it persisted (OR 2.29, 95% CI 1.23–4.28) or not (OR 2.99, 95% CI 1.59–5.63). Grade retention and parental smoking predicted persistent smoking of intermediate (respectively OR 1.53, 95% CI 1.03–1.92; OR 1.74, 95% CI 1.03–2.92) or high level use (respectively OR 1.74, 95% CI 1.07–2.85; OR 1.70, 95% CI 0.91–3.18). Poor academic attainment predicted all 3 smoking trajectories, especially persistent high-level smoking (no high school degree: OR 5.29, 95% CI 1.65–16.97, vocational degree: OR 1.94, 95% CI 0.99–3.80). Conclusions: Tobacco smoking trajectories from adolescence to adulthood are associated with early substance use initiation, parental smoking, and academic difficulties.

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Section: Individual Characteristics and Tobacco Use Trajectoriessupporting

confidence: 82%

Section: Individual Characteristics and Tobacco Use Trajectoriessupporting

confidence: 77%

Section: Individual and Family Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Early Predictors of Trajectories of Tobacco Use Level from Adolescence to Young Adulthood: A 16-Year Follow-Up of the TEMPO Cohort Study (1999–2015)

et al. 2018

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“…Instead, many levels of use should be studied since the progression of use may occur in stages, from experimentation to regular use, as described for cannabis use (Becker, 1963) and alcohol (Graham, Collins, Wugalter, Chung, & Hansen, 1991). As a consequence, the relationship with F-SES may vary at each stage, or for each frequency of use: this kind of relationship has been found for the progression from tobacco and cannabis experimentation to daily use (Legleye, Janssen, Beck, Chau, & Khlat, 2011), but no similar study has been conducted for alcohol use.…”

Section: Introductionmentioning

confidence: 99%

Opposite social gradient for alcohol use and misuse among French adolescents

Legleye

Janssen²,

Spilka³

et al. 2013

International Journal of Drug Policy

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Chemical Youth

Hardon¹

2021

Critical Studies in Risk and Uncertainty

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Social gradient in initiation and transition to daily use of tobacco and cannabis during adolescence: a retrospective cohort study

Cited by 69 publications

References 65 publications

Early Predictors of Trajectories of Tobacco Use Level from Adolescence to Young Adulthood: A 16-Year Follow-Up of the TEMPO Cohort Study (1999–2015)

Early Predictors of Trajectories of Tobacco Use Level from Adolescence to Young Adulthood: A 16-Year Follow-Up of the TEMPO Cohort Study (1999–2015)

Opposite social gradient for alcohol use and misuse among French adolescents

Chemical Youth

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