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September 5, 2025Epidemiologic Reviews

Interaction and Effect Modification in the Association between Socioeconomic Status and Adolescent Smoking: A Systematic Review

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Authors

SBSarah BitarFMFlorian MannevilleJOJennifer O’Loughlin

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Overview

This systematic review identifies key moderators in the socioeconomic status and smoking link among adolescents, suggesting critical implications for public health efforts.

Key Points

  • A total of 23 studies met criteria, demonstrating significant moderation between socioeconomic status and adolescent smoking behavior.
  • Race/ethnicity emerged as a notable moderator in four out of five studies, indicating its importance in understanding smoking disparities.
  • The review points to significant limitations in methodological practices, highlighting the need for consistent frameworks in research.
  • Exploring additional moderators and employing diverse socioeconomic measures could enhance targeted public health initiatives.

Cite This Study

Bitar et al. (2025) studied this question.

synapsesocial.com/papers/68bb46a86d6d5674bccfe334https://doi.org/10.1093/epirev/mxaf013
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trends in socioeconomic differences in daily smoking among 15-year-old Danes 1991–20142019 · 20 citations
  2. 2Explanation in causal inference: developments in mediation and interaction2016 · 442 citations
  3. 3Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status2020 · 30 citations