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To analyze historical trends in the initiation of regular cigarette smoking among youth in Europe from 1940 to 2019.

Trends in initiation of regular cigarette smoking in 28 European countries, 1940–2019: retrospective reconstruction from repeated cross-sectional surveys

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To analyze historical trends in the initiation of regular cigarette smoking among youth in Europe from 1940 to 2019.
Retrospective reconstruction using four waves of the Special Eurobarometer survey
Population aged 10-24 from 28 European countries
Data analyzed by sex, region, and country for each decade
Youth smoking initiation rates declined overall, especially among young adults
From the 1970s to the 2010s, male initiation rates dropped from 5.7% to 3.2% and female rates from 3.9% to 2.4%
Minors aged 10-17 showed a concerning trend of increased initiation rates in Eastern Europe

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Retrospective analysis reveals smoking initiation declined notably among young adults, suggesting improved tobacco control in multiple countries.

Teshima et al. (2025) studied this question.

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Retrospective analysis reveals smoking initiation declined notably among young adults, suggesting improved tobacco control in multiple countries.