What question did this study set out to answer?

To evaluate how smoking initiation, cessation, intensity, and prevalence vary across birth cohorts and educational attainment levels in the United States.

January 16, 2023American Journal of Preventive MedicineOpen Access

Smoking Disparities by Level of Educational Attainment and Birth Cohort in the U.S.

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Authors

PCPianpian CaoPurdue University West Lafayette JJJihyoun JeonUniversity of Michigan JTJamie TamRutgers, The State University of New Jersey

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Implication

Repeated cross-sectional analysis reveals widening smoking disparities across education levels in US adults, highlighting demographic impacts on tobacco use trends.

Key Points

To evaluate how smoking initiation, cessation, intensity, and prevalence vary across birth cohorts and educational attainment levels in the United States.
Extracted smoking history and demographic data for adults aged ≥25 years from the National Health Interview Surveys spanning 1966 to 2018.
Constructed age-period-cohort models to project smoking behaviors across five educational levels (≤8th grade, 9th–11th grade, high school/GED, some college, college degree or above) and stratified by sex, race/ethnicity, and birthplace.
Educational disparities in smoking expanded across successive birth cohorts, with initiation probabilities peaking among individuals with a 9th–11th grade education and cessation probabilities remaining highest among college graduates.
Current smoking prevalence decreased over time across all education categories but dropped fastest among those with an ≤8th-grade education, making it the group with the second-lowest prevalence in recent cohorts.
The rapid decline in smoking prevalence among adults with an ≤8th-grade education was primarily driven by demographic changes, specifically an increasing proportion of non-U.S.–born Hispanic individuals.

Cite This Study

Cao et al. (2023) studied this question.

synapsesocial.com/papers/6aa17c4a6a2b613b7e3c729b https://doi.org/10.1016/j.amepre.2022.06.021

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Implication

Repeated cross-sectional analysis reveals widening smoking disparities across education levels in US adults, highlighting demographic impacts on tobacco use trends.

Smoking Disparities by Level of Educational Attainment and Birth Cohort in the U.S.

Discussion

Member takes

Implication

Key Points

Cite This Study

Smoking Disparities by Level of Educational Attainment and Birth Cohort in the U.S.

Discussion

Member takes

Implication

Key Points

Cite This Study

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