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  • Marcon, A.Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy (author)

Trends in smoking initiation in Europe over 40 years: A retrospective cohort study

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-08-22
  • Public Library of Science (PLoS),2018

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/271534
  • https://gup.ub.gu.se/publication/271534URI
  • https://doi.org/10.1371/journal.pone.0201881DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-365827URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background Tobacco consumption is the largest avoidable health risk. Understanding changes of smoking over time and across populations is crucial to implementing health policies. We evaluated trends in smoking initiation between 1970 and 2009 in random samples of European populations. We pooled data from six multicentre studies involved in the Ageing Lungs in European Cohorts consortium, including overall 119,104 subjects from 17 countries (range of median ages across studies: 33-52 years). We estimated retrospectively trends in the rates of smoking initiation (uptake of regular smoking) by age group, and tested birth cohort effects using Age-Period-Cohort (APC) modelling. We stratified all analyses by sex and region (North, East, South, West Europe). Smoking initiation during late adolescence (16-20 years) declined for both sexes and in all regions (except for South Europe, where decline levelled off after 1990). By the late 2000s, rates of initiation during late adolescence were still high (40-80 per 1000/year) in East, South, and West Europe compared to North Europe (20 per 1000/year). Smoking initiation rates during early adolescence (11-15 years) showed a marked increase after 1990 in all regions (except for North European males) but especially in West Europe, where they reached 40 per 1000/year around 2005. APC models supported birth cohort effects in the youngest cohorts. Smoking initiation is still unacceptably high among European adolescents, and increasing rates among those aged 15 or less deserve attention. Reducing initiation in adolescents is fundamental, since youngsters are particularly vulnerable to nicotine addiction and tobacco adverse effects.

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  • Pesce, G.Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy (author)
  • Calciano, L.Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy (author)
  • Bellisario, V.Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy (author)
  • Dharmage, S. C.Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia,Univ Bergen, Ctr Int Hlth, Bergen, Norway;Haukeland Hosp, Dept Occupat Med, Bergen, Norway (author)
  • Garcia-Aymerich, J.Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain;UPF, Barcelona, Spain;CIBER Epidemiol & Salud PUbl CIBERESP, Barcelona, Spain (author)
  • Gislasson, T.Landspitali Univ Hosp E7, Dept Resp Med & Sleep, Reykjavik, Iceland;Univ Iceland, Fac Med, Reykjavik, Iceland (author)
  • Heinrich, J.Ludwig Maximilians Univ Munchen, Comprehens Pneumol Ctr Munich, German Ctr Lung Res,Clin Ctr, Inst & Outpatient Clin Occupat Social & Environm, Munich, Germany (author)
  • Holm, Mathias,1969Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sahlgrenska Acad, Occupat & Environm Med, Gothenburg, Sweden(Swepub:gu)xhomat (author)
  • Janson, ChristerUppsala universitet,Lung- allergi- och sömnforskning(Swepub:uu)chrisjn (author)
  • Jarvis, D.Imperial Coll London, NHLI, Populat Hlth & Occupat Dis, London, England;Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England (author)
  • Leynaert, B.Inserm UMR 1152, Pathophysiol & Epidemiol Resp Dis, Paris, France;Univ Paris Diderot Paris 7, UMR 1152, Paris, France (author)
  • Matheson, M. C.Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia,Imperial Coll London, NHLI, Populat Hlth & Occupat Dis, London, England (author)
  • Pirina, P.Univ Sassari, Inst Resp Dis, Sassari, Italy (author)
  • Svanes, C. (author)
  • Villani, S.Univ Pavia, Dept Publ Hlth Expt & Forens Med, Unit Biostat & Clin Epidemiol, Pavia, Italy (author)
  • Zuberbier, T.Charite Univ Med Berlin, Allergy Ctr Charite, Dept Dermatol & Allergy, Berlin, Germany (author)
  • Minelli, C. (author)
  • Accordini, S.Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy (author)
  • Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, ItalyUniv Turin, Dept Publ Hlth & Pediat, Turin, Italy (creator_code:org_t)

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  • In:Plos One: Public Library of Science (PLoS)13:81932-6203

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