ArticleAmerican journal of preventive medicine2023
Smoking Disparities by Level of Educational Attainment and Birth Cohort in the U.S.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 57 citations in OpenAlex.
- Mediated effects of a randomised control trial for a text messaging smoking cessation intervention for online help-seekers and primary care visitors.BMC public health · 2024Trial
- Genetic and environmental influences on educational disparities in adult weight change: an individual-based pooled analysis of 11 twin cohorts.International journal of obesity (2005) · 2026Article
- Modeling Heterogeneity in Health Risk Behaviors With a Dynamic Mixture Model Informed by Textual Occupational Data.Statistics in medicine · 2026Article
- Gender-Specific Trends and Determinants of Daily Smoking in Latvia (2009-2019): A Population-Based Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2026Article
- Factors associated with intention to quit smoking in Indonesia: findings from a cross-sectional Global Adult Tobacco Survey.Korean journal of family medicine · 2026Article
- Past trends, future forecasts and socio-demographic patterns of cigarette smoking in Belgium, 1997 to 2040.Population health metrics · 2026Article
- Sociodemographic determinants of smoking among Jordanian men : insights from the 2023 demographic and health survey.Journal of health, population, and nutrition · 2026Article
- Sociodemographic inequalities in product-specific tobacco use in Myanmar: a nationally representative study of the 2015-2016 demographic and health survey.Frontiers in public health · 2026Article
- Article
- Educational attainment and employment status in lung cancer patients: a nationwide study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- Trends in initiation of regular cigarette smoking in 28 European countries, 1940-2019: retrospective reconstruction from repeated cross-sectional surveys.European journal of public health · 2025Article
- Residential segregation, housing cost, and smoking behaviors in Black Americans.Social science & medicine (1982) · 2025Article
- Genetic and environmental influences on educational disparities in adult weight change: an individual-based pooled analysis of 11 twin cohorts.medRxiv : the preprint server for health sciences · 2025Article
- SimSmoke simulation models by educational status: past and future US trends and the potential role of policy.Tobacco control · 2025Article
- Cigarette smoking decline among US young adults from 2000 to 2019, in relation to state-level cigarette price and tobacco control expenditure.Tobacco control · 2025Article
- Examining Associations Between Smoking Patterns and Employment Status Among a Nationally Representative Sample of U.S. Adults.AJPM focus · 2025Article
- Socioeconomic disparities: a more important risk factor for advanced-stage oral cancer in Florida than smoking?Cancer causes & control : CCC · 2025Article
- Increasing Educational Inequality in Biological Aging Among U.S. Adults Aged 50-79 From 1988-1994 to 2015-2018.Demography · 2025Article
- User Experiences With Digital Future-Self Interventions in the Contexts of Smoking and Physical Inactivity: Mixed Methods Multistudy Exploration.JMIR formative research · 2025Article
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Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
introductionLittle is known about how U.S. smoking patterns of initiation, cessation, and intensity vary by birth cohort across education levels or how these patterns may be driven by other demographic characteristics.
methodsSmoking data for adults aged ≥25 years was obtained from the National Health Interview Surveys 1966-2018. Age-period-cohort models were developed to estimate the probabilities of smoking initiation, cessation, intensity, and prevalence by age, cohort, calendar year, and gender for education levels: ≤8th grade, 9th-11th grade, high school graduate or GED, some college, and college degree or above. Further analyses were conducted to identify the demographic factors (race/ethnicity and birthplace) that may explain the smoking patterns by education. Analyses were conducted in 2020-2021.
resultsSmoking disparities by education have increased by birth cohort. In recent cohorts, initiation probabilities were highest among individuals with 9th-11th-grade education and lowest among individuals with at least a college degree. Cessation probabilities were higher among those with higher education. Current smoking prevalence decreased over time across all education groups, with important differences by gender. However, it decreased more rapidly among individuals with ≤8th grade education, resulting in this group having the second lowest prevalence in recent cohorts. This may be driven by the increasing proportion of non-U.S. born Hispanics in this group.
conclusionsAlthough smoking is decreasing by cohort across all education groups, disparities in smoking behaviors by education have widened in recent cohorts. Demographic changes for the ≤8th-grade education group need special consideration in analyses of tobacco use by education.
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