ArticleEuropean heart journal open2024
Impact of smoking initiation age on nicotine dependency and cardiovascular risk factors: a retrospective cohort study in Japan.
Article in European heart journal open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Smoking prevalence and emerging tobacco product use among Saudi adolescents: a systematic review.Frontiers in public health · 2026Pooled it
- The role of sweet/fruit-flavored disposable electronic cigarettes on early nicotine initiation - a systematic review.BMC public health · 2025Pooled it
- Prevalence and correlates of e-cigarette use among older adults aged 60 years and over.European geriatric medicine · 2026Article
- Associations of childhood smoking initiation age with cardiometabolic multi-morbidity and mortality: a multi-national cohort study.BMC public health · 2026Article
- Smoking behavior and nicotine dependence: the predictive role of personality traits.Frontiers in public health · 2026Article
- Cigarette, e-cigarette and dual use among Malaysian adolescents: A secondary analysis of the 2017 and 2022 adolescent health surveys.Tobacco induced diseases · 2026Article
- Article
- Governing E-cigarettes in China: regulatory challenges and strategies for adolescent protection in the post-flavor ban era.Frontiers in public health · 2026Article
- Factors associated with smoking cessation among adolescents: A retrospective study in a smoking cessation outpatient clinic.Tobacco induced diseases · 2026Article
- Sociodemographic and behavioral factors associated with time to first cigarette upon waking: Findings from the Malaysian national tobacco survey 2023.Tobacco induced diseases · 2026Article
- Predictors of cigarette smoking frequency among European adolescents aged 13-15: the critical role of parental smoking and age of initiation.European child & adolescent psychiatry · 2025Article
- Knowledge, perceptions, and usage patterns of nicotine pouches among Saudi medical students: A cross-sectional study.Tobacco induced diseases · 2025Article
- Timing and tempo of pubertal development and substance use in adolescence: a cohort study in the Danish National Birth Cohort.Human reproduction open · 2025Article
- Vendor density mapping and compliance assessment with tobacco control laws around schools in Bhubaneswar City-a geo-spatial mapping and observational study.Frontiers in public health · 2025Observational
Corrections and comments
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Authors and funding
16 authors.
Funding
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Abstract
Aims: Initiating smoking in early adolescence results in challenges with smoking cessation and is associated with high risk of cardiovascular disease. Recently, the initiation of smoking has transitioned from adolescence to young adulthood. However, there are few reports on the impact of initiating smoking at a later age. This study investigated the impact of the age of smoking initiation on nicotine dependency, smoking cessation rates, and cardiovascular risk factors, using a cut-off point of 20 years, within the Japanese population. Methods and results: This retrospective cohort study encompassed 1382 smokers who sought smoking cessation treatment at Kyoto Medical Centre Hospital between 2007 and 2019. Clinical indicators were evaluated by adjusting for age at the time of hospital visit and sex. The smoking cessation rate was further adjusted for treatment medication. The group with a smoking initiation age of <20 years reported a higher number of cigarettes/day ( Conclusion: In young adulthood, initiating smoking later (beyond 20 years old) was associated with lower nicotine dependency and fewer depressive tendencies, as well as a higher success rate in smoking cessation among Japanese smokers. The results might suggest that raising the legal smoking initiation age from 20 to 22 years old or older could be effective in reducing nicotine dependency in smokers.
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