ArticleJournal of the National Cancer Institute2025
Cumulative psychosocial and health disparities in US adolescent cigarette smoking, 2002-2019.
Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Unmasking the appeal: voices of young adults prior to World No Tobacco Day at Qatar University.Frontiers in public health · 2026Article
- Examining rural disparities in cigarette smoking among U.S. women by chronological age: 2002-2022.Preventive medicine · 2025Article
- Examining US adolescent cigarette smoking prevalence by rurality and gender, 2002-2019.Preventive medicine · 2025Article
- Cigarette smoking prevalence, nicotine dependence, and quit ratios among U.S. adult females by residence and military-veteran status: 2002-2023.Preventive medicine · 2025Article
- Age, cumulative psychosocial risk factors, and health disparities in U.S. adult cigarette smoking: 2002-2019.BMC medicine · 2025Article
- Religiosity, school connectedness, and tobacco use susceptibility: a longitudinal study of adolescents in Mumbai and Kolkata, India.BMC public health · 2025Article
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7 authors.
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Abstract
backgroundUnderstanding disparities in adolescent cigarette smoking is important for effective prevention.
methodsWe investigated disparities in adolescent smoking based on cumulative reported psychosocial and health risk among respondents ages 12-17 years in the US National Survey of Drug Use and Health from 2002 to 2019. Multivariable regression estimated associations of cumulative risk, survey years, and their interaction predicting past-month and daily smoking. Eleven psychosocial and health variables associated with youth smoking formed composite measures of cumulative risk, categorizing risk as low (0-2), moderate (3-4), or high (≥5). The main outcomes were weighted past-month and daily smoking by cumulative risk and time, examining prevalence and proportional change across years.
resultsAmong 244 519 adolescents, greater cumulative risk predicted higher smoking prevalence across all outcomes. Compared with the low-risk category, past-month smoking odds (adjusted odds ratio) were 9.14 (95% confidence interval [CI] = 8.58 to 9.72) and 46.15 (95% CI = 43.38 to 49.10) times greater in the moderate-risk and high-risk categories. For daily smoking, odds were 14.11 (95% CI = 11.92 to 16.70) and 97.32 (95% CI = 83.06 to 114.03) times greater among the moderate-risk and high-risk categories. Regarding proportional change, the low-risk category exhibited the steepest decline (-85.1%) in past-month smoking from 2002-2003 to 2018-2019, followed by the moderate-risk (-79.2%) and high-risk (-65.7%) categories. Daily smoking declined more steeply among the low-risk (-96.5%) and moderate-risk (-90.5%) than high-risk category (-86.4%).
conclusionsCumulative risk is a robust predictor of adolescent smoking. Although record-setting reductions in adolescent smoking extend across risk categories, disparities favoring youth with fewer risks are evident throughout. Recognizing cumulative risk can inform the development of more targeted and effective prevention efforts.
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