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Intergenerational Patterns of Smoking and Nicotine Dependence among US Adolescents

Author

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  • Kandel, D.B.
  • Griesler, P.C.
  • Hu, M.-C.

Abstract

Objectives. We examined associations between parental and adolescent smoking and nicotine dependence in the United States. Methods. We used data from the 2004 to 2012 National Survey on Drug Use and Health, which ascertained smoking behaviors of 1 parent and 1 adolescent aged 12 to 17 years in 35 000 dyads. We estimated associations between parental and adolescent smoking behaviors, adjusted for covariates. Results. Parental current dependence was strongly associated with adolescents' lifetime smoking (adjusted odds ratio [AOR] = 2.96; 95% confidence interval [CI] = 2.47, 3.55), whereas parental current nondependent smoking (AOR = 2.26; 95% CI = 1.92, 2.67) and former smoking (AOR = 1.51; 95% CI = 1.31, 1.75) were less strongly associated. Only parental nicotine dependence was associated with adolescent nicotine dependence (AOR = 1.66; 95% CI = 1.00, 2.74). Associations between parental and adolescent smoking did not differ by race/ethnicity. Parents' education, marital status, and parenting and adolescents' mental health, beliefs about smoking, perception of schoolmates' smoking, and other substance use predicted adolescent smoking and dependence. Conclusions. Reducing parental smoking would reduce adolescent smoking. Prevention efforts should encourage parental smoking cessation, improve parenting, address adolescent mental health, and reinforce adolescents' negative beliefs about smoking.

Suggested Citation

  • Kandel, D.B. & Griesler, P.C. & Hu, M.-C., 2015. "Intergenerational Patterns of Smoking and Nicotine Dependence among US Adolescents," American Journal of Public Health, American Public Health Association, vol. 105(11), pages 63-72.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302775_3
    DOI: 10.2105/AJPH.2015.302775
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    Cited by:

    1. Kelly, Brian C. & Vuolo, Mike & Frizzell, Laura C. & Hernandez, Elaine M., 2018. "Denormalization, smoke-free air policy, and tobacco use among young adults," Social Science & Medicine, Elsevier, vol. 211(C), pages 70-77.
    2. Alexi Gugushvili & Martin McKee & Aytalina Azarova & Michael Murphy & Darja Irdam & Lawrence King, 2018. "Parental transmission of smoking among middle-aged and older populations in Russia and Belarus," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 349-358, April.
    3. Fletcher, Jason & Jajtner, Katie M., 2023. "Multidimensional intergenerational mobility," Social Science & Medicine, Elsevier, vol. 328(C).

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