Early smoking may predict stronger nicotine dependence among members of certain ethnic groups

December 17, 2000

A large study of U.S. Air Force trainees suggests that starting to smoke at an early age may pave the way for heavier smoking in adulthood, as well as other unhealthy behaviors -- at least among European-Americans and Hispanics.

"These findings have important potential public health implications," said lead author Harry A. Lando of the School of Public Health at the University of Minnesota in Minneapolis.

"In the absence of successful prevention, even significant delay of smoking onset could be beneficial in terms of reduced tobacco dependence, greater likelihood of quitting and less severe health consequences," said Lando.

Lando and colleagues analyzed questionnaire results from nearly 5,000 smokers of European-American, African-American and Hispanic-American descent entering U.S. Air Force Basic Military Training from August 1995 to August 1996. The average age of the study participants was 19.

European-Americans started smoking at the youngest age, followed by Hispanic-Americans and African-Americans, the researchers found. European-Americans started smoking an average of more than a year before African-Americans.

Although starting to smoke at a younger age was generally associated with less healthy behaviors such as eating more high-fat foods and reduced motivation to quit, the researchers noted ethnic variations among early smokers.

Within each ethnic group, the youngest smoking initiators were the least motivated to quit. But among European-Americans and Hispanic-Americans, and not among African-Americans, starting to smoke at an early age predicted higher nicotine dependence -- and thus heavier smoking -- in adulthood.

European-American and Hispanic early smokers were also more likely to binge drink (eight or more alcoholic drinks daily) and less likely to wear seatbelts, but this behavior pattern was not observed among early African-American smokers.

For European-Americans only, earlier smoking was associated with lower levels of physical activity. European-American early smokers were also substantially less likely to have quit one year following basic military training.

The researchers report their findings in the current issue of the journal Nicotine and Tobacco Research.

Lando and colleagues were intrigued by the weaker association between early smoking and negative lifestyle behaviors in African-Americans and consider this worthy of additional research. "Perhaps because smoking onset was so late for African-Americans, there was less opportunity to observe consistent relationships in age of initiation in this young population of Air Force recruits," Lando speculated.

The researchers also pointed out that more than 75 percent of the Air Force trainee study participants began smoking before the legal age of cigarette sale. "The high rate of initiation prior to legal age of sale continues to be of considerable public health concern," said Lando. "It is critical that age of sale laws be enforced and that access of minors to tobacco products be reduced."
This study was supported by a grant from the National Heart, Lung, and Blood Institute.

Nicotine & Tobacco Research is the official peer-reviewed quarterly journal of the Society for Research on Nicotine and Tobacco. For information about the journal, contact Gary E. Swan, PhD, at (650) 859-5322.

Posted by the Center for the Advancement of Health http://www.cfah.org. For more research news and information, go to our special section devoted to health and behavior in the "Peer-Reviewed Journals" area of Eurekalert!, http://www.eurekalert.org/restricted/reporters/journals/cfah/. For information about the Center, call Petrina Chong, pchong@cfah.org (202) 387-2829.

Center for Advancing Health

Related Public Health Articles from Brightsurf:

COVID-19 and the decolonization of Indigenous public health
Indigenous self-determination, leadership and knowledge have helped protect Indigenous communities in Canada during the coronavirus disease 2019 (COVID-19) pandemic, and these principles should be incorporated into public health in future, argue the authors of a commentary in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/lookup/doi/10.1503/cmaj.200852.

Public health consequences of policing homelessness
In a new study examining homelessness, researchers find that policy such a lifestyle has massive public health implications, making sleeping on the street even MORE unhealthy.

Electronic health information exchange improves public health disease reporting
Disease tracking is an important area of focus for health departments in the midst of the COVID-19 pandemic.

Pandemic likely to cause long-term health problems, Yale School of Public Health finds
The coronavirus pandemic's life-altering effects are likely to result in lasting physical and mental health consequences for many people--particularly those from vulnerable populations--a new study led by the Yale School of Public Health finds.

The Lancet Public Health: US modelling study estimates impact of school closures for COVID-19 on US health-care workforce and associated mortality
US policymakers considering physical distancing measures to slow the spread of COVID-19 face a difficult trade-off between closing schools to reduce transmission and new cases, and potential health-care worker absenteeism due to additional childcare needs that could ultimately increase mortality from COVID-19, according to new modelling research published in The Lancet Public Health journal.

The Lancet Public Health: Access to identification documents reflecting gender identity may improve trans mental health
Results from a survey of over 20,000 American trans adults suggest that having access to identification documents which reflect their identified gender helps to improve their mental health and may reduce suicidal thoughts, according to a study published in The Lancet Public Health journal.

The Lancet Public Health: Study estimates mental health impact of welfare reform, Universal Credit, in Great Britain
The 2013 Universal Credit welfare reform appears to have led to an increase in the prevalence of psychological distress among unemployed recipients, according to a nationally representative study following more than 52,000 working-age individuals from England, Wales, and Scotland over nine years between 2009-2018, published as part of an issue of The Lancet Public Health journal on income and health.

BU researchers: Pornography is not a 'public health crisis'
Researchers from the Boston University School of Public Health (BUSPH) have written an editorial in the American Journal of Public Health special February issue arguing against the claim that pornography is a public health crisis, and explaining why such a claim actually endangers the health of the public.

The Lancet Public Health: Ageism linked to poorer health in older people in England
Ageism may be linked with poorer health in older people in England, according to an observational study of over 7,500 people aged over 50 published in The Lancet Public Health journal.

Study: Public transportation use linked to better public health
Promoting robust public transportation systems may come with a bonus for public health -- lower obesity rates.

Read More: Public Health News and Public Health Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.