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. 1996 Nov;86(11):1582–1589. doi: 10.2105/ajph.86.11.1582

The relationship between cigarette smoking and education revisited: implications for categorizing persons' educational status.

B P Zhu 1, G A Giovino 1, P D Mowery 1, M P Eriksen 1
PMCID: PMC1380693  PMID: 8916524

Abstract

OBJECTIVE: This study sought to reassess the relationship between cigarette smoking and education. METHODS: Data from the 1983 to 1991 National Health Interview Survey for participants aged 25 years and older were used to plot the prevalence of current smoking, ever smoking, heavy smoking, and smoking cessation, as well as the adjusted log odds ratios, by years of education. RESULTS: The "less than high school graduate" category consisted of two groups with distinct smoking patterns: persons with 0 to 8 years and persons with 9 to 11 years of education. The latter were the most likely to be current, ever, and heavy smokers and the least likely to have quit smoking, whereas the former were similar to persons having 12 years of education. After 11 years of education, the likelihood of smoking decreased and that of smoking cessation increased with each successive year of education. These results persisted after the statistical adjustment for age, sex, ethnicity, poverty status, employment status, marital status, geographic region, and year of survey. CONCLUSIONS: The relationship between smoking and education is not monotonic. Thus, when evaluating smoking in relation to education, researchers should categorize years of education as follows: 0 to 8, 9 to 11, 12, 13 to 15, and 16 or more years.

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Selected References

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  1. Breslau N., Fenn N., Peterson E. L. Early smoking initiation and nicotine dependence in a cohort of young adults. Drug Alcohol Depend. 1993 Sep;33(2):129–137. doi: 10.1016/0376-8716(93)90054-t. [DOI] [PubMed] [Google Scholar]
  2. Charlton A., Blair V. Absence from school related to children's and parental smoking habits. BMJ. 1989 Jan 14;298(6666):90–92. doi: 10.1136/bmj.298.6666.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Elo I. T., Preston S. H. Educational differentials in mortality: United States, 1979-85. Soc Sci Med. 1996 Jan;42(1):47–57. doi: 10.1016/0277-9536(95)00062-3. [DOI] [PubMed] [Google Scholar]
  4. Epstein L., Tamir A. Behavioral risk factors in adolescence as a basis for health planning. Isr J Med Sci. 1985 Jul;21(7):595–600. [PubMed] [Google Scholar]
  5. Escobedo L. G., Anda R. F., Smith P. F., Remington P. L., Mast E. E. Sociodemographic characteristics of cigarette smoking initiation in the United States. Implications for smoking prevention policy. JAMA. 1990 Sep 26;264(12):1550–1555. [PubMed] [Google Scholar]
  6. Escobedo L. G., Peddicord J. P. Smoking prevalence in US birth cohorts: the influence of gender and education. Am J Public Health. 1996 Feb;86(2):231–236. doi: 10.2105/ajph.86.2.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Escobedo L. G., Remington P. L. Birth cohort analysis of prevalence of cigarette smoking among Hispanics in the United States. JAMA. 1989 Jan 6;261(1):66–69. [PubMed] [Google Scholar]
  8. Ferraroni M., La Vecchia C., Pagano R., Negri E., Decarli A. Smoking in Italy, 1986-1987. Tumori. 1989 Dec 31;75(6):521–526. doi: 10.1177/030089168907500601. [DOI] [PubMed] [Google Scholar]
  9. Fiore M. C., Novotny T. E., Pierce J. P., Hatziandreu E. J., Patel K. M., Davis R. M. Trends in cigarette smoking in the United States. The changing influence of gender and race. JAMA. 1989 Jan 6;261(1):49–55. [PubMed] [Google Scholar]
  10. Giovino G. A., Schooley M. W., Zhu B. P., Chrismon J. H., Tomar S. L., Peddicord J. P., Merritt R. K., Husten C. G., Eriksen M. P. Surveillance for selected tobacco-use behaviors--United States, 1900-1994. MMWR CDC Surveill Summ. 1994 Nov 18;43(3):1–43. [PubMed] [Google Scholar]
  11. Goldbourt U., Medalie J. H. Characteristics of smokers, nonsmokers and ex-smokers among 10,000 adult males in Israel. I. Distribution of selected sociodemographic and behavioral variables and the prevalence of disease. Isr J Med Sci. 1975 Nov;11(11):1079–1101. [PubMed] [Google Scholar]
  12. Green D. E., Nemzer D. E. Changes in cigarette smoking by women--an analysis, 1966 and 1970. Health Serv Rep. 1973 Aug-Sep;88(7):631–636. [PMC free article] [PubMed] [Google Scholar]
  13. HAMMOND E. C., GARFINKEL L. Smoking habits of men and women. J Natl Cancer Inst. 1961 Aug;27:419–442. [PubMed] [Google Scholar]
  14. Isohanni M., Moilanen I., Rantakallio P. Determinants of teenage smoking, with special reference to non-standard family background. Br J Addict. 1991 Apr;86(4):391–398. doi: 10.1111/j.1360-0443.1991.tb03416.x. [DOI] [PubMed] [Google Scholar]
  15. Kaplan G. A., Keil J. E. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation. 1993 Oct;88(4 Pt 1):1973–1998. doi: 10.1161/01.cir.88.4.1973. [DOI] [PubMed] [Google Scholar]
  16. Krieger N., Rowley D. L., Herman A. A., Avery B., Phillips M. T. Racism, sexism, and social class: implications for studies of health, disease, and well-being. Am J Prev Med. 1993 Nov-Dec;9(6 Suppl):82–122. [PubMed] [Google Scholar]
  17. Krohn M. D., Massey J. L., Skinner W. F., Lauer R. M. Social bonding theory and adolescent cigarette smoking: a longitudinal analysis. J Health Soc Behav. 1983 Dec;24(4):337–349. [PubMed] [Google Scholar]
  18. Liberatos P., Link B. G., Kelsey J. L. The measurement of social class in epidemiology. Epidemiol Rev. 1988;10:87–121. doi: 10.1093/oxfordjournals.epirev.a036030. [DOI] [PubMed] [Google Scholar]
  19. Liljestrand J., Josefsson G. B., Brännström M. Characteristics of young female smokers in a Swedish primary health care area. Scand J Prim Health Care. 1993 Jun;11(2):157–160. doi: 10.3109/02813439308994920. [DOI] [PubMed] [Google Scholar]
  20. Pierce J. P., Fiore M. C., Novotny T. E., Hatziandreu E. J., Davis R. M. Trends in cigarette smoking in the United States. Educational differences are increasing. JAMA. 1989 Jan 6;261(1):56–60. [PubMed] [Google Scholar]
  21. Pirie P. L., Murray D. M., Luepker R. V. Smoking prevalence in a cohort of adolescents, including absentees, dropouts, and transfers. Am J Public Health. 1988 Feb;78(2):176–178. doi: 10.2105/ajph.78.2.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Samet J. M., Howard C. A., Coultas D. B., Skipper B. J. Acculturation, education, and income as determinants of cigarette smoking in New Mexico Hispanics. Cancer Epidemiol Biomarkers Prev. 1992 Mar-Apr;1(3):235–240. [PubMed] [Google Scholar]
  23. Sorlie P. D., Backlund E., Keller J. B. US mortality by economic, demographic, and social characteristics: the National Longitudinal Mortality Study. Am J Public Health. 1995 Jul;85(7):949–956. doi: 10.2105/ajph.85.7.949. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Wagenknecht L. E., Perkins L. L., Cutter G. R., Sidney S., Burke G. L., Manolio T. A., Jacobs D. R., Jr, Liu K. A., Friedman G. D., Hughes G. H. Cigarette smoking behavior is strongly related to educational status: the CARDIA study. Prev Med. 1990 Mar;19(2):158–169. doi: 10.1016/0091-7435(90)90017-e. [DOI] [PubMed] [Google Scholar]
  25. Young T. L., Rogers K. D. School performance characteristics preceding onset of smoking in high school students. Am J Dis Child. 1986 Mar;140(3):257–259. doi: 10.1001/archpedi.1986.02140170083038. [DOI] [PubMed] [Google Scholar]
  26. Zhu B. P., Liu M., Wang S. Q., He G. Q., Chen D. H., Shi J. H., Shang J. Z. Cigarette smoking among junior high school students in Beijing, China, 1988. Int J Epidemiol. 1992 Oct;21(5):854–861. doi: 10.1093/ije/21.5.854. [DOI] [PubMed] [Google Scholar]

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