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. 1995 Jan;85(1):34–40. doi: 10.2105/ajph.85.1.34

Trends in cigarette smoking among US adolescents, 1974 through 1991.

D E Nelson 1, G A Giovino 1, D R Shopland 1, P D Mowery 1, S L Mills 1, M P Eriksen 1
PMCID: PMC1615278  PMID: 7832259

Abstract

OBJECTIVES. The purpose of this study was to determine national trends in adolescent cigarette smoking prevalence. METHODS. We conducted trend analyses based on 1974 through 1991 current smoking prevalence data among persons aged 12 through 19 years from the National Household Surveys on Drug Abuse, High School Seniors Surveys, and National Health Interview Surveys. RESULTS. Overall smoking prevalence declined much more rapidly from 1974 through 1980 (1.9 percentage points annually among younger adolescents; the range among surveys of older adolescents was 0.2 to 2.0 percentage points annually) than from 1985 through 1991 (0 to 0.5 percentage points annually among all adolescents). Since 1980, smoking has generally declined at a slightly faster rate among older female adolescents than among male adolescents. Smoking among Black adolescents of all ages declined in nearly every survey population during each study period (range among surveys: 1974-1985 = 1.0 to 2.9 percentage points; 1985-1991 = 0.7 to 1.5 percentage points annually); for White adolescents, only minimal declines in smoking have occurred since 1985. CONCLUSIONS. Since 1974, major changes in adolescent smoking patterns have occurred, especially among Blacks. The overall slowing rate of decline in smoking prevalence since 1985 may indicate success of increased tobacco advertising and promotional activities targeted at adolescents or inadequate antitobacco education efforts.

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Selected References

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  1. Bachman J. G., Wallace J. M., Jr, O'Malley P. M., Johnston L. D., Kurth C. L., Neighbors H. W. Racial/Ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976-89. Am J Public Health. 1991 Mar;81(3):372–377. doi: 10.2105/ajph.81.3.372. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Blum A. The Marlboro Grand Prix. Circumvention of the television ban on tobacco advertising. N Engl J Med. 1991 Mar 28;324(13):913–917. doi: 10.1056/NEJM199103283241310. [DOI] [PubMed] [Google Scholar]
  3. Chassin L., Presson C. C., Sherman S. J., Edwards D. A. The natural history of cigarette smoking: predicting young-adult smoking outcomes from adolescent smoking patterns. Health Psychol. 1990;9(6):701–716. doi: 10.1037//0278-6133.9.6.701. [DOI] [PubMed] [Google Scholar]
  4. Clayton S. Gender differences in psychosocial determinants of adolescent smoking. J Sch Health. 1991 Mar;61(3):115–120. doi: 10.1111/j.1746-1561.1991.tb05997.x. [DOI] [PubMed] [Google Scholar]
  5. Davis R. M. Current trends in cigarette advertising and marketing. N Engl J Med. 1987 Mar 19;316(12):725–732. doi: 10.1056/NEJM198703193161206. [DOI] [PubMed] [Google Scholar]
  6. DiFranza J. R., Richards J. W., Paulman P. M., Wolf-Gillespie N., Fletcher C., Jaffe R. D., Murray D. RJR Nabisco's cartoon camel promotes camel cigarettes to children. JAMA. 1991 Dec 11;266(22):3149–3153. [PubMed] [Google Scholar]
  7. DiFranza J. R., Tye J. B. Who profits from tobacco sales to children? JAMA. 1990 May 23;263(20):2784–2787. [PubMed] [Google Scholar]
  8. Fischer P. M., Schwartz M. P., Richards J. W., Jr, Goldstein A. O., Rojas T. H. Brand logo recognition by children aged 3 to 6 years. Mickey Mouse and Old Joe the Camel. JAMA. 1991 Dec 11;266(22):3145–3148. [PubMed] [Google Scholar]
  9. Flynn B. S., Worden J. K., Secker-Walker R. H., Badger G. J., Geller B. M., Costanza M. C. Prevention of cigarette smoking through mass media intervention and school programs. Am J Public Health. 1992 Jun;82(6):827–834. doi: 10.2105/ajph.82.6.827. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Glynn T. J., Anderson D. M., Schwarz L. Tobacco-use reduction among high-risk youth: recommendations of a National Cancer Institute Expert Advisory Panel. Prev Med. 1991 Mar;20(2):279–291. doi: 10.1016/0091-7435(91)90027-2. [DOI] [PubMed] [Google Scholar]
  11. Glynn T. J. Essential elements of school-based smoking prevention programs. J Sch Health. 1989 May;59(5):181–188. doi: 10.1111/j.1746-1561.1989.tb04698.x. [DOI] [PubMed] [Google Scholar]
  12. Headen S. W., Bauman K. E., Deane G. D., Koch G. G. Are the correlates of cigarette smoking initiation different for black and white adolescents? Am J Public Health. 1991 Jul;81(7):854–858. doi: 10.2105/ajph.81.7.854. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Jason L. A., Ji P. Y., Anes M. D., Birkhead S. H. Active enforcement of cigarette control laws in the prevention of cigarette sales to minors. JAMA. 1991 Dec 11;266(22):3159–3161. [PubMed] [Google Scholar]
  14. Luepker R. V., Pallonen U. E., Murray D. M., Pirie P. L. Validity of telephone surveys in assessing cigarette smoking in young adults. Am J Public Health. 1989 Feb;79(2):202–204. doi: 10.2105/ajph.79.2.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Miller S. K., Slap G. B. Adolescent smoking. A review of prevalence and prevention. J Adolesc Health Care. 1989 Mar;10(2):129–135. doi: 10.1016/0197-0070(89)90103-4. [DOI] [PubMed] [Google Scholar]
  16. Murray D. M., O'Connell C. M., Schmid L. A., Perry C. L. The validity of smoking self-reports by adolescents: a reexamination of the bogus pipeline procedure. Addict Behav. 1987;12(1):7–15. doi: 10.1016/0306-4603(87)90003-7. [DOI] [PubMed] [Google Scholar]
  17. O'Malley P. M., Bachman J. G., Johnston L. D. Period, age, and cohort effects on substance use among young Americans: a decade of change, 1976-86. Am J Public Health. 1988 Oct;78(10):1315–1321. doi: 10.2105/ajph.78.10.1315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Pierce J. P., Fiore M. C., Novotny T. E., Hatziandreu E. J., Davis R. M. Trends in cigarette smoking in the United States. Projections to the year 2000. JAMA. 1989 Jan 6;261(1):61–65. [PubMed] [Google Scholar]
  19. Pierce J. P., Gilpin E., Burns D. M., Whalen E., Rosbrook B., Shopland D., Johnson M. Does tobacco advertising target young people to start smoking? Evidence from California. JAMA. 1991 Dec 11;266(22):3154–3158. [PubMed] [Google Scholar]
  20. 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]
  21. Waldron I., Lye D., Brandon A. Gender differences in teenage smoking. Women Health. 1991;17(2):65–90. doi: 10.1300/J013v17n02_04. [DOI] [PubMed] [Google Scholar]
  22. Wasserman J., Manning W. G., Newhouse J. P., Winkler J. D. The effects of excise taxes and regulations on cigarette smoking. J Health Econ. 1991 May;10(1):43–64. doi: 10.1016/0167-6296(91)90016-g. [DOI] [PubMed] [Google Scholar]

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