Abstract
OBJECTIVES. The purpose of the study was to describe age patterns of smoking among Black and White women of reproductive age, with cohort membership controlled for. METHOD. Data from the 1987 National Health Interview Survey Cancer Supplement, weighted to be nationally representative, were used to calculate the fractions of women who were ever smokers, quitters, and current smokers by age and race. Summary distributions of age patterns of smoking behaviors by race were estimated; proportional hazard models were used to avoid confounding of age and cohort. RESULTS. White women begin smoking at younger ages than do Blacks but are more likely to quit and to do so at young ages. Rates of current smoking converge between Blacks and Whites by age 25, and may cross over by 30. Education-standardized results show larger Black-White differentials in ever smoking and smaller differences in quitting. CONCLUSIONS. Our findings confirm that women's age patterns of smoking vary by race. Age x race interactions should be considered in smoking research and anti-tobacco interventions. For Black women, delayed initiation and failure to quit call for increased emphasis on interventions tailored to adults. These findings have possible implications for understanding Black-White differences in low birthweight, child health, and women's health.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- 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]
- Cnattingius S., Axelsson O., Eklund G., Lindmark G. Smoking, maternal age, and fetal growth. Obstet Gynecol. 1985 Oct;66(4):449–452. [PubMed] [Google Scholar]
- Cummings K. M., Giovino G., Mendicino A. J. Cigarette advertising and black-white differences in brand preference. Public Health Rep. 1987 Nov-Dec;102(6):698–701. [PMC free article] [PubMed] [Google Scholar]
- 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]
- Dressler W. W. Social support, lifestyle incongruity, and arterial blood pressure in a southern black community. Psychosom Med. 1991 Nov-Dec;53(6):608–620. doi: 10.1097/00006842-199111000-00003. [DOI] [PubMed] [Google Scholar]
- 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]
- Geronimus A. T., Korenman S. Maternal youth or family background? On the health disadvantages of infants with teenage mothers. Am J Epidemiol. 1993 Jan 15;137(2):213–225. doi: 10.1093/oxfordjournals.aje.a116662. [DOI] [PubMed] [Google Scholar]
- Geronimus A. T. The weathering hypothesis and the health of African-American women and infants: evidence and speculations. Ethn Dis. 1992 Summer;2(3):207–221. [PubMed] [Google Scholar]
- Harris J. E. Cigarette smoking among successive birth cohorts of men and women in the United States during 1900-80. J Natl Cancer Inst. 1983 Sep;71(3):473–479. [PubMed] [Google Scholar]
- 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]
- Kleinman J. C., Pierre M. B., Jr, Madans J. H., Land G. H., Schramm W. F. The effects of maternal smoking on fetal and infant mortality. Am J Epidemiol. 1988 Feb;127(2):274–282. doi: 10.1093/oxfordjournals.aje.a114803. [DOI] [PubMed] [Google Scholar]
- Malloy M. H., Kleinman J. C., Land G. H., Schramm W. F. The association of maternal smoking with age and cause of infant death. Am J Epidemiol. 1988 Jul;128(1):46–55. doi: 10.1093/oxfordjournals.aje.a114957. [DOI] [PubMed] [Google Scholar]
- Novotny T. E., Warner K. E., Kendrick J. S., Remington P. L. Smoking by blacks and whites: socioeconomic and demographic differences. Am J Public Health. 1988 Sep;78(9):1187–1189. doi: 10.2105/ajph.78.9.1187. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Remington P. L., Forman M. R., Gentry E. M., Marks J. S., Hogelin G. C., Trowbridge F. L. Current smoking trends in the United States. The 1981-1983 behavioral risk factor surveys. JAMA. 1985 May 24;253(20):2975–2978. [PubMed] [Google Scholar]
- Rogers R. G., Crank J. Ethnic differences in smoking patterns: findings from NHIS. Public Health Rep. 1988 Jul-Aug;103(4):387–393. [PMC free article] [PubMed] [Google Scholar]
- Starzyk P. M. Lung-cancer deaths: equality by 2000? N Engl J Med. 1983 May 26;308(21):1289–1290. doi: 10.1056/NEJM198305263082112. [DOI] [PubMed] [Google Scholar]
- Warner K. E., Goldenhar L. M., McLaughlin C. G. Cigarette advertising and magazine coverage of the hazards of smoking. A statistical analysis. N Engl J Med. 1992 Jan 30;326(5):305–309. doi: 10.1056/NEJM199201303260505. [DOI] [PubMed] [Google Scholar]
- Wen S. W., Goldenberg R. L., Cutter G. R., Hoffman H. J., Cliver S. P., Davis R. O., DuBard M. B. Smoking, maternal age, fetal growth, and gestational age at delivery. Am J Obstet Gynecol. 1990 Jan;162(1):53–58. doi: 10.1016/0002-9378(90)90819-s. [DOI] [PubMed] [Google Scholar]