Universität zu Köln

Perelman, Julian ORCID: 0000-0001-6634-9000, Alves, Joana ORCID: 0000-0002-5736-6519, Pfoertner, Timo-Kolja, Moor, Irene, Federico, Bruno, Kuipers, Mirte A. G., Richter, Matthias ORCID: 0000-0003-3898-3332, Rimpela, Arja, Kunst, Anton E. and Lorant, Vincent (2017). The association between personal income and smoking among adolescents: a study in six European cities. Addiction, 112 (12). S. 2248 - 2257. HOBOKEN: WILEY. ISSN 1360-0443

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Abstract

Aims This study investigates the link between personal income and smoking among adolescents, and aims to answer the following questions: (i) to what extent is personal income related to smoking, independent of family socio-economic status (SES) and (ii) does the association between personal income and smoking apply to different subpopulations? Design Cross-sectional study. Setting Six cities from European countries (Amersfoort, the Netherlands; Coimbra, Portugal; Hannover, Germany; Latina, Italy; Namur, Belgium; Tampere, Finland) in 2013. Participants A school-based sample of 10794 adolescents aged 14-17years. Measurements We modelled smoking experimentation, weekly smoking, daily smoking and (among daily smokers) smoking intensity as function of personal income, adjusting for age, sex, family SES, parental smoking and country. We tested interactions between personal income and covariates. Stratification analyses were performed for the variables for which interactions were significant. Findings Adolescents in the highest income quintile were more likely to be smoking experimenters [odds ratio (OR)=1.87; P<0.01], weekly smokers (OR=3.51; P<0.01) and daily smokers (OR=4.55; P<0.01) than those in the lowest quintile. They also consumed more cigarettes per month (beta=0.79; P<0.01). Adjusting for family SES did not modify the significance of relationships, and increased the magnitude of the association for daily smoking. None of the interactions between covariates and personal income was significant for smoking measures. For the intensity of smoking, the interaction was significant for SES. The stratified analysis showed a non-significant association between smoking intensity and personal income among the oldest adolescents and those with the lowest SES background, while significant among younger and higher SES backgrounds. Conclusion In the Netherlands, Portugal, Germany, Italy, Belgium and Finland, adolescents' personal income is related positively to smoking behaviours independent of family socio-economic status (SES). However, among low socio-economic status adolescent daily smokers, the association between the intensity of smoking and personal income is weaker.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Perelman, Julian UNSPECIFIED orcid.org/0000-0001-6634-9000 UNSPECIFIED Alves, Joana UNSPECIFIED orcid.org/0000-0002-5736-6519 UNSPECIFIED Pfoertner, Timo-Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Moor, Irene UNSPECIFIED UNSPECIFIED UNSPECIFIED Federico, Bruno UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuipers, Mirte A. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Richter, Matthias UNSPECIFIED orcid.org/0000-0003-3898-3332 UNSPECIFIED Rimpela, Arja UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunst, Anton E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorant, Vincent UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209959
DOI:	10.1111/add.13930
Journal or Publication Title:	Addiction
Volume:	112
Number:	12
Page Range:	S. 2248 - 2257
Date:	2017
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1360-0443
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SOCIAL-STATUS; FAMILY AFFLUENCE; TOBACCO USE; HEALTH; INEQUALITIES; ACCESS; CIGARETTES; BEHAVIORS; ALCOHOL; YOUTH Multiple languages Substance Abuse; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20995