Universität zu Köln

Pfoertner, Timo-Kolja, Moor, Irene, Rathmann, Katharina ORCID: 0000-0002-2892-1624, Hublet, Anne, Molcho, Michal, Kunst, Anton E. and Richter, Matthias ORCID: 0000-0003-3898-3332 (2015). The association between family affluence and smoking among 15-year-old adolescents in 33 European countries, Israel and Canada: the role of national wealth. Addiction, 110 (1). S. 162 - 174. HOBOKEN: WILEY. ISSN 1360-0443

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Abstract

AimsTo examine the role of national wealth in the association between family affluence and adolescent weekly smoking, early smoking behaviour and weekly smoking among former experimenters. Design and ParticipantsData were used from the Health Behaviour in School-aged Children (HBSC) study conducted in 2005/2006 in 35 countries from Europe and North America that comprises 60490 students aged 15 years. Multi-level logistic regression was conducted using Markov chain Monte Carlo methods (MCMC) to explore whether associations between family affluence and smoking outcomes were dependent upon national wealth. MeasurementFamily Affluence Scale (FAS) as an indicator for the socio-economic position of students. Current weekly smoking behaviour is defined as at least weekly smoking (dichotomous). Early smoking behaviour is measured by smoking more than a first puff before age 13years (dichotomous). Weekly smoking among former experimenters is restricted to those who had tried a first puff in the past. FindingsThe logistic multi-level models indicated an association of family affluence with current weekly smoking [odds ratio (OR)=1.088; 95% credible interval (CrI)=1.055-1.121, P<0.001], early smoking behaviour (OR=1.066; CrI=1.028-1.104, P<0.001) and smoking among former experimenters (OR=1.100; CrI=1.071-1.130; P<0.001). Gross domestic product (GDP) per capita was associated positively and significantly with the relationship between family affluence and current weekly smoking (OR=1.005; CrI=1.003-1.007; P<0.001), early smoking behaviour (OR=1.003; CrI=1.000-1.005; P=0.012) and smoking among former experimenters (OR=1.004; CrI=1.002-1.006; P<0.001). The association of family affluence and smoking outcomes was significantly stronger for girls. ConclusionsThe difference in smoking prevalence between rich and poor is greater in more affluent countries.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfoertner, Timo-Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Moor, Irene UNSPECIFIED UNSPECIFIED UNSPECIFIED Rathmann, Katharina UNSPECIFIED orcid.org/0000-0002-2892-1624 UNSPECIFIED Hublet, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Molcho, Michal UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunst, Anton E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Richter, Matthias UNSPECIFIED orcid.org/0000-0003-3898-3332 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-417885
DOI:	10.1111/add.12741
Journal or Publication Title:	Addiction
Volume:	110
Number:	1
Page Range:	S. 162 - 174
Date:	2015
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1360-0443
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EDUCATIONAL-DIFFERENCES; SOCIOECONOMIC-STATUS; PUBLIC-HEALTH; SOCIAL INEQUALITIES; CESSATION PROGRAMS; TOBACCO USE; BEHAVIOR; TRENDS; PREVALENCE; INITIATION Multiple languages Substance Abuse; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41788