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Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
Current cigarette smoking among U.S. college graduates
Sulamunn R M Coleman1, Diann E Gaalema2, Tyler D Nighbor1
1Vermont Center on Behavior and Health, University of Vermont, 1 South Prospect Street, MS 482, Burlington, VT 05401-1419, United States of America; Department of Psychiatry, University of Vermont, 1 South Prospect Street, MS 482, Burlington, VT 05401-1419, United States of America.
Smoking remains a risk even for college graduates, especially when combined with alcohol abuse, drug abuse, or mental illness. These co-occurring factors significantly elevate smoking prevalence in all adult populations.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Despite lower overall prevalence, college graduates constitute a significant portion of U.S. smokers.
- Limited research exists on specific smoking risks within the college graduate population.
Purpose of the Study:
- To investigate smoking risk factors among U.S. college graduates and non-graduates.
- To identify key predictors of smoking in these distinct educational attainment groups.
Main Methods:
- Analysis of a nationally representative sample (National Survey on Drug Use and Health, 2011-2017, n=202,137).
- Examination of smoking prevalence in relation to alcohol abuse/dependence, drug abuse/dependence, mental illness, demographics, and poverty.
- Utilized group contrasts and Classification and Regression Tree (CART) modeling.
Main Results:
- Smoking prevalence was 10% for college graduates and 26% for non-graduates.
- College graduates initiated smoking later and smoked less frequently.
- Past year drug abuse/dependence strongly predicted smoking in both groups.
- Alcohol abuse/dependence and mental illness were stronger smoking predictors for graduates; race/ethnicity and age were stronger for non-graduates.
Conclusions:
- Smoking risk escalates significantly among college graduates when co-occurring risk factors, particularly psychiatric conditions, are present.
- Socio-demographic factors are less predictive of smoking risk in college graduates compared to non-graduates.
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