Temporal changes in smoking prevalence among adolescents across 23 countries
Seohyun Hong1,2, Yejun Son2,3, Myeongcheol Lee2,4
1Department of Medicine, Kyung Hee University College of Medicine, Seoul, South Korea.
Acta Paediatrica (Oslo, Norway : 1992)
|December 11, 2024
Summary
Adolescent smoking prevalence varied globally between 2003-2021, with declines in some nations but increases in others. Factors like gender, secondhand smoke exposure, and parental smoking significantly influence youth tobacco use, necessitating targeted global tobacco control strategies.
Area of Science:
- Global Public Health
- Adolescent Health
- Epidemiology
Background:
- Adolescent smoking remains a significant global public health concern.
- Understanding temporal trends and influencing factors is crucial for effective tobacco control.
Purpose of the Study:
- To investigate changes in smoking prevalence among 13-15-year-olds across 23 countries from 2003 to 2021.
- To identify individual and country-level factors associated with adolescent smoking behavior.
Main Methods:
- Utilized data from 168,286 young adolescents (aged 13-15) from the Global School-based Student Health Survey (2003-2021).
- Employed linear regression models and meta-analyses to analyze trends in current smoking prevalence.
Main Results:
- Smoking prevalence decreased in 6 countries and increased in 4 countries among the 23 nations studied.
- Higher prevalence observed in males (15.5%) vs. females (8.0%), those exposed to secondhand smoke (16.3%), and those with smoking parents/guardians (16.5%).
Conclusions:
- Tailored tobacco control interventions are essential for reducing adolescent smoking worldwide.
- Strengthening policy enforcement and addressing social determinants are critical for further reductions in youth smoking.
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