Smoking on the rise among young adults: implications for research and policy

This paper investigates hypotheses regarding the cause of the recent apparent increase in young adult smoking, compares trends in smoking among young adults with trends in the use of other substances, and considers the implications for youth tobacco control research and policy. Time series analyses of national data suggest that the recent observed increase in smoking among young adults is primarily an artefact of the almost simultaneous increase in smoking among high school students. In addition, however, it also appears that there have been real changes in smoking patterns among young adults. While many questions remain regarding recent trends in tobacco and other drug use among adolescents and young adults, what is known leads to a clarion call for increased intervention and policy action for the prevention and control of tobacco use among young adults in the USA.     

Fruit consumption determinants among young adults in Italy: A case study

Knowing fruit consumption determinants is essential to improve interventions aiming at stimulating fruit intake in young population. This paper analyses young adults attitude and behaviour towards fruit consumption. We performed a survey on Italian university students (n = 692) to explain fruit consumption behaviour and determinants based on the theory of planned behaviour (TPB). The importance of determinants was evaluated with multi-group structural equation modelling (SEM). The TPB variables (attitudes, subjective norms and perceptions of control) explain 72% of intention to consume at least 200 g/d of fruit, and 15% of fruit consumption. These figures increase, respectively, to 88% and 20% if we include habits as a mediator. In this case, intention becomes relatively less important in explaining fruit consumption. This suggests that stronger habits result in less conscious behaviour, and that interventions to increase fruit consumption should improve fruit availability and develop individuals' ability to overcome barriers. Multi-group analysis has shown that low fruit consumers' intention is influenced by attitude, supporting the effectiveness of education campaigns for this target. Intention is the main fruit consumption predictor for those doing regular physical activity, which points to possible synergies of integrated public interventions to improve health behaviours.     

Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia

OBJECTIVE: To measure the smoking behaviour and attitudes among Saudi adults residing in Riyadh City, the capital of the Kingdom of Saudi Arabia. DESIGN: Cross-sectional survey. SETTING AND SUBJECTS: Primary health care centres (PHCCs) in Riyadh City were selected by stratified random sampling. Subjects resident in each PHCC catchment area were selected by systematic sampling from their records in the PHCCs; 1534 adults aged 15 years and older were interviewed during January to April 1994. MAIN OUTCOME MEASURES: Self-reported smoking prevalence; age of smoking initiation; daily cigarette consumption; duration of smoking; reasons for smoking, not smoking, and quitting smoking; intentions to smoke in the future; and attitudes toward various tobacco control measures. RESULTS: 25.3% of respondents were current smokers, 10.2% were ex-smokers, and 64.5% had never smoked. About 79% of all smokers started smoking between the ages of 15 and 30 years, and 19.5% before age 15. Significantly higher smoking prevalence and daily cigarette consumption were associated with being male, single, and being more highly educated. Relief of psychological tension, boredom, and imitating others were the most important reasons for smoking, whereas health and religious considerations were the most important reasons for not smoking among never-smokers, for quitting among ex-smokers, and for attempting to quit or thinking about quitting among current smokers. About 90% of all subjects thought that they would not smoke in the future. Physicians and religious men were identified as the most effective anti-smoking advocates by a much higher proportion of respondents (44%) than nurses, health educators, and teachers (each less than 5%). Health and religious education were generally cited as more effective in deterring smoking than tobacco control laws and policies. CONCLUSIONS: Cigarette smoking is prevalent among Saudi adults in Riyadh, particularly males, most of whom begin to smoke rather early in life and continue for many years. Health and religious education should be the cornerstone for any organised tobacco control activities, which are urgently needed to combat the expected future epidemic of smoking-related health problems.




     

Effect of co-eating on unfamiliar food intake among Japanese young adults

The present study explored whether partner presence (pair vs. individual) affects unfamiliar food intake. In the experiment, participants were asked to taste pieces of 13 kinds of snacks, including three unfamiliar and ten neutral snacks, and were informed that they did not have to eat a snack if they did not want to. The total amounts and ratios of all kinds of snacks consumed for unfamiliar and neutral snacks were compared between participants in the pair condition and those in the individual condition. Results demonstrated that the ratio of participants who consumed all three kinds of unfamiliar snacks was higher in the pair condition than in the individual condition. Furthermore, the results of communication analyses showed that participants in the pair condition tried unfamiliar snacks even after the peer expressed a negative evaluation of a snack. These results suggest that social motivation such as risk-taking and conformity affect unfamiliar food intake in co-eating situations.     

Tobacco use among youth: a cross country comparison

Methods: The GYTS employs a standard methodology where self administered questionnaires, consisting of a set of core questions, are completed by a representative school based sample of students primarily between the ages of 13–15 years.

Results: Data are presented from 75 sites in 43 countries and the Gaza Strip/West Bank region. Current use of any tobacco product ranges from 62.8% to 3.3%, with high rates of oral tobacco use in certain regions. Current cigarette smoking ranges from 39.6% to less than 1%, with nearly 25% of students who smoke, having smoked their first cigarette before the age of 10 years. The majority of current smokers want to stop smoking and have already tried to quit, although very few students who currently smoke have ever attended a cessation programme. Exposure to advertising is high (75% of students had seen pro-tobacco ads), and exposure to environmental tobacco smoke (ETS) is very high in all countries. Only about half of the students reported that they had been taught in school about the dangers of smoking during the year preceding the survey.

Conclusions: Global youth tobacco use is already widespread throughout the world, but there is great variation among nations. Valid and reliable data on the extent of youth tobacco use, and correlates of use, are essential to plan and evaluate tobacco use prevention programmes. The GYTS has proven the feasibility of an inexpensive, standardised, worldwide surveillance system for youth tobacco use. The GYTS will be expanded to the majority of countries in the next few years, and can serve as a baseline for monitoring and evaluating global and national tobacco control efforts.

     

Tobacco use among young adults in Norway, 1973-95: has the decrease levelled out?

OBJECTIVE: To describe the prevalence of tobacco use among young Norwegian adults, 1973-1995. DESIGN: Cross sectional personal and telephone surveys. SETTING: Norway, 1973-1995. PARTICIPANTS: Population based samples of Norwegians aged 16-74 years. RESULTS: A trend to a decline in tobacco use among young adult Norwegians during the 1960s and 1970s levelled out during the 1980s. Hence, the total prevalence of smoking in Norway decreased by only two percentage points from 1980 to 1993, as compared to approximately 10 percentage points in many other European countries. An increase in smoking prevalence (and in the use of snuff among males) in the age group 16-19 years has been observed in recent years. Thus smoking prevalence among young males and females in 1995 was comparable to that observed in the early 1980s. CONCLUSIONS: Trends in tobacco use reflect an underutilization of preventive measures in general, and health education measures in particular. Financial resources appropriated for health education and information were reduced by 90% during the 1980s.


     

Smoking mothers and snuffing fathers: behavioural influences on youth tobacco use in a Swedish cohort

Objective: To analyse the influences of parental use of cigarettes and snus (the Swedish variety of smokeless tobacco) on offspring's behaviour.     

The influence of reputational concerns on purchase intention of fair-trade foods among young Japanese adults

This study explores whether reputational concerns have an effect on purchase intention for fair-trade food products among Japanese young adults. To manipulate reputation cues, we assessed consumers’ intentions to purchase fair-trade food products under two different experimental situations: the ‘observable’ condition, in which participants’ purchase behaviors were observable by others (N = 84); and the ‘anonymous’ condition, in which participants’ purchase behavior could not be observed by others (N = 106). The effect of six sensory and extrinsic attributes including fair trade, price, country of manufacture, taste characteristics, polyphenol content and caloric content on consumer intentions to purchase chocolate was evaluated using conjoint analysis. Results demonstrated that participants under the observable condition valuated fair trade higher than those under the anonymous condition, whereas the opposite tendency was observed for the valuation of price and caloric content for their overall purchase intention. These phenomena suggest that ethical consumption, such as purchasing fair-trade foods, is influenced not only by individual’s intrinsic motives for ethical issues but also by extrinsic social factors such as reputation-enhancing opportunities.     

Responses to tobacco control policies among youth

OBJECTIVE: Explore adolescents' response to current and potential tobacco control policy issues. DESIGN: The 13 site Tobacco Control Network (TCN), sponsored by the Centers for Disease Control and Prevention, conducted 129 sex and ethnic homogeneous focus groups. PARTICIPANTS: 785 white, African American, Asian American/Pacific Islander, American Indian, and Hispanic adolescents who were primarily smokers from rural, urban, and suburban locations across the USA. MAIN OUTCOME MEASURES: Awareness, knowledge, opinions, and behaviour regarding laws and rules, prices, cigarette ingredients, and warning labels. RESULTS: Teenagers were generally familiar with laws and rules about access and possession for minors, but believed them ineffective. They were knowledgeable about prices, and reported that a sharp and sudden increase could lead them to adjust their smoking patterns but could also have negative consequences. They found a list of chemical names of cigarette ingredients largely meaningless, but believed that disclosing and publicising their common uses could be an effective deterrent, especially for those who were not yet smoking. They were aware of current warning labels, but considered them uninformative and irrelevant. CONCLUSIONS: Understanding teenagers' attitudes and behaviours before implementing policies that will affect them will likely increase their effectiveness. Disclosing and publicising the chemical contents of cigarettes, and increasing prices quickly and sharply, are potentially effective areas for policy change to impact adolescent tobacco use.     

Cigarette smoking patterns among young adults aged 18-24 years in the United States.

Most tobacco control programs focus on prevention for children or cessation for adults. Little is known about cigarette smoking among young adults. This study examined sociodemographic variables associated with current, daily, heavy, and light smoking among young adults in the United States. Data from the 1998-1999 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) were used to examine cigarette smoking patterns and correlates of smoking among 15,371 young adults aged 18-24 years. We found that 26% of young adults were current smokers, 20% were daily smokers, and 8% were former smokers. Current smoking rates were higher among American Indians/Alaska Natives (33%) and Whites (31%) than among other racial/ethnic groups. Compared with white-collar workers, blue-collar and service workers were more likely to report current and daily smoking. Blue-collar workers also were more likely to report heavy smoking (OR = 1.97). The unemployed (those in the labor force but not currently working) and those reporting an annual household income of less than US$20,000 were more likely to report current, daily, and heavy smoking, compared with those not in the labor force and those reporting an annual household income of $20,000 or more, respectively. Young adults not currently enrolled in school were more than twice as likely to report current (OR = 2.36) and daily (OR = 2.90) smoking, compared with those currently enrolled in school. Differential cigarette smoking patterns by race/ethnicity, occupation, employment status, household income, and school enrollment status should be considered when developing interventions to reduce smoking among young adults.     

Smoking prevention: implications of study design, research setting, and goals.

Collaborations among various disciplines concerned with smoking prevention are gaining in currency. Such collaborations are predicated, in part, on recognizing both the implicit assumptions in different fields and the consequences of these assumptions. These issues, however, are often ignored in transdisciplinary research. In this article, we demonstrate how simple indices, such as the risk ratio, attributable fraction, or R(2), may have different implications for causal inference and interventions, depending on study setting and research goals.