Nicotine dependence among adolescents in the European Union

how many and who are affected?

F R Coban, A E Kunst, M M Van Stralen, M Richter, K Rathmann, J Perelman, J Alves, B Federico, A Rimpelä, V Lorant, M A G Kuipers

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Abstract

Background: Nicotine dependence during adolescence increases the risk of continuing smoking into adulthood. The magnitude of nicotine dependence among adolescents in the European Union (EU) has not been established. We aimed to estimate the number of nicotine dependent 15-year-old adolescents in the EU, and identify high-risk groups.

Methods: The number of nicotine dependent 15-year-olds in the EU was derived combining: (i) total number of 15-year-olds in the EU (2013 Eurostat), (ii) smoking prevalence among 15-year-olds (2013/2014 HBSC survey) and (iii) proportion of nicotine dependent 15-year-olds in six EU countries (2013 SILNE survey). Logistic regression analyses identified high-risk groups in the SILNE dataset.

Results: We estimated 172 636 15-year-olds were moderately to highly nicotine dependent (3.2% of all 15 years old; 35.3% of daily smokers). In the total population, risk of nicotine dependence was higher in males, adolescents with poor academic achievement, and those with smoking parents or friends. Among daily smokers, only lower academic achievement and younger age of smoking onset were associated with nicotine dependence.

Conclusion: According to our conservative estimates, more than 172 000 15-year-old EU adolescents were nicotine dependent in 2013. Prevention of smoking initiation, especially among adolescents with poor academic performance, is necessary to prevent a similar number of adolescents getting addicted to nicotine each consecutive year.

Original languageEnglish
Pages (from-to)447-455
JournalJournal of public health (Oxford, England)
Volume41
Issue number3
Early online date6 Sep 2018
DOIs
Publication statusPublished - 2019

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Tobacco Use Disorder
European Union
Nicotine
Smoking
Age of Onset
Parents
Logistic Models
Regression Analysis
Population

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Coban, F. R., Kunst, A. E., Van Stralen, M. M., Richter, M., Rathmann, K., Perelman, J., ... Kuipers, M. A. G. (2019). Nicotine dependence among adolescents in the European Union: how many and who are affected? Journal of public health (Oxford, England), 41(3), 447-455. https://doi.org/10.1093/pubmed/fdy136
Coban, F R ; Kunst, A E ; Van Stralen, M M ; Richter, M ; Rathmann, K ; Perelman, J ; Alves, J ; Federico, B ; Rimpelä, A ; Lorant, V ; Kuipers, M A G. / Nicotine dependence among adolescents in the European Union : how many and who are affected?. In: Journal of public health (Oxford, England). 2019 ; Vol. 41, No. 3. pp. 447-455.
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title = "Nicotine dependence among adolescents in the European Union: how many and who are affected?",
abstract = "Background: Nicotine dependence during adolescence increases the risk of continuing smoking into adulthood. The magnitude of nicotine dependence among adolescents in the European Union (EU) has not been established. We aimed to estimate the number of nicotine dependent 15-year-old adolescents in the EU, and identify high-risk groups.Methods: The number of nicotine dependent 15-year-olds in the EU was derived combining: (i) total number of 15-year-olds in the EU (2013 Eurostat), (ii) smoking prevalence among 15-year-olds (2013/2014 HBSC survey) and (iii) proportion of nicotine dependent 15-year-olds in six EU countries (2013 SILNE survey). Logistic regression analyses identified high-risk groups in the SILNE dataset.Results: We estimated 172 636 15-year-olds were moderately to highly nicotine dependent (3.2{\%} of all 15 years old; 35.3{\%} of daily smokers). In the total population, risk of nicotine dependence was higher in males, adolescents with poor academic achievement, and those with smoking parents or friends. Among daily smokers, only lower academic achievement and younger age of smoking onset were associated with nicotine dependence.Conclusion: According to our conservative estimates, more than 172 000 15-year-old EU adolescents were nicotine dependent in 2013. Prevention of smoking initiation, especially among adolescents with poor academic performance, is necessary to prevent a similar number of adolescents getting addicted to nicotine each consecutive year.",
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Coban, FR, Kunst, AE, Van Stralen, MM, Richter, M, Rathmann, K, Perelman, J, Alves, J, Federico, B, Rimpelä, A, Lorant, V & Kuipers, MAG 2019, 'Nicotine dependence among adolescents in the European Union: how many and who are affected?', Journal of public health (Oxford, England), vol. 41, no. 3, pp. 447-455. https://doi.org/10.1093/pubmed/fdy136

Nicotine dependence among adolescents in the European Union : how many and who are affected? / Coban, F R; Kunst, A E; Van Stralen, M M; Richter, M; Rathmann, K; Perelman, J; Alves, J; Federico, B; Rimpelä, A; Lorant, V; Kuipers, M A G.

In: Journal of public health (Oxford, England), Vol. 41, No. 3, 2019, p. 447-455.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Nicotine dependence among adolescents in the European Union

T2 - how many and who are affected?

AU - Coban, F R

AU - Kunst, A E

AU - Van Stralen, M M

AU - Richter, M

AU - Rathmann, K

AU - Perelman, J

AU - Alves, J

AU - Federico, B

AU - Rimpelä, A

AU - Lorant, V

AU - Kuipers, M A G

PY - 2019

Y1 - 2019

N2 - Background: Nicotine dependence during adolescence increases the risk of continuing smoking into adulthood. The magnitude of nicotine dependence among adolescents in the European Union (EU) has not been established. We aimed to estimate the number of nicotine dependent 15-year-old adolescents in the EU, and identify high-risk groups.Methods: The number of nicotine dependent 15-year-olds in the EU was derived combining: (i) total number of 15-year-olds in the EU (2013 Eurostat), (ii) smoking prevalence among 15-year-olds (2013/2014 HBSC survey) and (iii) proportion of nicotine dependent 15-year-olds in six EU countries (2013 SILNE survey). Logistic regression analyses identified high-risk groups in the SILNE dataset.Results: We estimated 172 636 15-year-olds were moderately to highly nicotine dependent (3.2% of all 15 years old; 35.3% of daily smokers). In the total population, risk of nicotine dependence was higher in males, adolescents with poor academic achievement, and those with smoking parents or friends. Among daily smokers, only lower academic achievement and younger age of smoking onset were associated with nicotine dependence.Conclusion: According to our conservative estimates, more than 172 000 15-year-old EU adolescents were nicotine dependent in 2013. Prevention of smoking initiation, especially among adolescents with poor academic performance, is necessary to prevent a similar number of adolescents getting addicted to nicotine each consecutive year.

AB - Background: Nicotine dependence during adolescence increases the risk of continuing smoking into adulthood. The magnitude of nicotine dependence among adolescents in the European Union (EU) has not been established. We aimed to estimate the number of nicotine dependent 15-year-old adolescents in the EU, and identify high-risk groups.Methods: The number of nicotine dependent 15-year-olds in the EU was derived combining: (i) total number of 15-year-olds in the EU (2013 Eurostat), (ii) smoking prevalence among 15-year-olds (2013/2014 HBSC survey) and (iii) proportion of nicotine dependent 15-year-olds in six EU countries (2013 SILNE survey). Logistic regression analyses identified high-risk groups in the SILNE dataset.Results: We estimated 172 636 15-year-olds were moderately to highly nicotine dependent (3.2% of all 15 years old; 35.3% of daily smokers). In the total population, risk of nicotine dependence was higher in males, adolescents with poor academic achievement, and those with smoking parents or friends. Among daily smokers, only lower academic achievement and younger age of smoking onset were associated with nicotine dependence.Conclusion: According to our conservative estimates, more than 172 000 15-year-old EU adolescents were nicotine dependent in 2013. Prevention of smoking initiation, especially among adolescents with poor academic performance, is necessary to prevent a similar number of adolescents getting addicted to nicotine each consecutive year.

U2 - 10.1093/pubmed/fdy136

DO - 10.1093/pubmed/fdy136

M3 - Article

VL - 41

SP - 447

EP - 455

JO - Journal of public health (Oxford, England)

JF - Journal of public health (Oxford, England)

SN - 1741-3842

IS - 3

ER -