Gender differences in age of smoking initiation and its association with health.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Journal titleAddiction research & theory
Publication Begin page413
Publication End page420
MetadataShow full item record
AbstractBackground: It is generally accepted that smoking starts in adolescence and earlier initiation is associated with more negative health outcomes. Some research suggests that women initiate smoking at later ages and have more negative health outcomes than men. The purpose of this study was to examine gender differences in age of initiation and its association with health. Methods: The sample included men (n=8,506) and women (n=8,479) with a history of smoking from the 2001-2002 National Epidemiological Survey of Alcohol Related Conditions. Logistic regression was used to examine gender differences in the effect of late smoking initiation on physical and mental health status after adjusting for covariates. Results: At mostly all ages after 16, women exceeded men in rates of smoking initiation (59.8% vs. 50.3%, p<.001). Among late initiators (≥16), women were more likely than men to have hypertension (OR:1.24,CI:1.09-1.41), heart disease (OR:1.20,CI:1.00-1.45), major depressive disorder (OR:2.54,CI:2.22-2.92) and generalized anxiety disorder (OR:2.34,CI:1.84-2.99). Among early initiators (<16), women were more likely than men to have major depressive disorder (OR:2.42,CI:2.11-2.77) and generalized anxiety disorder (OR:2.01,CI:1.59-2.54) but there were no gender differences in the likelihood of having hypertension (OR:1.04,CI:0.89-1.22) and heart disease (OR:1.11,CI:0.90-1.36). Conclusions: In late adolescence and adulthood, women exceed men in smoking initiation. Late initiation was associated with more significant physical health risks for women than men. Our findings raise questions about generally accepted notions on the age at which smoking initiation occurs and its association with health.
CitationThompson AB, Tebes JK, McKee SA. Gender differences in age of smoking initiation and its association with health. Addict Res Theory. 2015;23(5):413-420. doi: 10.3109/16066359.2015.1022159. Epub 2015 Apr 27. PMID: 27499723; PMCID: PMC4972043.
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
- Risks of major depressive disorder and anxiety disorders among Thais with alcohol use disorders and illicit drug use: findings from the 2008 Thai National Mental Health survey.
- Authors: Suttajit S, Kittirattanapaiboon P, Junsirimongkol B, Likhitsathian S, Srisurapanont M
- Issue date: 2012 Dec
- Age of Smoking Initiation in Relation to Multiple Health Risk Factors among US Adult Smokers: National Health Interview Survey (NHIS) Data (2006-2018).
- Authors: Choi SH, Stommel M, Broman C, Raheb-Rauckis C
- Issue date: 2023 Jul-Sep
- Smoking initiation and nicotine dependence symptoms in Ukraine: findings from the Ukraine World Mental Health survey.
- Authors: Webb CP, Bromet EJ, Tintle NL, Schwartz JE, Gluzman SF, Kostyuchenko S, Havenaar JM
- Issue date: 2007 Sep
- Impact of gender on treatment and clinical outcomes in acute ST elevation myocardial infarction patients in Thailand.
- Authors: Srichaiveth B, Ruengsakulrach P, Visudharom K, Sanguanwong S, Tangsubutr W, Insamian P
- Issue date: 2007 Oct
- Patterns of smoking initiation during adolescence and young adulthood in South-West China: findings of the National Nutrition and Health Survey (2010-2012).
- Authors: Zhang Q, Yu B, Chen X, Varma DS, Li J, Zhao J, Ruan Y, Han X, Min X, Liu Z
- Issue date: 2018 May 31