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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Cigarette smoking among U.S. adolescents: Prevalence, susceptibility, cessation, and addiction

Heather A. Ryan, MPH1, David E. Nelson, MD, MPH, MA1, Kat Jackson, MSPH2, and Ralph S. Caraballo, PhD, MPH1. (1) Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-50, Atlanta, GA 30341, (2) Research Triangle Institute, 2951 Flowers Road South, Suite 119, Atlanta, GA 30341

Objective: Preventing the initiation of cigarette smoking and promoting smoking cessation among adolescents are critical to meeting national Healthy People 2010 objectives. Multiple indicators are needed to evaluate progress in reducing tobacco use among adolescents. This session will review a range of topics in order to create such a perspective: 30-year trends in cigarette smoking among adolescents and young adults; susceptibility to initiating cigarette smoking among adolescent never smokers during the period of 1999-2004; behaviors, beliefs and psycho-social factors related to smoking cessation; and, individual and scaled indicators of nicotine addiction.

Methods: Data from the National Youth Tobacco Survey (NYTS), Monitoring the Future (MTF) and the National Health Interview Survey (NHIS) were analyzed. Variables examined include, but are not limited to, smoking prevalence and intensity, susceptibility index, number of quit attempts, readiness to quit, participation in a tobacco cessation program, strength of anti-tobacco beliefs, perceived ability to quit, and restlessness and cravings after not smoking.

Results: Detailed results are not yet available. At this time, it appears adolescent and young adult cigarette smokers have gone through several use cycles. It is unclear whether the current downward smoking trend among adolescents may be slowing or stopping, and the percentage of susceptible never smokers seems to have remained steady between 1999-2004. Smokers who reported that their best friends do not smoke were more likely to attempt to quit. These plus upcoming findings will provide a distinct national picture of youth tobacco use.