Social gradient in initiation and transition to daily use of tobacco and cannabis during adolescence: a retrospective cohort study
- 1 June 2011
- Vol. 106 (8), 1520-1531
- https://doi.org/10.1111/j.1360-0443.2011.03447.x
Abstract
Aims This study explores whether the family socio-economic status (F-SES) and school situation could have an impact on tobacco and cannabis initiation and transition to daily use during adolescence. Design and setting A French cross-sectional nation-wide survey conducted in 2005 containing retrospective data. Participants French teenagers aged 17 (n = 29 393). Measurement The F-SES was defined by the highest occupational category of either parent, with seven categories ranging from unemployed/inactive to managers/professionals. Ages at repeat school years, at leaving school, at the first episode of drunkenness and at initiation of illicit drug use were used to model tobacco and cannabis initiation and transition to daily use with time-discrete logistic regressions. Findings The risk for tobacco initiation was almost equally distributed across F-SES groups, but the risk of a progression to daily use was higher in every F-SES category compared to managers/professionals [ odds ratio (OR) from 1.17 to 1.90]. Compared to managers/professionals, risk of cannabis initiation was lower in all F-SES categories (OR from 0.63 to 0.87), but all categories except farmers were at increased risk of transition to daily use: the OR range between 1.29 (intermediate) and 1.98 (unemployed/inactive). Repeating school years and leaving school predicted daily use of tobacco (OR = 2.00 and 2.37) and cannabis (4.58 and 2.07). Conclusions Adolescents from the highest family socio-economic status categories are at risk for tobacco and cannabis experimentation but are less prone to engage in daily use. Psychological and social mechanisms that inhibit transition to daily use should be investigated, including school attainment and performance.This publication has 64 references indexed in Scilit:
- Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early adulthood?Substance Abuse Treatment, Prevention, and Policy, 2010
- Developmental epidemiology of drug use and abuse in adolescence and young adulthood: Evidence of generalized riskDrug and Alcohol Dependence, 2009
- Truth or Consequences: The Intertemporal Consistency of Adolescent Self-report on the Youth Risk Behavior SurveyAmerican Journal of Epidemiology, 2009
- Correlates of susceptibility to smoking among Mexican origin youth residing in Houston, Texas: A cross-sectional analysisBMC Public Health, 2008
- Role of individual, peer and family factors in the use of cannabis and other illicit drugs: A longitudinal analysis among Finnish adolescent twinsDrug and Alcohol Dependence, 2008
- Transitions to regular smoking and to nicotine dependence in women using cannabisDrug and Alcohol Dependence, 2008
- Cannabis Smoking and Periodontal Disease Among Young AdultsJAMA, 2008
- Transcending the Known in Public Health PracticeAmerican Journal of Public Health, 2008
- Education inequality and use of cigarettes, alcohol, and marijuanaDrug and Alcohol Dependence, 2007
- Predictors of risky alcohol consumption in schoolchildren and their implications for preventing alcohol-related harmSubstance Abuse Treatment, Prevention, and Policy, 2007