Report Shows Recent Progress in Decreasing Youth Tobacco Use, But Much Work Remains
Adolescent smoking rates increased through much of the 1990s, but a new report
released today by the National Cancer Institute (NCI) shows there has been a
promising decline over the past few years. Despite this recent progress, there
remains a need for more research and for anti-smoking programs designed both to
prevent young people from starting to smoke and to help them quit. The report
reveals a particular need for research among certain racial/ethnic groups where
smoking trends have not decreased or, in some cases, continued to increase.
Changing Adolescent Smoking Prevalence: Where It Is and Why was compiled
by over 30 public health experts from throughout the United States. David M.
Burns, M.D., of the University of California in San Diego, Calif., was the
senior scientific editor of the monograph. The report is the 14th in NCI's
Smoking and Tobacco Control Monograph Series and offers the first major update
of adolescent smoking behavior since 1994.
The authors of the monograph examine trends in the percentage of young people
who smoke, including data showing that initiation rates have declined over time
for males at all ages. However, there was little evidence of a decline in
initiation for females under 16 years old, and initiation rates increased for
females 16 years and older.
The youth smoking rates overall remain relatively high. The latest figures
reported in the monograph are from the 2000 Monitoring the Future study, which
showed that almost 32 percent of 12th-graders are current smokers (defined as
having smoked within the past 30 days). The highest rate of current smoking for
12th-graders in the 1990s occurred in 1997, with almost 37 percent reported as
current smokers.
According to Healthy People 2010, the government's comprehensive set of
health objectives for the nation, the goal is to reduce the percent of current
adolescent smokers to 16 percent by the year 2010. "Much work and continued
progress are needed in order to reach that goal," said Scott Leischow, Ph.D.,
chief of NCI's Tobacco Control Research Branch.
Several chapters in the NCI monograph present data on various racial/ethnic
groups, including descriptions and explanations of smoking behavior among
African American, Hispanic/Latino, Asian American and Pacific Islander, and
American Indian and Alaskan Native adolescents. Smoking rates vary by ethnic
group, with American Indian and Alaskan Native adolescents showing the highest
rate and African American adolescents showing the lowest. The authors describe
protective factors - such as religious involvement and participation in high
school sports programs - that may contribute to lower smoking rates in certain
populations, and risk factors - such as poverty - that might lead to higher
smoking rates in others.
The monograph addresses large-scale influences on the smoking behavior of
adolescents, including access, marketing, and cost of tobacco products. The
data on youth access show that young people continue to obtain cigarettes both
from noncommercial sources, such as friends and family members, and from
commercial sources, such as convenience stores, even though cigarette sales are
prohibited to individuals under the age of 18.
The data on the effect of cost show that youth are more responsive to cigarette
price increases than are adults. A 10 percent increase in the price of
cigarettes is estimated to reduce youth smoking by 5 percent or more. In
addition, evidence exists that youth are more likely to quit smoking as
cigarette prices are increased.
Chapters in the monograph also explore the results from statewide tobacco
control programs in Massachusetts, California, and Florida. The authors examine
the predictors of tobacco use among youth and describe the impact of the
programs. In California, for example, following the enactment of Proposition 99
- which provided tobacco control groups with funding to launch an aggressive
anti-smoking campaign - adolescent smoking in California showed a significant
decrease compared with the national rates, particularly among adolescent males.
According to Leischow: "The evidence indicates that sustained programs work when
they address the full range of influences on youth tobacco use, such as
tobacco-free policies, active parent and community involvement, school-based
programs, cessation services, and media to counter tobacco advertising. But the
monograph reminds us that there is no easy solution for reducing youth smoking.
Tobacco control organizations and researchers must continue to find answers and
implement comprehensive policies and programs that are proven effective."
# # #
To view the complete monograph online, please visit
http://cancercontrol.cancer.gov/tcrb/monographs/
To order a copy of the monograph, please visit NCI's Publications
Locator Web site at http://www.cancer.gov/publications
or call NCI's Cancer Information Service (CIS) at 1-800-4-CANCER
(1-800-422-6237). The CIS also offers personalized help to smokers who want to
quit.
To learn about the monograph series and tobacco control programs at
the NCI, please visit NCI's Tobacco Control Research Branch at
http://cancercontrol.cancer.gov/tcrb
For more information about cancer, visit NCI's Web site at
http://www.cancer.gov.
Back to Top |