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. 2022 Apr 1:233:109360.
doi: 10.1016/j.drugalcdep.2022.109360. Epub 2022 Feb 17.

Association between adolescent smoking and subsequent college completion by parent education - A national longitudinal study

Aniruddh Ajith  1 , Chelsie Temmen  2 , Denise Haynie  2 , Kelvin Choi  3
Affiliations

Association between adolescent smoking and subsequent college completion by parent education - A national longitudinal study

Aniruddh Ajith et al. Drug Alcohol Depend. .

Abstract

Background: Educational attainment is a social determinant of health associated with better quality of life and health outcomes. Current understanding of the association between adolescent smoking and college completion is limited. This study examined the association between adolescent smoking and subsequent college completion and how it varied by parent education in a longitudinal study of U.S. adolescents followed into young adulthood.

Methods: Data were collected annually from a nationally representative cohort of 10th graders who participated in the NEXT Generation Health Study (2009 -2017; N = 1407). Participants reported if they smoked during 10th-12th grades (2009-2013). Self-report college completion was assessed in 2017. Parent reported their educational attainment at baseline. Weighted logistic regression models were used to assess the association between adolescent smoking during 10th-12th grades and subsequent college completion in the entire sample and stratified by parent educational attainment, adjusting for demographics, depressive symptoms, alcohol use, and parental monitoring.

Results: Overall, adolescents who smoked during 10th-12th grade had lower odds of subsequently completing college compared to those who did not smoke (AOR=0.33, 95%CI=0.20-0.57). This association was stronger among those whose parents had ≤high school education (AOR=0.08, 95% CI=0.02-0.31) and some college education (AOR=0.18, 95%CI=0.08-0.39).

Discussion: Adolescents from lower educational attainment households showed disproportionately stronger association between adolescent smoking and subsequent college completion. Future research needs to determine whether and how strategies to reduce adolescent smoking may promote educational attainment especially among adolescents whose parents have less than a college education.

Keywords: Adolescent smoking; College completion; Educational attainment; Intergenerational educational mobility.

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Conflict of interest statement

Conflicts of Interest

No conflict declared.

References

    1. Baum S, Ma J, Payea K, 2010. Education Pays, 2010: The Benefits of Higher Education for Individuals and Society. Trends in Higher Education Series, Trends in Higher Education Series. College Board Advocacy & Policy Center, USA.
    1. Boyce W, Torsheim T, Currie C, Zambon A, 2006. The family affluence scale as a measure of national wealth: Validation of an adolescent self-report measure. Social Indicators Research 78(3), 473–487.
    1. Branstetter SA, Blosnich J, Dino G, Nolan J, Horn K, 2012. Gender differences in cigarette smoking, social correlates and cessation among adolescents. Addict Behav 37(6), 739–742. - PMC - PubMed
    1. Braveman P, Gottlieb L, 2014. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep 129 Suppl 2, 19–31. - PMC - PubMed
    1. Breslau J, Miller E, Joanie Chung WJ, Schweitzer JB, 2011. Childhood and adolescent onset psychiatric disorders, substance use, and failure to graduate high school on time. J Psychiatr Res 45(3), 295–301. - PMC - PubMed

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