Predictors of cigarette smoking frequency among European adolescents aged 13–15: the critical role of parental smoking and age of initiation.

This cross-sectional study investigated predictors of cigarette smoking frequency among European adolescents aged 13–15, focusing on parental smoking, age of initiation, and socioeconomic factors. Data were derived from the Global Youth Tobacco Survey (2020–2023) in eight European countries. Smoking...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 11; pp. 3577 - 3587
Autores principales: Dadras, Omid, Abio, Anne
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Predictors of cigarette smoking frequency among European adolescents aged 13–15: the critical role of parental smoking and age of initiation.
      aug:
        au:
          Dadras, Omid
          Abio, Anne
        affil: https://ror.org/05vghhr25 Research Center for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, 20014, Turku, Finland
      sug:
        subj:
          Smoking Risk Factors
          Smoking Psychosocial Factors
          Adolescent Behavior
          Socioeconomic Factors
          Age Factors
          Parental Role
          Risk Assessment
          Human
          Male
          Female
          Child
          Adolescence
          Europe
          Cross Sectional Studies
          Logistic Regression
          Special Populations
          Intraclass Correlation Coefficient
          Smoking Epidemiology
          Prevalence
          Comparative Studies
          Descriptive Statistics
          Odds Ratio
          Pearson's Correlation Coefficient
          Chi Square Test
          Confidence Intervals
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: This cross-sectional study investigated predictors of cigarette smoking frequency among European adolescents aged 13–15, focusing on parental smoking, age of initiation, and socioeconomic factors. Data were derived from the Global Youth Tobacco Survey (2020–2023) in eight European countries. Smoking frequency was classified as infrequent (< 1/day), daily light (1/day), moderate (2–5/day), and heavy (> 5/day). Individual variables (age, pocket money, age at initiation, tobacco experimentation), familial factors (parental smoking, parental education), and country-level factors (PPP-adjusted cigarette prices, income inequality) were analyzed using sex-stratified multilevel ordinal logistic regression models, accounting for clustering at the country and school levels. Notable country- and gender-specific variations in smoking prevalence were observed. Notably, Bulgaria and Albania exhibited the highest prevalence of heavy smoking (> 5 cigarettes/day). Overall, girls were more likely to be smokers, while boys tended to be heavy smokers. Older age, early initiation (< 10 years), and tobacco experimentation significantly increased smoking frequency in both sexes. For males, paternal smoking predicted higher frequency (OR = 2.06), whereas maternal smoking appeared protective (OR = 0.67). Among females, maternal smoking and dual parental smoking were associated with increased frequency. Higher pocket money was also associated with smoking frequency, while cigarette affordability showed a marginal inverse association in males. Our findings underscore the critical role of early smoking initiation and parental influence in determining smoking frequency among European adolescents. Tailored interventions addressing familial risk factors and socioeconomic determinants are essential to curb heavy smoking in this vulnerable population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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