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. 2019 Aug;7(4):258-269.
doi: 10.1177/2167696818763949. Epub 2018 Apr 19.

Smoking Trajectory Classes and Impact of Social Smoking Identity in Two Cohorts of U.S. Young Adults

Affiliations

Smoking Trajectory Classes and Impact of Social Smoking Identity in Two Cohorts of U.S. Young Adults

Amanda L Johnson et al. Emerg Adulthood. 2019 Aug.

Abstract

This study describes cigarette smoking trajectories, the influence of social smoker self-identification (SSID), and correlates of these trajectories in two cohorts of U.S. young adults: a sample from the Chicago metropolitan area (Social Emotional Contexts of Adolescent and Young Adult Smoking Patterns [SECAP], n = 893) and a national sample (Truth Initiative Young Adult Cohort Study [YA Cohort], n = 1,491). Using latent class growth analyses and growth mixture models, five smoking trajectories were identified in each sample: in SECAP: nonsmoking (n = 658, 73.7%), declining smoking (n = 20, 2.2%), moderate/stable smoking (n = 114, 12.8%), high/stable smoking (n = 79, 8.9%), and escalating smoking (n = 22, 2.5%); and in YA Cohort: nonsmoking (n = 1,215, 81.5%), slowly declining smoking (n = 52, 3.5%), rapidly declining smoking (n = 50, 3.4%), stable smoking (n = 139, 9%), and escalating smoking (n = 35, 2.4%). SSID was most prevalent in moderate/stable smoking (35.5% SECAP), rapidly declining smoking (25.2% YA Cohort), and nonsmoking. Understanding nuances of how smoking identity is formed and used to limit or facilitate smoking behavior in young adults will allow for more effective interventions to reduce tobacco use.

Keywords: latent class growth model; social smoking; tobacco; trajectory; young adult.

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Conflict of interest statement

Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Smoking trajectory classes in Social Emotional Contexts of Adolescent and Young Adult Smoking Patterns (SECAP) data set (n = 893). All SECAP participants reported smoking rates for all four waves of data collection.
Figure 2.
Figure 2.
Smoking trajectory classes in the Truth Initiative Young Adult Cohort Study (n = 1,491). YA Cohort participants varied in number of waves of data collection. Mean (standard deviation) number of waves by trajectory class: nonsmoking: 3.5 (0.1) waves; slowly declining: 2.8 (0.3) waves; rapidly declining: 3.9 (0.4) waves; stable: 3.0 (0.2) waves; and escalating: 3.8 (0.5) waves.

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