Journal article

Trends in smoking initiation in Europe over 40 years: A retrospective cohort study

Alessandro Marcon, Giancarlo Pesce, Lucia Calciano, Valeria Bellisario, Shyamali C Dharmage, Judith Garcia-Aymerich, Thorarinn Gislason, Joachim Heinrich, Mathias Holm, Christer Janson, Deborah Jarvis, Benedicte Leynaert, Melanie C Matheson, Pietro Pirina, Cecilie Svanes, Simona Villani, Torsten Zuberbier, Cosetta Minelli, Simone Accordini

PLoS One | PUBLIC LIBRARY SCIENCE | Published : 2018

Abstract

BACKGROUND: Tobacco consumption is the largest avoidable health risk. Understanding changes of smoking over time and across populations is crucial to implementing health policies. We evaluated trends in smoking initiation between 1970 and 2009 in random samples of European populations. METHODS: We pooled data from six multicentre studies involved in the Ageing Lungs in European Cohorts consortium, including overall 119,104 subjects from 17 countries (range of median ages across studies: 33-52 years). We estimated retrospectively trends in the rates of smoking initiation (uptake of regular smoking) by age group, and tested birth cohort effects using Age-Period-Cohort (APC) modelling. We strat..

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Grants

Awarded by European Union's Horizon 2020 research and innovation programme


Awarded by Medical Research Council


Funding Acknowledgements

This study has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 633212. DJ has received support from the European Union and the Medical Research Council. National funders who supported data collection in the original cohort and cross-sectional studies are listed in S2 Appendix. The funders had no role in the writing of the manuscript or the decision to submit it for publication. The corresponding author had full access to all the data and had final responsibility for the decision to submit for publication.r The ALEC study leader is Deborah Jarvis. The manuscript was done under ALEC Workpackage 6 led by Cosetta Minelli. Other Workpackage leaders in ALEC are Cecilie Svanes, John Henderson (Department of Community Based Medicine, University of Bristol, Bristol, UK), Judith Garcia-Aymerich, Nicole Probst-Hensch (Swiss Tropical and Public Health Institute and University of Basel, Basel, Switzerland). The principal investigators and team members of the original studies are reported in S2 Appendix.