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Trends in Tobacco Use among 9th Graders in Sweden, 1991-2020

International journal of environmental research and public health, 2023-03, Vol.20 (7), p.5262 [Peer Reviewed Journal]

COPYRIGHT 2023 MDPI AG ;2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2023 by the authors. 2023 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph20075262 ;PMID: 37047878

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  • Title:
    Trends in Tobacco Use among 9th Graders in Sweden, 1991-2020
  • Author: Raninen, Jonas ; Gripe, Isabella ; Zetterqvist, Martina ; Ramstedt, Mats
  • Subjects: Adolescent ; Children & youth ; Cigarettes ; Correlation coefficient ; Correlation coefficients ; Drugs and youth ; Girls ; Humans ; Medicin och hälsovetenskap ; Questionnaires ; Response rates ; Smoking ; Smoking - epidemiology ; Smoking and youth ; Students ; Surveys ; Sweden - epidemiology ; Teenagers ; Tobacco ; Tobacco Products ; Tobacco Use - epidemiology ; Tobacco Use Disorder - epidemiology ; Tobacco, Smokeless ; Trends ; Vaping
  • Is Part Of: International journal of environmental research and public health, 2023-03, Vol.20 (7), p.5262
  • Description: Tobacco use was measured with self-reports of lifetime use of cigarettes and snus to examine trends in tobacco use among Swedish 9th graders over the period 1991-2020. Annual school surveys with nationally representative samples of 9th-grade students in Sweden covering the period 1991-2020 with a total sample of 163,617 students. We distinguished between the use of cigarettes only, use of snus only, dual use (use of both cigarettes and snus), and total tobacco use (use of any of these tobacco products). In addition to a graphical description of trends in the various measures of tobacco use, the correlation between these trends was calculated with the Pearson correlation coefficient (Rxy). The prevalence of total tobacco use declined from 72% in 1991 to 36% in 2020. The declining trend in total tobacco use was positively correlated with the trend in dual use (Rxy = 0.98) and the trend in cigarette use only (Rxy = 0.87). The trend in total tobacco use was, on the other hand, negatively correlated with snus use only (Rxy = -0.41), and snus use only was negatively correlated with cigarette use only (Rxy = -0.71). The situation became different after 2017 when total tobacco use increased as a result of an increasing prevalence of snus use. The sharp decline in tobacco use among 9th graders in Sweden over the past three decades is driven by declining cigarette use. The correlations between the various forms of tobacco use suggest that snus use may have contributed to the decline in cigarette use and, by that, overall tobacco use. The situation changed after 2017 when a sharp rise in snus use seems to have increased total tobacco use among adolescents in Sweden. A possible explanation behind this development is the introduction of a new form of snus called "All white snus", which was introduced in Sweden in 2014.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph20075262
    PMID: 37047878
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    MEDLINE
    PubMed Central
    SWEPUB Freely available online
    ProQuest Central
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