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February 2004, Vol 94, No. 2 | American Journal of Public Health 279-285
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Effects of Childhood Socioeconomic Circumstances on Persistent Smoking

Barbara J. M. H. Jefferis, MSc, Chris Power, PhD, Hilary Graham, PhD and Orly Manor, PhD

Barbara J. M. H. Jefferis and Chris Power are with The Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, London, England. At the time of the study, Hilary Graham was with the Department of Applied Social Science, Lancaster University, Lancaster, England. Orly Manor is with the School of Public Health and Community Medicine, Hebrew University, Jerusalem, Israel.

Correspondence: Requests for reprints should be sent to Barbara J. M. H. Jefferis, MSc, Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, 30 Guilford St, London WC1N 1EH, United Kingdom (e-mail: b.jefferis{at}ich.ucl.ac.uk).

Objectives. We investigated whether socioeconomic circumstances at different life stages influence persistent smoking.

Methods. We followed a British birth cohort (all births between March 3 and 9, 1958) for 41 years to examine the influence of childhood and adulthood socioeconomic position on persistent smoking in adulthood (n = 6541).

Results. Persistent smoking (19% of participants, n = 1216) showed strong social gradients with both childhood and adulthood socioeconomic measures. Among men, the association with childhood socioeconomic circumstances was no longer significant after we adjusted for adulthood socioeconomic circumstances; however, among women, the adjusted odds of persistent smoking increased by 8% for each unit increase across a 16-point childhood score.

Conclusions. Childhood socioeconomic circumstances predicted persistent smoking among women in our cohort, a finding that highlights the importance of influences on the development of persistent smoking across the life course.




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