Associations between adolescent socioeducational status and use of snus and smoking.
BACKGROUND
Findings from studies on the association between smoking and socioeconomic status are mixed. While adolescent smoking is reduced in many countries, use of smokeless tobacco seems to increase. Associations between socioeducational status and smoking as well as use of snus (smokeless tobacco), and to what extent these associations had changed significantly from 2004 to 2007 (a period of relatively abrupt changes in tobacco use in Norway), were examined.


METHODS
Data from two national representative cross-sectional studies of Norwegian 16-20 year olds, where participants were asked questions allowing us to construct indicators of socioeducational status, was used. Information was also collected about the adolescents' smoking and use of snus, as well as their intentions with regard to future use of these products.


RESULTS
Adolescents with a lower socioeducational status had much higher odds for smoking compared to those with higher socioeducational status (ORs ranged from 2.9 to 3.8). There was no similar association between socioeducational status and snus use (ORs ranged from 0.6 to 1.2). No support was found for a change in the socioeducational status-smoking/snus use association from 2004 to 2007.


CONCLUSIONS
Adolescents' socioeducational status was associated with smoking for boys and girls, while there was no similar association with snus use. This may indicate that snus truly deviates from how smoking is distributed across social strata or that snus is at a much earlier stage in the social diffusion process.
Øverland
Simon
S
Research Centre for Health Promotion, Faculty of Psychology, University of Bergen, Christiesgate 13, Bergen 5015, Norway. simon.overland@psyhp.uib.no
Tjora
Tore
T
Hetland
Jørn
J
Aarø
Leif Edvard
LE
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006608:Hierarchy, Social; D006801:Humans; D008297:Male; D012907:Smoking / Q000523:psychology* / Q000639:trends; D014030:Tobacco, Smokeless; D055815:Young Adult