Lifecourse SEP and tobacco and cannabis use

Lucy Bowes, Aude Chollet, Eric Fombonne, Cédric Galéra, Maria Melchior

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. Methods: Data come from 1103 participants (mean age: 28.9 years) of the Trajectoires Epidémiologiques en Population (TEMPO) study and their parents, participants of the GAZEL study, France. Multinomial regression analyses were used to examine associations between lifecourse socio-economic position (SEP) assessed using the parent's reports of family income (1989 and 2002) and the participant's educational attainment, occupational grade and job stability in 2009, with self-reported tobacco and cannabis use in 2009. Results: Compared with participants with stable intermediate/high SEP, those with stable low SEP and those with declining SEP were more likely to use tobacco (age- and sex-adjusted ORs = 2.03 and 2.26). Participants who experienced declining SEP were also disproportionately likely to use and abuse cannabis (adjusted ORs = 2.22 and 2.73). Associations remained significant after adjusting for family (parental smoking, alcohol use, ill health, unemployment, depression and divorce) and individual (early tobacco and cannabis use, academic difficulties, juvenile internalizing and externalizing problems) risk factors. Conclusions: Cross-sectional studies indicate social inequalities in substance use. Our longitudinal findings suggest that individuals who experienced declining SEP from childhood to adulthood may be twice as likely to use tobacco and cannabis compared with individuals with a stable/high trajectory. Interventions targeting substance abuse should take into account lifecourse determinants including the interplay between individuals' socio-economic origins and later attainment.

Original languageEnglish (US)
Pages (from-to)322-327
Number of pages6
JournalEuropean Journal of Public Health
Volume23
Issue number2
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Tobacco Use
Cannabis
Economics
Parents
Marijuana Abuse
Unemployment
Divorce
France
Substance-Related Disorders
Young Adult
Cross-Sectional Studies
Smoking
Regression Analysis
Alcohols
Depression
Health
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Lifecourse SEP and tobacco and cannabis use. / Bowes, Lucy; Chollet, Aude; Fombonne, Eric; Galéra, Cédric; Melchior, Maria.

In: European Journal of Public Health, Vol. 23, No. 2, 04.2013, p. 322-327.

Research output: Contribution to journalArticle

Bowes, L, Chollet, A, Fombonne, E, Galéra, C & Melchior, M 2013, 'Lifecourse SEP and tobacco and cannabis use', European Journal of Public Health, vol. 23, no. 2, pp. 322-327. https://doi.org/10.1093/eurpub/cks065
Bowes, Lucy ; Chollet, Aude ; Fombonne, Eric ; Galéra, Cédric ; Melchior, Maria. / Lifecourse SEP and tobacco and cannabis use. In: European Journal of Public Health. 2013 ; Vol. 23, No. 2. pp. 322-327.
@article{660735595425411bbf4838c9cffbef75,
title = "Lifecourse SEP and tobacco and cannabis use",
abstract = "Background: Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. Methods: Data come from 1103 participants (mean age: 28.9 years) of the Trajectoires Epid{\'e}miologiques en Population (TEMPO) study and their parents, participants of the GAZEL study, France. Multinomial regression analyses were used to examine associations between lifecourse socio-economic position (SEP) assessed using the parent's reports of family income (1989 and 2002) and the participant's educational attainment, occupational grade and job stability in 2009, with self-reported tobacco and cannabis use in 2009. Results: Compared with participants with stable intermediate/high SEP, those with stable low SEP and those with declining SEP were more likely to use tobacco (age- and sex-adjusted ORs = 2.03 and 2.26). Participants who experienced declining SEP were also disproportionately likely to use and abuse cannabis (adjusted ORs = 2.22 and 2.73). Associations remained significant after adjusting for family (parental smoking, alcohol use, ill health, unemployment, depression and divorce) and individual (early tobacco and cannabis use, academic difficulties, juvenile internalizing and externalizing problems) risk factors. Conclusions: Cross-sectional studies indicate social inequalities in substance use. Our longitudinal findings suggest that individuals who experienced declining SEP from childhood to adulthood may be twice as likely to use tobacco and cannabis compared with individuals with a stable/high trajectory. Interventions targeting substance abuse should take into account lifecourse determinants including the interplay between individuals' socio-economic origins and later attainment.",
author = "Lucy Bowes and Aude Chollet and Eric Fombonne and C{\'e}dric Gal{\'e}ra and Maria Melchior",
year = "2013",
month = "4",
doi = "10.1093/eurpub/cks065",
language = "English (US)",
volume = "23",
pages = "322--327",
journal = "European Journal of Public Health",
issn = "1101-1262",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Lifecourse SEP and tobacco and cannabis use

AU - Bowes, Lucy

AU - Chollet, Aude

AU - Fombonne, Eric

AU - Galéra, Cédric

AU - Melchior, Maria

PY - 2013/4

Y1 - 2013/4

N2 - Background: Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. Methods: Data come from 1103 participants (mean age: 28.9 years) of the Trajectoires Epidémiologiques en Population (TEMPO) study and their parents, participants of the GAZEL study, France. Multinomial regression analyses were used to examine associations between lifecourse socio-economic position (SEP) assessed using the parent's reports of family income (1989 and 2002) and the participant's educational attainment, occupational grade and job stability in 2009, with self-reported tobacco and cannabis use in 2009. Results: Compared with participants with stable intermediate/high SEP, those with stable low SEP and those with declining SEP were more likely to use tobacco (age- and sex-adjusted ORs = 2.03 and 2.26). Participants who experienced declining SEP were also disproportionately likely to use and abuse cannabis (adjusted ORs = 2.22 and 2.73). Associations remained significant after adjusting for family (parental smoking, alcohol use, ill health, unemployment, depression and divorce) and individual (early tobacco and cannabis use, academic difficulties, juvenile internalizing and externalizing problems) risk factors. Conclusions: Cross-sectional studies indicate social inequalities in substance use. Our longitudinal findings suggest that individuals who experienced declining SEP from childhood to adulthood may be twice as likely to use tobacco and cannabis compared with individuals with a stable/high trajectory. Interventions targeting substance abuse should take into account lifecourse determinants including the interplay between individuals' socio-economic origins and later attainment.

AB - Background: Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. Methods: Data come from 1103 participants (mean age: 28.9 years) of the Trajectoires Epidémiologiques en Population (TEMPO) study and their parents, participants of the GAZEL study, France. Multinomial regression analyses were used to examine associations between lifecourse socio-economic position (SEP) assessed using the parent's reports of family income (1989 and 2002) and the participant's educational attainment, occupational grade and job stability in 2009, with self-reported tobacco and cannabis use in 2009. Results: Compared with participants with stable intermediate/high SEP, those with stable low SEP and those with declining SEP were more likely to use tobacco (age- and sex-adjusted ORs = 2.03 and 2.26). Participants who experienced declining SEP were also disproportionately likely to use and abuse cannabis (adjusted ORs = 2.22 and 2.73). Associations remained significant after adjusting for family (parental smoking, alcohol use, ill health, unemployment, depression and divorce) and individual (early tobacco and cannabis use, academic difficulties, juvenile internalizing and externalizing problems) risk factors. Conclusions: Cross-sectional studies indicate social inequalities in substance use. Our longitudinal findings suggest that individuals who experienced declining SEP from childhood to adulthood may be twice as likely to use tobacco and cannabis compared with individuals with a stable/high trajectory. Interventions targeting substance abuse should take into account lifecourse determinants including the interplay between individuals' socio-economic origins and later attainment.

UR - http://www.scopus.com/inward/record.url?scp=84875978774&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875978774&partnerID=8YFLogxK

U2 - 10.1093/eurpub/cks065

DO - 10.1093/eurpub/cks065

M3 - Article

C2 - 22645240

AN - SCOPUS:84875978774

VL - 23

SP - 322

EP - 327

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 2

ER -