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American Journal of Epidemiology Vol. 151, No. 2: 148-155
Copyright © 2000 by The Johns Hopkins University School of Hygiene and Public Health

other

Health Problems in Teenage Daily Smokers versus Nonsmokers, Norway, 1995–1997

The Nord-Trøndelag Health Study

Turid Lingaas Holmen1,2, Elizabeth Barrett-Connor2,, Jostein Holmen1,2 and Leif Bjermer3

1Community Medicine Research Unit, National Institute of Public Health Verdal, Norway
2Department of Family and Preventive Medicine, University of California San Diego, La Jolta, CA
3Department of Lung Medicine, Norwegian University of Technology and Science Trondheim, Norway

Reprint requests to Dr. Elizabeth Barrett-Connor, Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, M/C 0607, La Jolla, cA 92093–0607

Increased morbidity among teenage smokers has been reported, but specific current health problems and medication use other than of alcohol and narcotics have received less attention. The aim of this study was to examine the association between health problems and daily smoking in teenagers. Ninety percent of all teenagers attending junior high or high schools participated in a cross-sectional study conducted in Nord-Trøndelag County, Norway, 1995–1997; included were 8, 040 students aged 13–18 years. Information on smoking habits, health problems, medication use, and use of health services was obtained in schools by self-administered questionnaire and by interview. Fifty-five percent of boys and 57% of girls had tried smoking, and 9% and 11%, respectively, reported current daily smoking. When compared with boys and girls who had never smoked, daily smoking among both sexes and all age groups was associated with significantly poorer perceived health, respiratory symptoms, headache, neck and shoulder pain, stomachache, nausea, frequent heartbeats, nervousness/restlessness, and sleep problems. Daily smokers used more medications and health services. Daily smoking by adolescents is already associated with multiple somatic health problems. Whether or not the association is causal, daily smoking identifies a group of adolescents with health problems for whom preventive strategies should also include medical and social support. Am J Epidemiol 2000;151:148-55.

adolescence; health status; smoking


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