The 130th Annual Meeting of APHA

4087.0: Tuesday, November 12, 2002 - Board 1

Abstract #37940

Smoking status by education level among Missouri adults, 1987-1999

Nancy Miller, PhD, CHES, Eduardo J. Simoes, MD, MSC, MPH, and Nisreen H. Kabeer, MPH. Division of Chronic Disease Prevention and Health Promotion, Missouri Department of Health and Senior Services, 920 Wildwood, Box 570, Jefferson City, MO 65102-0570, (573) 522-2800,

Introduction: Cigarette smoking is the leading cause of preventable morbidity and premature death in the United States. Missouriís adult smoking rate consistently ranks among the highest states. According to the 1989 US Surgeon Generalís report, education is the best sociodemographic predictor of cigarette smoking patterns. Methods: Missouri Behavioral Risk Factor Surveillance System data from 1987-1999 (N=24,724) were used to investigate the association between five levels of education and self-reported smoking status. Logistic regression models were used to examine the association of smoking status and education level. Results: Statistically significant associations of smoking status and education level were found among the various models. In the current vs. never smoking model, the risk of smoking was highest among those with 9-11 years of education (OR=6.4). However, even those with 13-15 years of education (OR=2.3) differed significantly from the referent (16 years). Those with 0-8 years of education showed a risk similar to the 13-15 year group; but they also had the highest likelihood of being a heavy smoker (OR=2.3). Among current vs. former smokers, similar patterns appeared, but those with 0-8 years of education were more like those with 12 years of education. Conclusion: These models reveal that overall, as education level increases, the likelihood of being a current smoker declines. However, education alone may not overcome other factors that play a role in the decision between smoking and quitting.

Learning Objectives: At the conclusion of the session, participants will be able to

Keywords: Smoking, Education

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: BRFSS data from Missouri Department of Health and Senior Services
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment

Smoking Cessation and Tobacco Control Research and Programs Poster Session

The 130th Annual Meeting of APHA