Article Gold Open Access 2020

Why do apprentices smoke much more than high school students? Understanding educational disparities in smoking with a Oaxaca-blinder decomposition analysis

BMC Public Health
Journal · Vol. 20 · Issue 1 · Art. 924
Abstract

Background: Educational disparities in daily smoking begin during adolescence and can lead to educational disparities in health among adults. In particular, vocational students including apprentices have higher daily smoking rates compared to non-vocational students. This study aimed to identify the determinants of the gap in daily smoking between French apprentices and high school students aged 17 in 2008 and in 2017. Methods: We used data from a cross-sectional repeated survey representative of all French adolescents aged 17 in 2008 and 2017. We conducted a non-linear extension of the Oaxaca-Blinder decomposition technique and included the following variables: sociodemographic and familial characteristics, parental smoking, cannabis and alcohol use, suicidal attempt, grade repetition and money received. Results: Daily smoking was about two times higher among French apprentices compared to high school students in 2008. This gap did not decrease between 2008 and 2017. Differences in measured characteristics between the two groups explained this gap partly, from 28.6 to 51.2%. Cannabis and alcohol use, money received and parental smoking contributed the most to the daily smoking gap. Conclusions: Prevention programs could target cannabis and alcohol use as well as parental smoking to help decrease educational disparities in smoking status among French adolescents. © 2020 The Author(s).

Keywords

Author Keywords

Apprenticeship education Adolescence France Decomposition analysis Health disparities Oaxaca-blinder Smoking

Index Keywords

cross-sectional study female human male psychology Cross-Sectional Studies Humans adolescent educational status Students student epidemiology adolescent behavior socioeconomics France cigarette smoking Socioeconomic Factors
Author Affiliations
Université Paris-Saclay, Gif-sur-Yvette, Ile-de-France, France
Scripps Institution of Oceanography, La Jolla, CA, United States
Department of Family Medicine, San Diego, CA, United States
Institut national de la statistique et des études économiques, Montrouge, France
Santé Publique France, Saint-Maurice, Ile-de-France, France
Sorbonne Université, Paris, Ile-de-France, France
Funding & Acknowledgements
Ligue Contre le Cancer
This work was supported by the French Cancer League (La Ligue contre le cancer) as part of the PETAL research program on adolescent smoking. The content is solely the responsibility of the authors, the French Cancer League had no role in the design of the study, analysis and interpretation of data and in writing or reviewing the manuscript.
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