Cited by 261Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

Extent of smoking and nicotine dependence in the United States: 1991–1993

Chen, Denise B. Kandel, Kevin·2000·Nicotine & Tobacco Research

Abstract

Rates of nicotine dependence vary in different sociodemographic groups in the population. These group differences remain to be understood. The objective of this study is to specify the relationship between cigarette consumption and nicotine dependence and whether group differences are explained by quantity smoked or differential sensitivity to nicotine. The data used derived from National Household Surveys on Drug Abuse (1991-1993), multistage area probability samples of the US population 12 years old and over, and anonymous structured household interviews, considering subjects who were last-month smokers (12,550 White, 4903 Black, 4839 Hispanic). The main outcome measure was last-year nicotine dependence based on symptoms of dependence and drug-related problems approximating DSM-IV dependence criteria. Rates are higher among females than males, Whites than minorities and the lowest among older adults. Dependence rates increase sharply up to half a pack of cigarettes smoked per day. At higher quantities, the increased risk for dependence is minimal. The higher rate of dependence among females than males results from a greater number of symptoms at the same quantity smoked. The similarity of adolescent and middle-adult rates results from the fact that adolescents smoke significantly fewer cigarettes than adults, but experience higher rates of dependence at the same levels of use. Although adults 50 and over are the heaviest smokers, they experience the lowest rates of dependence because of hypothesized lower sensitivity to increased quantity of nicotine intake. The higher rates among Whites than Blacks appear to result from heavier smoking and greater sensitivity to nicotine effects. It was concluded that adolescents, women and Whites are particularly vulnerable to becoming dependent on nicotine. Group-specific thresholds may be more appropriate criteria than an absolute threshold to define the risk for nicotine dependence.

Integrity signals

Registry

Crossref · 10.1080/14622200050147538

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cited by

Sorted by citations

Authors
Chen, D. B. K.
Venue
Nicotine & Tobacco Research
Published
2000-08-01
Volume
2
Issue
3
Pages
263-274
ISSN
  • 1462-2203 (ISSN-L)
  • 1469-994X
OpenAlex
W2170400987
Cited by
261
References
0
Citations by year
2026: 2 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 14 · 2015: 12 · 2014: 16 · 2013: 13 · 2012: 10
FWCI
4.69
Type
journal article
Language
en
Open access
closed
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01da009110-10)
  • National Institute of Mental Health (MH30906)
  • National Institute on Drug Abuse (DA00081, DA 09110)
  • NIH Clinical Center
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords
nicotine dependence, cigarette smoking, sociodemographic differences, sex differences, racial and ethnic differences, age differences, nicotine sensitivity, adolescents, women, older adults, drug-related problems, risk thresholds
MeSH terms
Adolescent, Adult, Aged, Child, Female, Humans, Male, Middle Aged, Smoking, Time Factors, Tobacco Use Disorder, United States, Prevalence, Multivariate Analysis, Logistic Models

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review