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AJPH First Look, published online ahead of print Jun 28, 2007
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August 2007, Vol 97, No. 8 | American Journal of Public Health 1397-1398
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.094235

RESEARCH AND PRACTICE

High School Seniors’ Smoking Initiation and Progression 1 Year After Graduation

Kenneth P. Tercyak, PhD, Daniel Rodriguez, PhD and Janet Audrain-McGovern, PhD

Kenneth P. Tercyak is with the Cancer Control Program, Lombardi Comprehensive Cancer Center, Washington, DC. Daniel Rodriguez and Janet Audrain-McGovern are with the Tobacco Use Research Center, Department of Psychiatry, University of Pennsylvania, Philadelphia.

Correspondence: Requests for reprints should be sent to Kenneth P. Tercyak, PhD, Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3300 Whitehaven St NW, Suite 4100, Washington, DC 20007 (e-mail: tercyakk{at}georgetown.edu).

We explored cigarette smoking prevalence rates in former high school seniors 1 year after graduation and found that among 12th grade never smokers, 25% initiated smoking, and among 12th grade ever smokers, 39% increased their cigarette use. Alcohol use in 12th grade, along with not attending college, were both positively related to smoking progression. Risk for smoking initiation does not end at adolescence, and the public health community must continue tobacco control initiatives throughout adolescence and young adulthood.




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