Population Research and Policy Review

, Volume 36, Issue 3, pp 309–330

Life Course Changes in Smoking by Gender and Education: A Cohort Comparison Across France and the United States

  • Fred C. Pampel
  • Damien Bricard
  • Myriam Khlat
  • Stéphane Legleye

DOI: 10.1007/s11113-016-9424-y

Cite this article as:
Pampel, F.C., Bricard, D., Khlat, M. et al. Popul Res Policy Rev (2017) 36: 309. doi:10.1007/s11113-016-9424-y


Widening of educational disparities and a narrowing female advantage in mortality stem in good part from disparities in smoking. The changes in smoking and mortality disparities across cohorts and countries have been explained by an epidemic model of cigarette use but are also related to life course changes. To better describe and understand changing disparities over the life course, we compare age patterns of smoking in three cohorts and two nations (France and the US) using smoking history measures from the 2010 French health barometer (N = 20,940) and the 2010 US National Health Interview Survey Sample Adult File (N = 20,444). The results demonstrate statistically significant widening of gender and educational differences from adolescence to early and middle adulthood, thus accentuating the disparities already emerging during adolescence. In addition, the widening disparities over the life course have been changing across cohorts: age differences in educational disparities have grown in recent cohorts (especially in France), while age differences in gender disparities have narrowed. The findings highlight the multiple sources of inequality in smoking and health in high-income nations.


Smoking Cohort Life course Education Gender 

Funding information

Funder NameGrant NumberFunding Note
Institut National d’Etudes Demographiques
    Institut National Du Cancer (FR)
    • 2011-250

    Copyright information

    © Springer Science+Business Media Dordrecht 2017

    Authors and Affiliations

    • Fred C. Pampel
      • 1
    • Damien Bricard
      • 2
      • 3
    • Myriam Khlat
      • 3
    • Stéphane Legleye
      • 3
      • 4
    1. 1.Institute of Behavioral ScienceUniversity of ColoradoBoulderUSA
    2. 2.Institut de recherche et documentation en économie de la santé (Irdes)ParisFrance
    3. 3.Institut National d’Etudes DémographiquesParisFrance
    4. 4.CESP, Fac. de médecine - Univ. Paris-Sud, Fac. de médecine - UVSQ, INSERM, Université Paris-SaclayParisFrance

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