The present study describes changes during the period 1982 to 1992 in
smoking prevalence, knowledge of the health consequences of smoking an
d analysis factors predicting quitting smoking among Danish adults. Da
ta were collected by questionnaire in two independent cross-sectional
studies in the western part of the County of Copenhagen. In 1982 the p
articipation rate was 79% among 4807 randomly selected men and women a
ged 30, 40, 50 and 60 years. In 1992 it was 73% among 2226 randomly se
lected men and women of similar ages. Five years later 2987 of the par
ticipants from the study in 1982 were re-examined. From 1982 to 1992 t
he proportion of participants stating that smoking increases the risk
of bronchitis, asthma, lung cancer, cancer of mouth and throat, thromb
osis and hypertension increased. Knowledge was independent of smoking
status. In 1982 men and women with a vocational education were more kn
owledgeable than those who were uneducated. This difference equalized
in men during the study period. During the same period, the prevalence
of smoking decreased from 62% to 52% in men and from 54% to 49% in wo
men, but the declining prevalence was found in those with a vocational
education only and an existing educational difference in smoking beha
viours was enhanced. The decline in smoking in Denmark in the last dec
ade has been associated with a narrowed gender difference and widened
social difference. Knowledge of the health consequences of smoking has
increased independently of these changes in smoking behaviour.