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从青春期到青年期戒烟的预测因素。

Predictors of smoking cessation from adolescence into young adulthood.

作者信息

Chen P H, White H R, Pandina R J

机构信息

Center of Alcohol Studies, Rutgers University New Brunswick, NJ, USA.

出版信息

Addict Behav. 2001 Jul-Aug;26(4):517-29. doi: 10.1016/s0306-4603(00)00142-8.

Abstract

Although smoking cigarettes is hazardous to health and cessation has positive health benefits, few smokers are able to successfully quit. The purpose of this study was to examine the predictors of smoking cessation in a nonclinical sample of 134 male and 190 female, young adult, regular (daily) smokers within a social learning and maturing-out framework. Four waves of prospective, longitudinal data from a community sample followed from adolescence into young adulthood were analyzed. Logistic regression analyses were used to test the effects of differential associations, definitions, differential reinforcement, and changes in adult role status on smoking cessation in young adulthood. Becoming married to a nonsmoker and decreases in the proportion of friends who smoked were significant predictors of cessation. Current smokers and stoppers did not differ significantly in terms of prior intensity of cigarette use or alcohol abuse/dependence. They also did not differ in terms of psychological characteristics, including depression and prior coping use of cigarettes. Social networks were more important than social roles for predicting cessation in young adulthood. Thus, smoking cessation programs should focus on social learning processes.

摘要

尽管吸烟有害健康,戒烟对健康有益,但很少有吸烟者能够成功戒烟。本研究的目的是在社会学习和成熟退出框架内,对134名男性和190名女性年轻成年定期(每日)吸烟者的非临床样本进行研究,以检验戒烟的预测因素。分析了从青春期到成年早期的社区样本的四波前瞻性纵向数据。采用逻辑回归分析来检验差异关联、定义、差异强化以及成年角色状态变化对年轻成年期戒烟的影响。与不吸烟者结婚以及吸烟朋友比例的下降是戒烟的重要预测因素。当前吸烟者和戒烟者在先前吸烟强度或酒精滥用/依赖方面没有显著差异。他们在包括抑郁和先前使用香烟应对等心理特征方面也没有差异。在预测年轻成年期戒烟方面,社交网络比社会角色更重要。因此,戒烟项目应关注社会学习过程。

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