Kear Mavra E
Florida Southern College, USA.
J Community Health Nurs. 2002 Winter;19(4):245-57. doi: 10.1207/S15327655JCHN1904_05.
Although the prevalence of cigarette smoking among adolescents and adults consistently declined in the past decade, smoking among college students rose sharply. To reduce the morbidity and premature mortality caused by smoking, antismoking interventions need to target this vulnerable population. Anonymous self-report data were collected from a convenience sample of 224 college students who voluntarily completed a Web-based survey developed to assess the relation of risk-taking tendency, depression, social normative beliefs, and smoking resistance self-efficacy to cigarette smoking behavior. Employing structural analysis using LISREL (Jöreskog & Sörbom, 1996), all 4 factors were confirmed as determinants of smoking. Resistance self-efficacy, the only direct antecedent, mediated the link to risk-taking tendency, depression, and social normative beliefs. Antismoking interventions that focus on enhancing refusal skills and are delivered to homogeneous groups are proposed as an effective approach to reducing cigarette smoking among college students.
尽管在过去十年中，青少年和成年人吸烟率持续下降，但大学生吸烟率却急剧上升。为降低吸烟所致的发病率和过早死亡率，反吸烟干预措施需要针对这一脆弱人群。从224名大学生的便利样本中收集了匿名自我报告数据，这些学生自愿完成了一项基于网络的调查，该调查旨在评估冒险倾向、抑郁、社会规范信念和抗吸烟自我效能与吸烟行为之间的关系。使用LISREL（Jöreskog & Sörbom，1996）进行结构分析，所有4个因素均被确认为吸烟的决定因素。抗吸烟自我效能是唯一的直接前因，介导了与冒险倾向、抑郁和社会规范信念的联系。建议针对同质性群体开展注重提高拒绝技巧的反吸烟干预措施，作为减少大学生吸烟的有效方法。
