Choi Won S, Harris Kari Jo, Okuyemi Kolawole, Ahluwalia Jasjit S
Department of Preventive Medicine and Kansas Cancer Institute, University of Kansas School of Medicine, Kansas City, 66160, USA.
Ann Behav Med. 2003 Aug;26(1):69-74. doi: 10.1207/S15324796ABM2601_09.
Smoking rates among college students is increasing, yet little is know about the development of students' smoking. This longitudinal analysis focuses on a national sample of high school students who were college students 4 years later (n = 1,479). SUDAAN statistical analysis procedures were used to weight and adjust for sampling design and nonresponse. Approximately 37% of the college students at follow-up who were never smokers at baseline had initiated smoking within the 4 years. Among experimenters at baseline, 25% had progressed their smoking behavior over the 4 years. Multivariate logistic regression analyses showed that there were different predictors of these two transitions among college students. Students who were more likely to initiate smoking were White, did not like school as much, and were more rebellious. Students who were more likely to progress from experimentation to a higher level of smoking thought peers approved of smoking and believed experimentation with smoking was safe. Several predictors of smoking initiation and progression during the transition from high school to college were identified that could be important components of interventions targeting high school and college-bound students. Increased efforts should be employed to include college students in national smoking prevention and cessation programs.
大学生中的吸烟率在上升，但对于学生吸烟行为的发展却知之甚少。这项纵向分析聚焦于一个全国性的高中生样本，这些学生4年后成为了大学生（n = 1479）。使用SUDAAN统计分析程序对抽样设计和无应答情况进行加权和调整。在随访时，约37%在基线时从不吸烟的大学生在4年内开始吸烟。在基线时尝试吸烟的学生中，25%在4年内吸烟行为有所升级。多变量逻辑回归分析表明，这两种转变在大学生中有不同的预测因素。更有可能开始吸烟的学生是白人，不太喜欢学校，且更叛逆。更有可能从尝试吸烟发展到更高吸烟水平的学生认为同龄人赞成吸烟，并且相信尝试吸烟是安全的。确定了从高中到大学过渡期间吸烟开始和升级的几个预测因素，这些因素可能是针对高中生和即将进入大学的学生的干预措施的重要组成部分。应加大努力将大学生纳入全国性的吸烟预防和戒烟计划。
