Chang Grace, Sherritt Lon, Knight John R
Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Adolesc Health. 2005 Jun;36(6):517-22. doi: 10.1016/j.jadohealth.2004.05.008.
Adolescent cigarette smoking has been reported to be associated with substance use and depression. Less is known about the association between smoking and other mental health symptoms, or the impact of mental health treatment on cigarette smoking and psychiatric morbidity including the substance use disorders. The purpose of this study is to examine the association among adolescent cigarette smoking, mental health symptoms including substance use disorders, and mental health treatment among adolescents treated at a large, hospital-based young adult clinic.
Observational study of 486 adolescent patients presenting for routine medical care.
Participants were two-thirds female with an average age of 16.6 years and of diverse ethnic background; 129 (28.6%) reported ever-using tobacco products, and 68 (14%) were current smokers who had an average of 2 cigarettes per day. Current smoking was associated with significantly increased odds of having mental health symptoms and substance use disorders, even after controlling for age and previous mental health treatment, and in both boys and girls.
This study supports the increasing appreciation that adolescent tobacco use is clinically important, even at apparently low levels. Adolescent cigarette smoking is generally more common than alcohol and illicit drug use, and these results highlight its multifarious linkages with use of other substances and mental health symptoms. Thus, early identification and intervention of adolescent cigarette smoking may help not only to avert later daily smoking, but also may assist in identifying patients at increased risk for substance use and psychiatric problems.
据报道，青少年吸烟与物质使用及抑郁有关。关于吸烟与其他心理健康症状之间的关联，或者心理健康治疗对吸烟及包括物质使用障碍在内的精神疾病发病率的影响，人们了解得较少。本研究的目的是在一家大型的、以医院为基础的青年诊所接受治疗的青少年中，考察青少年吸烟、包括物质使用障碍在内的心理健康症状以及心理健康治疗之间的关联。
对486名前来接受常规医疗护理的青少年患者进行观察性研究。
参与者中三分之二为女性，平均年龄16.6岁，种族背景多样；129人（28.6%）报告曾使用烟草制品，68人（14%）为当前吸烟者，平均每天吸2支烟。即使在控制了年龄和既往心理健康治疗情况后，当前吸烟在男孩和女孩中均与出现心理健康症状和物质使用障碍的几率显著增加相关。
本研究支持这样一种越来越强烈的认识，即青少年烟草使用在临床上具有重要意义，即使是在明显较低的水平。青少年吸烟通常比饮酒和使用非法药物更为常见，这些结果凸显了其与使用其他物质及心理健康症状的多种联系。因此，对青少年吸烟进行早期识别和干预可能不仅有助于避免日后的每日吸烟，还可能有助于识别出物质使用和精神问题风险增加的患者。
