Tyc Vida L, Lensing Shelly, Rai Shesh N, Klosky James L, Stewart Deborah B, Gattuso Jami
Division of Behavioral Medicine, St. Jude Children's Research Hospital, 332 N. Lauderdale, Memphis, TN 38105-2794, USA.
Patient Educ Couns. 2006 Aug;62(2):198-204. doi: 10.1016/j.pec.2005.07.001. Epub 2005 Sep 1.
To examine predictors of perceived vulnerability to tobacco-related health risks and future intentions to use tobacco among pre-adolescents and adolescents previously treated for cancer.
Written self-report measures of tobacco knowledge, perceived vulnerability, perceived positive value of tobacco use, past and present tobacco use, and intentions to use tobacco were completed by 103 cancer survivors, 10-18 years of age (51.5% males, 78.6% Caucasians). Patient reports of peer and parent tobacco use were also obtained.
Perceived vulnerability was influenced by demographic variables, knowledge, and gender-related past tobacco use. Fifty-seven percent of non-smoking survivors reported some intention to use tobacco. Survivors who perceived some positive value associated with tobacco use and who used tobacco in the past reported greater intentions for future tobacco use.
Modifiable cognitive-motivational variables directly associate with smoking-related outcomes among pediatric survivors of childhood cancer.
Preventive tobacco interventions with this vulnerable cohort are warranted and should inform about tobacco-related health risks and attempt to modify misperceptions of the positive value associated with tobacco use.
研究曾患癌症的青春期前及青少年对烟草相关健康风险的易感性认知预测因素，以及他们未来使用烟草的意向。
103名年龄在10至18岁的癌症幸存者（51.5%为男性，78.6%为白种人）完成了关于烟草知识、易感性认知、对烟草使用的积极价值认知、过去及当前烟草使用情况以及使用烟草意向的书面自我报告测量。还获取了患者关于同伴和父母烟草使用情况的报告。
易感性认知受人口统计学变量、知识以及与性别相关的过去烟草使用情况影响。57%的非吸烟幸存者表示有使用烟草的意向。认为烟草使用有一些积极价值且过去使用过烟草的幸存者表示未来使用烟草的意向更强。
可改变的认知动机变量与儿童癌症儿科幸存者的吸烟相关结果直接相关。
对这一脆弱群体进行预防性烟草干预是必要的，应告知其烟草相关健康风险，并尝试纠正对烟草使用积极价值的错误认知。
