Dierker Lisa C, Canino Glorisa, Merikangas Kathleen R
Psychology Department, Wesleyan University, 207 High Street, Middletown, CT 06459, USA.
Drug Alcohol Depend. 2006 Sep 15;84(2):144-53. doi: 10.1016/j.drugalcdep.2006.01.008. Epub 2006 Feb 14.
To examine the associations between parental and individual psychiatric disorders and smoking stages among Puerto Rican youth from migrant and non-migrant families.
Analyses were conducted drawing on data collected as part of a migrant family study examining youth at high and low risk for substance use disorders based on the presence or absence of a parental history of substance abuse or dependence. Parents and their offspring were recruited in San Juan, Puerto Rico (n=450) and New Haven, CT, USA (n=350).
Experimental smoking among adolescent offspring was associated with parent proband disorders. In contrast, regular smoking behavior, defined as at least weekly smoking for a month or more, and DSM-IV nicotine dependence were more strongly associated with the adolescents' own psychiatric disorders. With the exception of anxiety disorders, significant bivariate associations were shown between each psychiatric/substance use disorder and nicotine dependence. Once comorbidity was statistically controlled, only attention deficit hyperactivity disorder (ADHD), and alcohol and drug use disorders were significantly associated with nicotine dependence. After controlling for adolescents' psychiatric comorbidity, there was an association between parental disorders and both experimental and regular smoking in their adolescent offspring.
By combining family and migrant research strategies within a single study, the present investigation was able to simultaneously examine familial, individual and sociocultural factors that may play a role in development and/or persistence of smoking behavior among Puerto Rican adolescents.
研究来自移民家庭和非移民家庭的波多黎各青少年中，父母及个体精神障碍与吸烟阶段之间的关联。
分析的数据来自一项移民家庭研究，该研究根据父母是否有药物滥用或依赖史，对有药物使用障碍高风险和低风险的青少年进行调查。父母及其子女分别在波多黎各的圣胡安（n = 450）和美国康涅狄格州的纽黑文（n = 350）招募。
青少年后代的尝试性吸烟与父母先证者精神障碍有关。相比之下，定期吸烟行为（定义为至少连续一个月每周吸烟）和DSM-IV尼古丁依赖与青少年自身的精神障碍关联更强。除焦虑症外，每种精神/药物使用障碍与尼古丁依赖之间均显示出显著的双变量关联。在对共病进行统计学控制后，只有注意力缺陷多动障碍（ADHD）以及酒精和药物使用障碍与尼古丁依赖显著相关。在控制青少年的精神共病后，父母的精神障碍与其青少年后代的尝试性吸烟和定期吸烟之间存在关联。
通过在一项研究中结合家庭和移民研究策略，本研究能够同时考察可能在波多黎各青少年吸烟行为的发展和/或持续中起作用的家庭、个体和社会文化因素。
