Grenard Jerry L, Guo Qian, Jasuja Guneet Kaur, Unger Jennifer B, Chou Chih-Ping, Gallaher Peggy E, Sun Ping, Palmer Paula, Anderson Johnson C
Institute for Health Promotion and Disease Prevention Research, University of Southern California, Alhambra, CA 91803, USA.
Nicotine Tob Res. 2006 Apr;8(2):245-55. doi: 10.1080/14622200600576610.
This study examined multiple influences on the use of tobacco by adolescents in China. Using the theory of triadic influences as a guide, we selected interpersonal, attitudinal/cultural, and intrapersonal constructs from baseline data to predict adolescent smoking 1 year later. We used prospective data from middle and high school students (N = 11,583) and their parents from the China Seven Cities Study, a longitudinal study that is evaluating the effects of changing economic and social factors on health behaviors including tobacco use. A multilevel regression analysis provided some support that each of the influences in the theory of triadic influences affects adolescent smoking in China. After adjusting for important confounders including age, gender, socioeconomic status, and smoking behaviors (lifetime and past 30-day) at baseline, we found significant risk factors within each of the three categories, including interpersonal influences (parental monitoring, good friend smoking, and peer smoking), attitudinal/cultural influences (school academic ranking, initial liking of smoking, and the meaning of smoking), and intrapersonal influences (susceptibility to smoking, and low self-confidence to quit smoking). Results suggest that the etiology of smoking among adolescents in China might be similar to that observed in western countries and that some of the techniques used successfully in prevention programs in those countries might be useful guides when developing prevention programs in China.
本研究考察了中国青少年吸烟行为的多种影响因素。以三元影响理论为指导，我们从基线数据中选取人际、态度/文化和个人内部因素来预测青少年一年后的吸烟情况。我们使用了来自中国七城市研究的中学生（N = 11,583）及其父母的前瞻性数据，该纵向研究正在评估经济和社会因素变化对包括吸烟在内的健康行为的影响。多层次回归分析提供了一些支持，表明三元影响理论中的每种影响因素都对中国青少年吸烟行为有影响。在对包括年龄、性别、社会经济地位以及基线时的吸烟行为（终生吸烟和过去30天内吸烟）等重要混杂因素进行调整后，我们在三个类别中均发现了显著的危险因素，包括人际影响（父母监督、好朋友吸烟和同伴吸烟）、态度/文化影响（学校学业排名、对吸烟的初始喜好以及吸烟的意义）和个人内部影响（吸烟易感性和戒烟自信心低）。结果表明，中国青少年吸烟的病因可能与西方国家观察到的情况相似，并且在那些国家成功用于预防项目的一些技术在制定中国的预防项目时可能是有用的指导。
