Gilpin Elizabeth A, White Martha M, Messer Karen, Pierce John P
Cancer Prevention and Control Program, Moores Cancer Center, University of California, San Diego, La Jolla, Calif 92093-0901, USA.
Am J Public Health. 2007 Aug;97(8):1489-95. doi: 10.2105/AJPH.2005.070359. Epub 2007 Jun 28.
We investigated whether receptivity to tobacco advertising and promotions during young adolescence predicts young adult smoking 6 years later.
Two longitudinal cohorts of adolescents drawn from the 1993 and 1996 versions of the California Tobacco Surveys were followed 3 and 6 years later. At baseline, adolescents were aged 12 to 15 years and were not established smokers. The outcome measure was established smoking at final follow-up. Receptivity to cigarette advertising and promotions was included in a multivariate logistic regression analysis along with demographic and other variables.
The rate of established smoking at follow-up was significantly greater among members of the 1993 through 1999 cohort (21.0%) than among members of the 1996 through 2002 cohort (15.6%). However, in both cohorts, having a favorite cigarette advertisement and owning or being willing to use a tobacco promotional item showed nearly identical adjusted odds of future adult smoking (1.46 and 1.84, respectively).
Despite the success of tobacco control efforts in reducing youth smoking, tobacco marketing remains a potent influence on whether young adolescents become established smokers in young adulthood (18-21 years of age).
我们调查了青少年时期对烟草广告和促销活动的接受程度是否能预测6年后青年时期的吸烟情况。
从1993年和1996年版的加利福尼亚烟草调查中抽取的两组青少年纵向队列，在3年和6年后进行随访。基线时，青少年年龄在12至15岁之间，且尚未成为吸烟者。结局指标是最终随访时确定的吸烟情况。在多因素逻辑回归分析中，将对香烟广告和促销活动的接受程度与人口统计学及其他变量一起纳入分析。
1993年至1999年队列成员在随访时确定吸烟的比例（21.0%）显著高于1996年至2002年队列成员（15.6%）。然而，在两个队列中，有喜欢的香烟广告以及拥有或愿意使用烟草促销物品的人，未来成年吸烟的调整后比值几乎相同（分别为1.46和1.84）。
尽管烟草控制措施在减少青少年吸烟方面取得了成功，但烟草营销对青少年在青年时期（18 - 21岁）是否成为固定吸烟者仍有强大影响。
