两年内吸烟起始的预测因素。
Predictors of smoking onset over two years.
作者信息
Forrester Kathleen, Biglan Anthony, Severson Herbert H, Smolkowski Keith
机构信息
Oregon Research Institute, Eugene, OR 97403-1983, USA.
出版信息
Nicotine Tob Res. 2007 Dec;9(12):1259-67. doi: 10.1080/14622200701705357.
The objective of this analysis was to identify variables that predict the initiation of smoking among adolescents, and the development of susceptibility to smoking, over a 2-year period. We assessed variables that might predict later smoking among nonsmoking students in grades 7 and 9 and assessed their smoking status 2 years later, when they were in grades 9 and 11, thus receiving data from 4,130 students at two time points. Initiation of weekly smoking over the 2 years was associated with having a parent, sibling, or close friend who smokes; low school grades; higher levels of deviant behavior; susceptibility to smoking; use of smokeless tobacco; and for 7th graders, perception of higher levels of normative smoking. Susceptibility, defined as not being able to rule out the idea of smoking a year after the survey, was identified as a strong predictor of smoking and a valuable intermediary measure. We also assessed factors associated with the prediction of susceptibility 2 years post-test. Susceptibility to smoking was associated with deviant behavior, low grades, lower parental monitoring, relaxed parental attitude toward youth smoking, ease of access to tobacco, and lower exposure to anti-tobacco messages. This study provides support for the idea that susceptibility to smoking could be a useful outcome variable for tobacco research, as an intermediary to the initiation of smoking. In addition, evidence indicates that theoretically manipulable variables, including access to tobacco and exposure to anti-tobacco information, have the potential to influence susceptibility to smoking over a time.
本分析的目的是确定在两年时间内能够预测青少年开始吸烟以及吸烟易感性发展的变量。我们评估了可能预测七年级和九年级非吸烟学生日后吸烟情况的变量,并在两年后(即他们九年级和十一年级时)评估他们的吸烟状况,从而在两个时间点收集了4130名学生的数据。在这两年中开始每周吸烟与有吸烟的父母、兄弟姐妹或密友、学校成绩低、越轨行为水平较高、吸烟易感性、使用无烟烟草有关;对于七年级学生来说,还与对吸烟规范程度较高的认知有关。易感性被定义为在调查一年后无法排除吸烟的想法,它被确定为吸烟的一个强有力预测因素和一项有价值的中间测量指标。我们还评估了与测试后两年易感性预测相关的因素。吸烟易感性与越轨行为、成绩低、父母监管较少、父母对青少年吸烟态度宽松、获取烟草容易以及接触反烟草信息较少有关。这项研究支持了这样一种观点,即吸烟易感性作为吸烟开始的一个中间因素,可能是烟草研究中一个有用的结果变量。此外,有证据表明,包括获取烟草和接触反烟草信息在内的理论上可操控的变量,有可能在一段时间内影响吸烟易感性。