Hutchinson Peter J, Richardson Chris G, Bottorff Joan L
Faculty of Health and Social Development Univeristy of British Columbia Okanagan.
Can J Public Health. 2008 Sep-Oct;99(5):418-22. doi: 10.1007/BF03405253.
To describe smoking rates, age of initiation, and smoking cessation efforts among Aboriginal adolescent girls and boys in British Columbia, and examine the relationships between cigarette smoking and socio-demographic characteristics, depression and domains of life satisfaction.
A secondary analysis was conducted of data collected from the British Columbia Youth Survey on Smoking and Health II measuring demographic and social factors, previous smoking experience, life satisfaction and depression. Data were analyzed from respondents who self-identified as Aboriginal, and by gender. Logistic regression models were used to identify risk factors for current cigarette smoking.
The average age of respondents was 15 years (SD=1.7) and 51% were female. Current cigarette smoking was 31%, with a mean age of initiation to smoking of 11 years (SD=3). On average, smokers consumed 3.8 cigarettes each day (SD=5.7), with most smokers (78%) reporting that they had seriously thought about quitting. More girls smoked than boys but girls smoked fewer cigarettes. As depression scores (CESD) increased, so did smoking among respondents; and as life satisfaction decreased, smoking increased. Having a best friend who smokes was the most powerful predictor of current smoking, increasing the odds of being a smoker by a factor of 5.9.
Although rates of tobacco smoking among respondents are high, there is considerable interest in cessation among current smokers. Recognizing that these youth are motivated to quit smoking, cessation programs may increase success by addressing peer smoking in prevention and cessation initiatives and including culturally appropriate strategies to promote mental health.
描述不列颠哥伦比亚省原住民青少年女孩和男孩的吸烟率、开始吸烟的年龄以及戒烟努力情况，并研究吸烟与社会人口学特征、抑郁及生活满意度各领域之间的关系。
对从《不列颠哥伦比亚青少年吸烟与健康调查II》收集的数据进行二次分析，该调查测量了人口统计学和社会因素、既往吸烟经历、生活满意度和抑郁情况。对自我认定为原住民的受访者数据按性别进行分析。使用逻辑回归模型确定当前吸烟的风险因素。
受访者的平均年龄为15岁（标准差=1.7），51%为女性。当前吸烟率为31%，开始吸烟的平均年龄为11岁（标准差=3）。吸烟者平均每天吸食3.8支香烟（标准差=5.7），大多数吸烟者（78%）报告称他们曾认真考虑过戒烟。吸烟的女孩比男孩多，但女孩吸烟量较少。随着抑郁得分（CESD）增加，受访者中的吸烟情况也增加；随着生活满意度降低，吸烟情况增加。有一个吸烟的好朋友是当前吸烟最有力的预测因素，成为吸烟者的几率增加了5.9倍。
尽管受访者中的吸烟率很高，但当前吸烟者中有相当一部分人对戒烟感兴趣。认识到这些年轻人有戒烟的动机，戒烟项目可以通过在预防和戒烟举措中解决同伴吸烟问题并纳入促进心理健康的文化适宜策略来提高成功率。
