Wium-Andersen Ida Kim, Wium-Andersen Marie Kim, Becker Ulrik, Thomsen Simon Francis
Department of Gastroenterology, Hvidovre Hospital, Copenhagen, Denmark.
Clin Respir J. 2010 Jul;4(3):162-7. doi: 10.1111/j.1752-699X.2009.00169.x.
Early onset of tobacco and cannabis use predicts later substance abuse and risk behaviour and has large health consequences.
The aim of this study was to examine risk factors for the age at onset of smoking and cannabis use among a group of Danish children between 7 years and 18 years of age.
Four hundred and eighty randomly selected children and their parents participated in a study about the prevalence of asthma. The study included questions about alcohol, tobacco and cannabis use. The children were interviewed face-to-face while the parents answered a questionnaire.
The age at onset of daily smoking was significantly associated with the adolescents' tendency to binge drink [hazard ratio 4.78, 95% confidence interval (CI) (1.85-12.34), P = 0.001) and to use hard drugs [hazard ratio 2.81, 95% CI (1.03-7.78), P = 0.047], whereas the age at onset of cannabis use was significantly associated with binge drinking [hazard ratio 3.29, 95% CI (1.51-7.20), P = 0.003] and cigarette smoking [hazard ratio 2.51, 95% CI (1.26-5.00), P = 0.009]. There were no significant effect of the parents' smoking and alcohol habits, their socioeconomic or marital status on the adolescent' age at onset of smoking or cannabis.
This study shows a close connection between adolescent tobacco and cannabis use and alcohol habits. Knowledge of this is important when planning future prevention strategies.
过早开始使用烟草和大麻预示着日后会出现药物滥用及危险行为，并对健康造成严重后果。
本研究旨在调查一组7至18岁丹麦儿童开始吸烟和使用大麻的年龄的风险因素。
480名随机挑选的儿童及其父母参与了一项关于哮喘患病率的研究。该研究包括有关酒精、烟草和大麻使用的问题。对儿童进行面对面访谈，同时父母回答一份问卷。
开始每日吸烟的年龄与青少年暴饮的倾向显著相关[风险比4.78，95%置信区间（CI）（1.85 - 12.34），P = 0.001]以及使用硬性毒品的倾向显著相关[风险比2.81，95%CI（1.03 - 7.78），P = 0.047]，而开始使用大麻的年龄与暴饮显著相关[风险比3.29，95%CI（1.51 - 7.20），P = 0.003]以及吸烟显著相关[风险比2.51，95%CI（1.26 - 5.00），P = 0.009]。父母的吸烟和饮酒习惯、他们的社会经济或婚姻状况对青少年开始吸烟或使用大麻的年龄没有显著影响。
本研究表明青少年烟草和大麻使用与饮酒习惯之间存在密切联系。了解这一点对于规划未来的预防策略很重要。
