Department of Community Dentistry, School of Dentistry, Oral & Dental Hospital, Faculty of Health Sciences, University of Pretoria, Pretoria 0001, South Africa.
Int J Environ Res Public Health. 2013 Jun 13;10(6):2427-40. doi: 10.3390/ijerph10062427.
This 18-month longitudinal study examined the influence of adolescents' sense of coherence (SOC) and exposure to household smoking on their commitment to a smoke-free lifestyle. This study investigated a representative sample of 8th graders from 21 randomly selected high schools in the rural Limpopo Province of South Africa (n = 2,119). Of the total sample of 2,119 participants, 294 (14%) reported smoking at baseline and were therefore excluded from further analysis. Of those who did not smoke at baseline, 98.1% (n = 1,767) reported no intention of smoking in the upcoming 12 months. Of those who completed follow-up and had no intention of smoking at baseline (n = 1,316), 89.1% still did not smoke and remained committed to being smoke-free. Having a lower SOC, reporting alcohol binge-drinking at baseline, and having a household member who regularly smokes indoors (OR = 0.46: 0.26-0.82), as compared to not having any smoker in the household, were associated with lower odds of honoring a commitment to a smoke-free lifestyle. Furthermore, those who identified themselves as black Africans, as opposed to belonging to other race groups, were more likely to maintain a smoke-free lifestyle. Our findings suggest that interventions to prevent adolescent smoking should prioritize stress-coping skills and promote smoke-free homes.
这项为期 18 个月的纵向研究考察了青少年的应对感（SOC）和暴露于家庭吸烟对其承诺无烟生活方式的影响。该研究调查了南非林波波省 21 所随机选定的高中的 8 年级学生的代表性样本（n=2119）。在总样本 2119 名参与者中，有 294 名（14%）报告在基线时吸烟，因此被排除在进一步分析之外。在基线时不吸烟的人中，98.1%（n=1767）报告在未来 12 个月内没有吸烟的意向。在完成随访且基线时没有吸烟意向的人中（n=1316），89.1%的人仍然不吸烟，并坚持保持无烟状态。与家中没有吸烟者相比，SOC 较低、基线时报告酗酒和家中有经常在室内吸烟的家庭成员（OR=0.46：0.26-0.82）的人，其履行无烟生活方式承诺的可能性较低。此外，与属于其他种族群体的人相比，将自己确定为非洲黑人的人更有可能保持无烟生活方式。我们的研究结果表明，预防青少年吸烟的干预措施应优先考虑应对压力的技能，并促进无烟家庭。
