Pulvers Kim, Scheuermann Taneisha S, Romero Devan R, Basora Brittany, Luo Xianghua, Ahluwalia Jasjit S
Department of Psychology, California State University San Marcos, San Marcos, CA;
Nicotine Tob Res. 2014 May;16(5):591-9. doi: 10.1093/ntr/ntt187. Epub 2013 Dec 1.
INTRODUCTION: Smoker identity, or the strength of beliefs about oneself as a smoker, is a robust marker of smoking behavior. However, many nondaily smokers do not identify as smokers, underestimating their risk for tobacco-related disease and resulting in missed intervention opportunities. Assessing underlying beliefs about characteristics used to classify smokers may help explain the discrepancy between smoking behavior and smoker identity. This study examines the factor structure, reliability, and validity of the Classifying a Smoker scale among a racially diverse sample of adult smokers. METHODS: A cross-sectional survey was administered through an online panel survey service to 2,376 current smokers who were at least 25 years of age. The sample was stratified to obtain equal numbers of 3 racial/ethnic groups (African American, Latino, and White) across smoking level (nondaily and daily smoking). RESULTS: The Classifying a Smoker scale displayed a single factor structure and excellent internal consistency (α = .91). Classifying a Smoker scores significantly increased at each level of smoking, F(3,2375) = 23.68, p < .0001. Those with higher scores had a stronger smoker identity, stronger dependence on cigarettes, greater health risk perceptions, more smoking friends, and were more likely to carry cigarettes. Classifying a Smoker scores explained unique variance in smoking variables above and beyond that explained by smoker identity. CONCLUSIONS: The present study supports the use of the Classifying a Smoker scale among diverse, experienced smokers. Stronger endorsement of characteristics used to classify a smoker (i.e., stricter criteria) was positively associated with heavier smoking and related characteristics. Prospective studies are needed to inform prevention and treatment efforts.
引言:吸烟者身份认同,即个体对自身作为吸烟者的信念强度,是吸烟行为的一个有力指标。然而,许多非每日吸烟者并不认同自己是吸烟者,低估了他们患烟草相关疾病的风险,从而导致错失干预机会。评估关于用于对吸烟者进行分类的特征的潜在信念,可能有助于解释吸烟行为与吸烟者身份认同之间的差异。本研究考察了“吸烟者分类量表”在不同种族的成年吸烟者样本中的因子结构、信度和效度。 方法:通过在线面板调查服务对2376名年龄至少25岁的当前吸烟者进行了横断面调查。样本按种族分层,以在不同吸烟水平(非每日吸烟和每日吸烟)下获得相等数量的3个种族/族裔群体(非裔美国人、拉丁裔和白人)。 结果:“吸烟者分类量表”呈现出单一因子结构和出色的内部一致性(α = 0.91)。在每个吸烟水平上,“吸烟者分类量表”得分均显著增加,F(3,2375) = 23.68,p < 0.0001。得分较高者具有更强的吸烟者身份认同、对香烟的更强依赖、更高的健康风险认知、更多吸烟的朋友,并且更有可能携带香烟。“吸烟者分类量表”得分解释了吸烟变量中超出吸烟者身份认同所解释的独特方差。 结论:本研究支持在不同的、有吸烟经历的吸烟者中使用“吸烟者分类量表”。对用于对吸烟者进行分类的特征的更强认可(即更严格的标准)与更严重的吸烟及相关特征呈正相关。需要进行前瞻性研究以为预防和治疗工作提供信息。
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