a Department of Psychiatry , New York University School of Medicine , New York , New York , USA.
b Department of Behavioral Sciences , University of Kentucky , Lexington , Kentucky , USA.
Subst Use Misuse. 2017 Oct 15;52(12):1527-1537. doi: 10.1080/10826084.2017.1281310. Epub 2017 Apr 14.
To study the degree to which individuals in different trajectories of cigarette smoking from adolescence to the early forties are similar or different in terms of lack of preventive health behaviors (e.g., underuse of preventive health services, unhealthy eating habits) in early midlife.
Participants came from a community-based random sample of residents in two upstate New York counties (N = 548). Data were collected from adolescence to early midlife (mean age = 43 years, standard deviation [SD] = 2.8) at seven time points. Using growth mixture modeling, we statistically identified the number of smoking trajectories. Logistic regression analysis was used to study the relationship between the probabilities of participants' smoking trajectory group membership and lack of preventive behaviors in early midlife.
Five trajectory groups of cigarette smokers were identified. With controls, as compared with the nonsmoker trajectory group, higher probabilities of belonging to the heavy/continuous smoker trajectory group and the late starter trajectory groups were significantly associated with a higher likelihood of lack of preventive health behaviors (adjusted odds ratio [AOR] = 3.49 and 4.02 respectively). In addition, as compared to the quitter/decreaser trajectory group, higher probabilities of belonging to the heavy/continuous smoker trajectory group and the late starter trajectory group were also significantly associated with a higher likelihood of lack of preventive health behaviors (AOR = 3.51 and 4.04 respectively).
Intervention programs may consider focusing on heavy/continuous smokers and late starters in programs designed to promote adequate use of preventive health services and healthy general lifestyles in early midlife.
研究从青少年到四十出头的不同吸烟轨迹的个体在中年早期缺乏预防性行为（例如，预防性保健服务使用不足、不健康的饮食习惯）方面的相似程度或不同程度。
参与者来自纽约州两个县的社区随机抽样居民（N=548）。数据在七个时间点上从青少年时期收集到中年早期（平均年龄=43 岁，标准差[SD]=2.8）。使用增长混合物建模，我们从统计学上确定了吸烟轨迹的数量。逻辑回归分析用于研究参与者吸烟轨迹组别的概率与中年早期缺乏预防性行为之间的关系。
确定了五个吸烟轨迹组。与对照组相比，与不吸烟者轨迹组相比，属于重度/连续吸烟者轨迹组和晚开始者轨迹组的可能性更高，与缺乏预防性健康行为的可能性更高显著相关（调整后的优势比[AOR]分别为 3.49 和 4.02）。此外，与戒烟/减少者轨迹组相比，属于重度/连续吸烟者轨迹组和晚开始者轨迹组的可能性更高，也与缺乏预防性健康行为的可能性更高显著相关（AOR 分别为 3.51 和 4.04）。
干预计划可能需要考虑将重点放在重度/连续吸烟者和晚开始者身上，以制定计划，促进在中年早期充分利用预防性保健服务和健康的总体生活方式。
