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风险信息对年轻人水烟吸食风险评估、态度、矛盾心理及意愿的影响。

Effect of risk messages on risk appraisals, attitudes, ambivalence, and willingness to smoke hookah in young adults.

作者信息

Mays Darren, Johnson Andrea C, Phan Lilianna, Tercyak Kenneth P, Rehberg Kathryn, Lipkus Isaac

机构信息

Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.

Department of Prevention & Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.

出版信息

Health Psychol Behav Med. 2020;8(1):96-109. doi: 10.1080/21642850.2020.1730844. Epub 2020 Feb 20.

DOI:10.1080/21642850.2020.1730844
PMID:33033657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7540838/
Abstract

OBJECTIVE

We examined effects of hookah tobacco risk messages on risk appraisals, attitudes towards hookah, ambivalence about hookah use, and willingness to smoke in young adults aged 18-30 years ( = 234).

DESIGN

In an online experiment, participants completed preexposure measures and were randomized to hookah tobacco risk messages or to a no message control condition.

MAIN OUTCOME MEASURES

Risk appraisals, attitudes, ambivalence, and willingness to smoke hookah.

RESULTS

Those who viewed risk messages reported greater risk appraisals (M 4.50, SD 1.17 vs. M 3.87, SD 1.16, < .001), less positive attitudes (M -0.56, SD 1.24, vs. M 0.39, SD 1.35, < .001), greater ambivalence (M 3.86, SD 1.26, vs. M 3.08, SD 1.32, < .001), and less willingness to smoke than controls (M 4.48, SD 1.27, vs. M 4.85, SD 1.37, = .034). Structural equation modeling demonstrated messages reduced willingness to smoke by evoking less positive attitudes ( = -0.15, 95% CI -0.32, -0.05) and by the effect of heightened risk appraisals on less positive attitudes ( = -0.14, 95% CI -0.30, -0.07).

CONCLUSIONS

Honing messages and understanding their mechanisms of action are necessary to produce more effective interventions to address hookah and other tobacco use in young adults.

摘要

目的

我们研究了水烟风险信息对18至30岁（n = 234）年轻人的风险评估、对水烟的态度、对水烟使用的矛盾心理以及吸烟意愿的影响。

设计

在一项在线实验中，参与者完成了暴露前测量，并被随机分为接受水烟风险信息组或无信息对照组。

主要观察指标

风险评估、态度、矛盾心理和吸水烟的意愿。

结果

看过风险信息的人报告的风险评估更高（M = 4.50，SD = 1.17 vs. M = 3.87，SD = 1.16，p <.001），积极态度更少（M = -0.56，SD = 1.24，vs. M = 0.39，SD = 1.35，p <.001），矛盾心理更强（M = 3.86，SD = 1.26，vs. M = 3.08，SD = 1.32，p <.001），并且与对照组相比吸烟意愿更低（M = 4.48，SD = 1.27，vs. M = 4.85，SD = 1.37，p =.034）。结构方程模型表明，信息通过唤起不那么积极的态度（β = -0.15，95%CI -0.32，-0.05）以及通过提高风险评估对不那么积极态度的影响（β = -0.14，95%CI -0.30，-0.07）来降低吸烟意愿。

结论

完善信息并了解其作用机制对于制定更有效的干预措施以解决年轻人中的水烟及其他烟草使用问题是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8c9/8114371/9a8afcac73f9/RHPB_A_1730844_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8c9/8114371/9a8afcac73f9/RHPB_A_1730844_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8c9/8114371/9a8afcac73f9/RHPB_A_1730844_F0001_OB.jpg

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