de Saxe Zerden Lisa, Wu Shiyou, Wu Qi, Fraser Mark
University of North Carolina at Chapel Hill.
Arizona State University.
J Soc Social Work Res. 2019 Fall;10(3):371-396. doi: 10.1086/703542. Epub 2019 Apr 24.
Smoking is widely acknowledged as a high-risk behavior associated with poor physical health outcomes. We use Add Health Wave I and Wave IV data ( = 15,701) to explore whether childhood welfare participation predicts smoking behaviors in adulthood.
We conducted propensity score matching and dosage analysis of welfare participation to explore whether childhood welfare participation had different effects on smoking behaviors in adulthood. We used 3 approaches for dealing with the survey weight and propensity score weights for post-matching regression analyses.
Adults who as children lived in families that participated in welfare programs were more likely to smoke when compared to young adults whose families did not participate in welfare programs. Being from a smoking household, having smoked before adulthood, having peer smokers, and race/ethnicity increased the risk for smoking. Protective factors associated with decreased smoking behaviors included being female, higher parental education, and being older.
Risk related to cigarette use in adulthood varies based on welfare dosage in childhood. The development and implementation of interventions specific to subpopulations among welfare recipient families may make programs more effective.
吸烟被广泛认为是一种与身体健康不佳相关的高风险行为。我们使用“青少年健康纵向研究”第一波和第四波数据（n = 15,701）来探究儿童时期参与福利项目是否能预测成年后的吸烟行为。
我们对福利参与情况进行了倾向得分匹配和剂量分析，以探究儿童时期参与福利项目对成年后吸烟行为是否有不同影响。我们使用了3种方法来处理调查权重和倾向得分权重，用于匹配后的回归分析。
与家庭未参与福利项目的年轻人相比，童年时期生活在参与福利项目家庭中的成年人更有可能吸烟。来自吸烟家庭、在成年前吸烟、有吸烟的同龄人以及种族/族裔会增加吸烟风险。与吸烟行为减少相关的保护因素包括女性、父母受教育程度较高以及年龄较大。
成年后与吸烟相关的风险因儿童时期的福利剂量而异。针对福利受助家庭中特定亚群体制定和实施干预措施可能会使项目更有效。
