Doran Neal, Gonzalez Marybel Robledo, Courtney Kelly E, Wade Natasha E, Pelham William, Patel Herry, Roesch Scott, Jacobus Joanna
Department of Psychiatry, School of Medicine, University of California, San Diego.
Psychology Service, VA San Diego Healthcare System, San Diego, CA.
J Stud Alcohol Drugs. 2024 Oct 15. doi: 10.15288/jsad.24-00041.
Chronic use of nicotine and tobacco products (NTP) continues to be a leading cause of morbidity and mortality. Uptake is most common among youth and young adults but knowledge about effective prevention and intervention approaches is insufficient. The goal of the present study was to examine the impact of social cognitive factors on NTP risk over time among youth in the national ABCD cohort.
Participants (n=11,880, 47.8% female) were 9-10 years old at baseline, and completed multiple assessments of NTP use and related cognitions over two years. Structural equation modeling was used to estimate concurrent and prospective associations between social cognitive factors (peer and parent NTP use and perceptions of peer approval and harms from e-cigarette use) and risk for NTP use.
Participant NTP use was primarily of e-cigarettes. Higher levels of parental and especially peer NTP use were significant prospective predictors of greater risk of NTP use. Lower perceived harm from and higher peer approval of e-cigarette use were significant predictors of heightened current but not future NTP risk.
Findings suggest that youth perceptions of peer NTP use is a key predictor of the likelihood of use and a potential target for interventions designed to prevent or reduce e-cigarette and other NTP use in youth.
findings indicate that perceived peer use is a more powerful predictor of nicotine and tobacco product (NTP) use than cognitive factors or parental use, even at early ages when youth NTP use is uncommon. This suggests a need for additional early intervention targeting perceptions of and responding to peer NTP use.
长期使用尼古丁和烟草制品（NTP）仍然是发病和死亡的主要原因。烟草制品的使用在青少年和青年中最为普遍，但关于有效预防和干预方法的知识却不足。本研究的目的是在全国ABCD队列研究中，考察社会认知因素对青少年NTP风险随时间的影响。
参与者（n = 11880，47.8%为女性）在基线时为9至10岁，并在两年内完成了对NTP使用及相关认知的多次评估。采用结构方程模型来估计社会认知因素（同伴和父母的NTP使用情况以及对同伴认可和电子烟使用危害的认知）与NTP使用风险之间的同期和前瞻性关联。
参与者的NTP使用主要是电子烟。父母尤其是同伴较高水平的NTP使用是NTP使用风险增加的显著前瞻性预测因素。较低的电子烟使用危害认知和较高的同伴对电子烟使用的认可，是当前而非未来NTP风险增加的显著预测因素。
研究结果表明，青少年对同伴NTP使用的认知是使用可能性的关键预测因素，也是旨在预防或减少青少年电子烟及其他NTP使用的干预措施的潜在目标。
研究结果表明，即使在青少年NTP使用不常见的早期阶段，同伴使用认知比认知因素或父母使用更能有力地预测尼古丁和烟草制品（NTP）的使用。这表明需要针对对同伴NTP使用的认知并对其做出反应进行额外的早期干预。
