Griesler P C, Kandel D B
Department of Psychiatry and School of Public Health, Columbia University, The New York State Psychiatric Institute, New York 10032, USA.
J Adolesc Health. 1998 Sep;23(3):167-80. doi: 10.1016/s1054-139x(98)00029-9.
To examine the correlates of cigarette smoking among African-American, Hispanic, and white adolescents in a cross-sectional national sample.
A total of 1795 mother-child dyads from the 1992 National Longitudinal Survey of Youth were selected for analyses. Measures of adolescents cigarette smoking and family, individual, peer, and sociodemographic risk factors were analyzed.
White youths reported the highest rates of lifetime, current, and persistent smoking, and initiated smoking at a significantly earlier age than African-Americans and Hispanics. Except for maternal cigarette smoking and substance use, African-Americans and Hispanics experienced a disproportionately larger number of purported risk factors than whites. Multivariate analyses revealed common and ethnic-specific correlates of adolescent lifetime and current smoking, with many more significant associations among whites than minorities. Common correlates included youth's age across all three ethnic groups, problem behaviors and delinquency among whites and African-Americans, and perceived peer pressure to smoke among whites and Hispanics. Ethnic-specific correlates included maternal smoking, maternal cocaine use, low maternal religiosity, and negative scholastic attitudes, which increased smoking for whites; and positive parenting, which reduced smoking for African-Americans.
The lack of effects of maternal smoking and perceived peer pressure to smoke on African-American adolescents compared with whites suggests that role modeling and interpersonal influence may be more important determinants of smoking for white than African-American adolescents. The differential impact of family and peer factors on the smoking of adolescents of different ethnicity warrants further investigation.
在一个全国性横断面样本中,研究非裔美国、西班牙裔和白人青少年吸烟的相关因素。
从1992年全国青年纵向调查中选取了1795对母婴二元组进行分析。对青少年吸烟情况以及家庭、个人、同伴和社会人口学风险因素进行了测量分析。
白人青少年报告的终生吸烟率、当前吸烟率和持续吸烟率最高,且开始吸烟的年龄比非裔美国人和西班牙裔显著更早。除了母亲吸烟和使用毒品外,非裔美国人和西班牙裔比白人经历了数量不成比例的更多所谓风险因素。多变量分析揭示了青少年终生吸烟和当前吸烟的常见及种族特异性相关因素,白人中的显著关联比少数族裔更多。常见相关因素包括所有三个种族群体青少年的年龄、白人和非裔美国人中的问题行为和犯罪,以及白人和西班牙裔青少年中感知到的同伴吸烟压力。种族特异性相关因素包括母亲吸烟、母亲使用可卡因、母亲宗教信仰淡薄和消极的学业态度,这些因素会增加白人的吸烟率;而积极的养育方式会降低非裔美国青少年的吸烟率。
与白人相比,母亲吸烟和感知到的同伴吸烟压力对非裔美国青少年没有影响,这表明榜样作用和人际影响可能是白人青少年吸烟比非裔美国青少年更重要的决定因素。家庭和同伴因素对不同种族青少年吸烟的差异影响值得进一步研究。