Smoking cessation in young adults: Age at initiation of cigarette smoking and other suspected influences
Smoking cessation in young adults: Age at initiation of cigarette smoking and other suspected influences
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DOI：
10.2105/ajph.86.2.214
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发表时间：
1996-02-01
影响因子：
12.7
通讯作者：
Peterson, EL
中科院分区：
文献类型：
--
作者：
Breslau, N;Peterson, EL
目标。以前的研究表明，早期开始吸烟预示着更长的吸烟持续时间，更多的日常消费，以及更多的尼古丁依赖机会。这份报告旨在评估戒烟与开始吸烟的年龄以及尼古丁依赖之间的关系。性别、种族和教育。1007名年轻人的样本是从密歇根州东南部的一家大型健康维护组织中随机选择的。在414名每天吸烟1个月或以上的人中，估计了与开始吸烟年龄相关的戒烟风险比。在控制了潜在的混杂因素后，13岁以后开始吸烟的吸烟者戒烟的可能性明显更高。与13岁或之前开始吸烟相比，14至16岁开始吸烟相关的戒烟风险比为1.6，17岁或之后开始戒烟的风险比为2.0。降低戒烟可能性的因素是尼古丁依赖和低教育程度。公共政策不鼓励早期吸烟，如果它成功地推迟了吸烟的开始，可能有助于通过增加戒烟的可能性来减少与吸烟有关的死亡率和发病率。
Objectives. Previous research has suggested that early smoking initiation predicts longer duration of smoking, heavier daily consumption, and increased chances of nicotine dependence. This report set out to estimate the relationship between smoking cessation and age of initiation, as well as nicotine dependence. sex, race, and education.Methods. A sample of 1007 young adults was randomly selected from a large health maintenance organization in southeast Michigan. Hazard ratios of quitting associated with age at smoking initiation were estimated among 414 persons who smoked daily for 1 month or more.Results. With potential confounders controlled for, the likelihood of cessation was significantly higher in smokers who initiated smoking after age 13. The hazard ratio for quitting associated with smoking initiation at ages 14 to 16 was 1.6 and with initiation at or after age 17 was 2.0, compared with initiation at or before 13 years of age. Factors that decreased the likelihood of cessation were nicotine dependence and low education.Conclusions. Public policy to discourage early smoking, if it succeeds in delaying the initiation of smoking, might contribute to the reduction of smoking-related mortality and morbidity by increasing the potential for quitting.