Youth susceptibility to tobacco use: is it general or specific?

Youth susceptibility to tobacco use: is it general or specific?
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DOI:
10.1186/s12889-021-11956-6
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发表时间:
2021-10-21
期刊:
影响因子:
4.5
通讯作者:
Largo EG
Largo EG
中科院分区:
医学2区
文献类型:
--
作者:
Cheng HG;Lizhnyak PN;Knight NA;Vansickel AR;Largo EG

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对烟草使用的敏感性可预测青年人开始使用烟草。目前的研究旨在估计各种烟草产品的易感性重叠的程度,调查与易感性的社会心理学相关性,并检查易感性与使用开始之间的关系是否是产品特异性的,或者是由一般的易感性-开始关系所解释的。研究人群包括从未使用过烟草产品的12-17岁美国青少年,在烟草与健康研究纵向人群评估第4波(2016年12月至2018年1月; n = 10,977)中抽样。通过询问好奇心、尝试的可能性以及在最好的朋友提供的情况下使用的可能性来评估第4波烟草产品的特定易感性。开始使用各种烟草制品定义为在第4波和第4.5波(2017年12月至2018年12月)评估之间首次使用(n = 8841)。数据分析采用广义线性回归和结构方程模型。烟草产品的敏感性有很大程度的重叠(65%的烟草敏感青年对一种以上的烟草产品敏感)。烟草易感的年轻人更有可能最近使用大麻,饮酒,或与吸烟的同龄人有联系。结构方程模型表明,在考虑了一般的烟草敏感性与烟草发病的关系后,敏感性-发病关系主要以非产品特异性的方式运作。青年对烟草使用的敏感性在不同的烟草产品和其他危险行为中广泛重叠。这项研究的结果支持一种预防风险行为的整体方法,并在需要时辅以特定产品的策略。在线版本包含补充材料,可通过10.1186/s12889-021-11956-6获得。
Susceptibility to tobacco use predicts tobacco use onset among youth. The current study aimed to estimate the extent of overlap in susceptibilities across various tobacco products, investigate sociopsychological correlates with susceptibilities, and examine whether the relationship linking susceptibility with the onset of use is product-specific or is accounted for by a general susceptibility-onset relationship. The study population consisted of US youth 12–17 years old who had never used a tobacco product, sampled in the longitudinal Population Assessment of Tobacco and Health study wave 4 (Dec. 2016-Jan. 2018; n = 10,977). Tobacco product-specific susceptibility at wave 4 was assessed via questions about curiosity, likelihood to try, and likelihood of use if a best friend offered. The onset of use of various tobacco products was defined as first use occurring between the wave 4 and wave 4.5 (Dec. 2017-Dec. 2018) assessments (n = 8841). Generalized linear regression and structural equation models were used for data analysis. There is a large degree of overlap in susceptibilities across tobacco products (65% of tobacco-susceptible youth were susceptible to more than one tobacco product). Tobacco-susceptible youths were more likely to have recently used cannabis, consumed alcohol, or to have been associated with tobacco-using peers. Structural equation models suggest that the susceptibility-onset relationship largely operates in a non-product-specific manner after accounting for the general susceptibility-to-tobacco-onset relationship. Youth susceptibility to tobacco use overlaps widely across different tobacco products and other risky behaviors. Findings from this study support a holistic approach towards the prevention of risk behaviors, supplemented by product-specific strategies when needed. The online version contains supplementary material available at 10.1186/s12889-021-11956-6.
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