Individual Health Determinants That Predict Low Risk of Transitioning to Tobacco Use During Young Adulthood: An In-Depth Examination of Race and Ethnicity.
Individual Health Determinants That Predict Low Risk of Transitioning to Tobacco Use During Young Adulthood: An In-Depth Examination of Race and Ethnicity.
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DOI：
10.1093/ntr/ntac106
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发表时间：
2022-08-06
影响因子：
4.7
通讯作者：
Branstetter, Steve
中科院分区：
文献类型：
--
作者：
Horn, Kimberly;Crandell, Ian;Patel, Minal;Rose, Shyanika W.;Schillo, Barbara;Folger, Shanell;Bernat, Debra;Branstetter, Steve
本研究探讨了个人层面的健康决定因素对年轻人开始吸烟的贡献，以增进对种族和民族差异的理解，并为有效的烟草预防策略提供信息。 10 波（2011-2016 年）真相倡议青年队列是一个基于概率的、具有全国代表性的 18-34 岁美国年轻人样本（N = 7 665），利用事件时间分析，提供数据来检查按种族和民族划分的影响烟草吸食的变量的差异。在非西班牙裔白人年轻人中，吸烟的同龄人较少可以防止吸烟，而男性开始吸烟的风险增加，因为他们抵制吸烟的信心较低，并且有较高的寻求感觉的倾向。抑郁和焦虑症状在非西班牙裔所有其他种族群体中增加摄取风险最多，在非西班牙裔黑人中增加最少。在西班牙裔年轻人中，女性和认为烟草有害的人具有显着的保护作用，而男性则存在明显的吸烟风险。与其他群体不同，较高的收入水平并不能降低西班牙裔人的风险。吸食大麻和高估同龄人吸烟率对西班牙裔人的危害最小。在非西班牙裔所有其他种族组中，衰老的保护作用最小；如果个人经常饮酒或吸食大麻，危险就会显着增加。青少年时期的烟草预防工作至关重要。特定的烟草摄入危害和保护因素因种族和民族而存在，在制定选择性的年轻人预防措施时应予以考虑，特别是在这一生命阶段吸烟风险最高的群体中。美国年轻人开始吸烟的比率不断上升，因此需要加大努力，防止青少年以后开始吸烟和继续吸烟。结果强调了不同种族和民族对年轻人较晚开始和持续不吸烟的烟草摄入危害的细微差别。该研究证实了有关烟草使用模式的现有证据，并有助于增加有关风险和保护因素的新知识。以更有意义的方式制定的烟草预防和控制干预措施（包括政策）可以减少受影响最严重人群的烟草使用差异。
The present study examines the contributions of individual-level health determinants on young adult tobacco use initiation to improve understanding of racial and ethnic distinctions and to inform effective tobacco prevention strategies. Using time-to-event analyses, the 10–wave (2011–2016) Truth Initiative Young Adult Cohort, a probability-based, nationally representative sample of the US young adults aged 18–34 years (N = 7 665), provides data to examine differences in variables that influence tobacco uptake, by race and ethnicity. Among Non–Hispanic White young adults, having fewer peers who smoke cigarettes is protective against any tobacco initiation, whereas hazard of tobacco initiation increases for males, having low confidence to resist smoking, and having higher proclivity for sensation seeking. Depressive and anxiety symptoms increase uptake hazard most in the Non–Hispanic All Other Races group and least among Non–Hispanic Black individuals. Among Hispanic young adults, being female and perceiving tobacco as harmful are notably protective while being male is a notable uptake hazard. Unlike other groups, higher income levels do not lower hazards among Hispanic individuals. Cannabis use and overestimating the smoking rate among peers increase hazard least among Hispanic individuals. In the Non–Hispanic All Other Races group, aging is least protective; hazard increases notably if individuals engage in regular alcohol or cannabis use. Tobacco prevention efforts are critical during young adulthood. Specific tobacco uptake hazard and protective factors exist by race and ethnicity and should be considered when developing selective young adult prevention, particularly among groups with the highest risk for tobacco initiation during this life stage. Rising rates of tobacco initiation among the US young adults necessitate expanded efforts to prevent tobacco use initiation and progression beyond youth. Results highlight nuanced and differential tobacco uptake hazards by race and ethnicity for late initiation and sustained non–tobacco use among young adults. The study confirms existing evidence on tobacco use patterns and contributes to new knowledge on risk and protective factors. Tobacco prevention and control interventions, including policies, tailored in more meaningful ways could reduce tobacco use disparities among those most disproportionately affected.
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影响因子：
39
作者：
Grande, David;Mitra, Nandita;Shah, Anand;Wan, Fei;Asch, David A.
通讯作者：
Asch, David A.
影响因子：
4.4
作者：
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影响因子：
1.9
作者：
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通讯作者：
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影响因子：
5.4
作者：
Abraído-Lanza, AF;Chao, MT;Flórez, KR
通讯作者：
Flórez, KR
影响因子：
13.8
作者：
Barrington-Trimis JL;Braymiller JL;Unger JB;McConnell R;Stokes A;Leventhal AM;Sargent JD;Samet JM;Goodwin RD
通讯作者：
Goodwin RD