Predictors of Cigarette Smoking Progression Among a School-Based Sample of Adolescents in Irbid, Jordan: A Longitudinal Study (2008-2011)
Predictors of Cigarette Smoking Progression Among a School-Based Sample of Adolescents in Irbid, Jordan: A Longitudinal Study (2008-2011)
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DOI：
10.1093/ntr/ntv100
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发表时间：
2016-04-01
影响因子：
4.7
通讯作者：
Maziak, Wasim
中科院分区：
文献类型：
--
作者：
Jaber, Rana;Mzayek, Fawaz;Maziak, Wasim
导言：发展中国家几乎没有关于吸烟进展的纵向预测因素的证据。本研究的目的是在约旦伊尔比德的学校样本中确定吸烟进展的特定性别的个人和社会预测因素。方法：从2008年到2011年，共有1781名七年级学生(参与率95%)参加并完成了年度自填式问卷调查。在基线或随后的随访中报告“曾经吸烟”但不是“每日重度吸烟者”(每天10支)的学生有资格参加这项分析(N=669)。分组时间生存分析用于确定男孩和女孩吸烟进展的预测因素。结果：在研究样本中，38.3%的学生在3年的随访中增加了吸烟频率和/或吸烟量。在个人因素中，早上吸烟的冲动预示着男孩和女孩吸烟的进展。吸烟进展的独立预测因素是男孩的朋友吸烟和上公立学校，女孩的兄弟姐妹吸烟。与家人讨论吸烟的危害是对女孩的保护。结论：一旦男孩和女孩养成吸烟习惯，吸烟的进展相似。女孩的进步完全与家庭有关，而男孩的进步与同龄人有关。
Introduction: Little evidence regarding longitudinal predictors of cigarette smoking progression is available from developing countries. This study aimed to identify gender-specific individual and social predictors of cigarette smoking progression among a school-based sample of adolescents in Irbid, Jordan.Methods: A total of 1781 seventh graders (participation rate 95%) were enrolled and completed an annual self-administered questionnaire from 2008 through 2011. Students who reported "ever-smoking a cigarette" at baseline or in the subsequent follow-up but not being "heavy daily smokers" (>10 cigarettes per day) were eligible for this analysis (N = 669). Grouped-time survival analyses were used to identify predictors of cigarette smoking progression in boys and girls.Results: Among the study sample, 38.3% of students increased the frequency and /or amount of cigarette smoking during the 3 years of follow-up. Among individual factors, the urge to smoke in the morning predicted smoking progression for boys and girls. The independent predictors of cigarette smoking progression were friends' smoking and attending public schools in boys, and siblings' smoking in girls. Discussing the dangers of smoking with family members was protective for girls.Conclusion: Boys and girls progressed similarly in cigarette smoking once they initiated the habit. Progression among girls was solely family-related, while it was peer-related for boys.