Nicotine Dependence in Adolescence and Physical Health Symptoms in Early Adulthood
Nicotine Dependence in Adolescence and Physical Health Symptoms in Early Adulthood
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DOI：
10.1093/ntr/ntv149
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发表时间：
2016-05-01
影响因子：
4.7
通讯作者：
Kandel, Denise B.
中科院分区：
文献类型：
--
作者：
Griesler, Pamela C.;Hu, Mei-Chen;Kandel, Denise B.
简介：研究前瞻性协会的诊断和统计手册的精神疾病尼古丁依赖（ND）和其他个人和父母的因素，在青春期自我报告的健康症状在成年早期。方法：多种族的前瞻性纵向队列的青少年从6-10年级和家长（N = 908）从芝加哥公立学校。青少年接受了五次采访，每隔6个月（波1-5）和一次4.5年后（波6）。每年对父母进行三次访谈（W1，W3，W5）。多元回归估计的前瞻性协会的诊断和统计手册的精神疾病ND，其他个人和家庭的危险因素在青春期（平均年龄16.6）的身体健康症状在成年早期（平均年龄21.3），控制健康症状在adolescence.Results：健康症状的水平下降，从青春期到成年早期，除了依赖性吸烟者。尼古丁依赖的青少年报告更多的健康症状，年轻的成年人比非吸烟者和非依赖性吸烟者，特别是如果抑郁。ND和青春期的健康症状是成年早期健康的最强预测因子。这两个青少年因素，抑郁症，和父母ND的家庭因素，抑郁症和健康状况，每个独立预测的健康症状在年轻的成年。女性报告的症状多于男性。结论：随着时间的推移，有健康状况的连续性。ND，抑郁症和青春期的父母因素导致成年早期的健康状况不佳。研究结果不仅强调了青少年行为的作用，而且强调了家庭在年轻人健康发展中的重要性。减少青少年和父母的吸烟，特别是ND和抑郁症，将减轻身体健康负担。
Introduction: To examine the prospective associations of Diagnostic and Statistical Manual of Mental Disorders nicotine dependence (ND) and other individual and parental factors in adolescence on self-reported health symptoms in early adulthood.Methods: Multiethnic prospective longitudinal cohort of adolescents from grades 6-10 and a parent (N = 908) from the Chicago Public Schools. Adolescents were interviewed five times at 6-month intervals (Waves 1-5) and once 4.5 years later (Wave 6). Parents were interviewed annually three times (W1, W3, W5). Multivariate regressions estimated prospective associations of Diagnostic and Statistical Manual of Mental Disorders ND, other individual and familial risk factors in adolescence (mean age 16.6) on physical health symptoms in early adulthood (mean age 21.3), controlling for health symptoms in adolescence.Results: Levels of health symptoms declined from adolescence to early adulthood, except among dependent smokers. Nicotine dependent adolescents reported more health symptoms as young adults than nonsmokers and nondependent smokers, especially if depressed. ND and health symptoms in adolescence were the strongest predictors of health in early adulthood. These two adolescent factors, depression, and the familial factors of parental ND, depression and health conditions, each independently predicted health symptoms in young adulthood. Females reported more symptoms than males.Conclusions: There is continuity of health status over time. ND, depression, and parental factors in adolescence contribute to poor health in early adulthood. The findings highlight not only the role of adolescent behavior, but the importance of the family in the development of young adult health. Reducing smoking, particularly ND, and depression among adolescents and parents will decrease physical health burden.