What fraction of young adults are at risk for future smoking, and who are they?

What fraction of young adults are at risk for future smoking, and who are they?
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DOI:
10.1080/14622200500259796
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发表时间:
2005-10-01
影响因子:
4.7
通讯作者:
Pierce, JP
Pierce, JP
中科院分区:
医学2区
文献类型:
--
作者:
Gilpin, EA;White, VM;Pierce, JP

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最近的证据表明,美国年轻人的吸烟率较高,可能在一定程度上与青年时期吸烟率的增加有关。烟草行业被限制公开以青少年为目标,似乎把重点放在了年轻人身上。因此,重要的是估计青年人口(18-29岁)未来吸烟风险的百分比并确定其特征。这一群体将包括所有现在已经吸烟的人(他们一生中至少抽过100支烟),现在的吸烟者,以前的吸烟者,以前的吸烟者,以及不排除未来吸烟的从不吸烟者。使用基于人口的2002年加州烟草调查(N=9,364名18-29岁的年轻人)的数据,我们指定了处于风险中的年轻人群体,并确定了与风险相关的因素。总体而言,86.7+/-1.5%的现任和既往吸烟者面临未来吸烟的风险,59.6+/-4.3%的既往吸烟者面临风险。超过一半(52.2+/-2.0%)的试验者,但只有9.0+/-1.2%的从不吸烟者处于危险之中。总体而言,43.0+/-1.2%的青年人口处于危险之中。尽管不同的人口统计学因素和其他因素与既往吸烟者、实验者和从不吸烟者的风险有关,但每组人中都有三个因素始终与之相关:年龄较小,没有无烟家庭,以及去酒吧和俱乐部。我们的结论是,面临未来吸烟风险的年轻人群体是相当大的,为烟草行业促进吸烟的努力提供了一个肥沃的目标。应对措施可能包括促进无烟环境。
Recent evidence indicates that higher smoking rates among young adults in the United States may be related in part to increased initiation during young adulthood. The tobacco industry, restricted from overtly targeting adolescents, appears to be focusing on young adults. Thus it is important to estimate the percentage and identify the characteristics of the young adult population (aged 18-29 years) at risk for future smoking. This group would include all current established smokers (smoked at least 100 cigarettes in their lifetime), current experimenters, former established smokers, and former experimenters at risk for smoking again, as well as never-smokers who do not rule out future smoking. Using data from the population-based 2002 California Tobacco Survey (N=9,364 young adults aged 18-29 years), we designated groups of young adults at risk and identified factors associated with risk. Altogether, 86.7 +/- 1.5% of current and former established smokers were at risk for future smoking, and 59.6 +/- 4.3% of former established smokers were at risk. Over half (52.2 +/- 2.0%) of all experimenters but only 9.0 +/- 1.2% of never-smokers were at risk. Overall, 43.0 +/- 1.2% of the young adult population was at risk. Although different demographic and other factors were associated with risk among former established smokers, experimenters, and never-smokers, three factors were consistently associated in each group: Younger age, not having a smoke-free home, and going to bars and clubs. We conclude that the group of young adults at risk for future smoking is sizable and presents a fertile target for tobacco industry efforts to promote smoking. Counter-efforts might include promotion of smoke-free environments.