Do popular students smoke? The association between popularity and smoking among middle school students
Do popular students smoke? The association between popularity and smoking among middle school students
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DOI：
10.1016/j.jadohealth.2004.10.016
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发表时间：
2005-10-01
影响因子：
7.6
通讯作者：
Johnson, CA
中科院分区：
文献类型：
--
作者：
Valente, TW;Unger, JB;Johnson, CA
背景资料：几项研究表明，受欢迎程度和行为之间存在联系，表明受欢迎的人往往反映了他们群体的规范。在青少年中，有人假设，受欢迎的学生更容易吸烟，特别是在学校的高吸烟率。方法：收集数据的友谊模式和吸烟从1,486六年级和七年级的16所中学在南加州。对吸烟的敏感性被测量为不承诺将来不吸烟，并且吸烟如以往一样吸了一口或吸了一整支烟。我们通过学生被选为朋友的次数来衡量受欢迎程度。采用多变量logistic回归分析将受欢迎程度与吸烟易感性和随访时吸烟相关性，控制基线结果、人口统计学特征和学校内聚集。受欢迎程度与对吸烟的敏感性增加有关（调整后的比值比[AOR] = 5.64，p <0.001）和吸烟（AOR = 5.09，p <0.05）。虽然协会是最强的非白人男孩，我们没有发现流行和性别或ethnication.Conclusions之间的相互作用的证据：流行的中学生更容易成为吸烟者相比，他们不太受欢迎的同龄人。尽管性别和种族之间的相关性似乎存在一些差异，但证据并不表明该人群中存在亚组效应。青少年吸烟和预防规划的研究的影响进行了讨论。(c)2005年，为青少年医学会。All rights reserved.
Background: Several studies have shown an association between popularity and behavior, indicating that popular people tend to reflect the norms of their group. Among adolescents, it has been hypothesized that popular students are more likely to smoke, especially in schools with high smoking prevalence.Methods: Data were collected on friendship patterns and smoking from 1,486 sixth and seventh graders in 16 middle schools in southern California. Susceptibility to smoke was measured as not stating a commitment not to smoke in the future, and smoking as ever taken a puff or smoked a whole cigarette. We measured popularity as the number of times a student was chosen as a friend. Multivariate logistic regression was used to correlate popularity with susceptibility to smoke and smoking at follow-up controlling for baseline outcomes, demographic characteristics, and clustering within schools.Results: Popularity was associated with increased susceptibility to smoke (Adjusted Odds Ratio [AOR] = 5.64, p < .001) and smoking (AOR = 5.09, p < .05) over the I-year interval between surveys. Although the association was strongest for non-White boys, we did not find evidence of interactions between popularity and gender or ethnicity.Conclusions: Popular middle school students were more likely to become smokers compared to their less popular peers. Although there seems some difference in the association by gender and ethnicity, the evidence does not suggest subgroup effects in this population. Implications for the study of adolescent smoking and prevention programming are discussed. (c) 2005 Society for Adolescent Medicine. All rights reserved.