Smoking among adolescents in China: An analysis based upon the meanings of smoking theory

Smoking among adolescents in China: An analysis based upon the meanings of smoking theory
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DOI:
10.4278/0890-1171-20.3.171
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发表时间:
2006-01-01
影响因子:
2.7
通讯作者:
Johnson, CA
Johnson, CA
中科院分区:
医学4区
文献类型:
--
作者:
Weiss, JW;Spruijt-Metz, D;Johnson, CA

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目的。本研究利用行为意义理论来检验中国青少年从不吸烟、曾经吸烟和过去 30 天吸烟的青少年中吸烟的意义是否存在差异。行为意义理论认为,在激励行为方面,情感优先于认知结构。这项研究还检验了吸烟含义和吸烟行为之间的关联是否因年龄和性别而异。设计。这项研究是一项使用调查数据的横断面研究。设置。中国七个城市的初中和高中。科目。这项研究由 4724 名学生随机抽取。测量。自填问卷询问吸烟行为并纳入吸烟量表的含义。结果。该样本中曾经吸烟者和过去 30 天吸烟者的总体患病率分别为 24.3% 和 9.0%。男孩吸烟比女孩更普遍。 11 年级的学生比 7 年级的学生更有可能在某个时候尝试过吸烟并且在过去 30 天内吸烟过。优势比证实吸烟的意义与吸烟行为显着相关。结论。吸烟的含义与中国青少年的吸烟行为相关,因为吸烟可能意味着自主、控制或社会关联。中国的预防计划需要新的策略来纳入吸烟的含义,以满足青少年对自主性、能力和社会联系的心理需求。
Purpose. This study utilized the Meanings of Behavior theory to examine whether meanings of smoking differ among adolescents in China who were never smokers, ever smokers, and past-30-day smokers. The Meanings of Behavior theory argues that affect takes precedence over cognitive constructs in motivating behavior. This study also examined whether the associations among meanings of smoking and smoking behaviour vary by age and gender.Design. This study was a cross-sectional study using survey-data.Setting. Middle and high schools in seven cities in China.Subjects. A random sample of 4724 students comprised this study.Measure. A self-administered questionnaire asked about smoking behaviour and incorporated the meanings of smoking scale.Results. Overall prevalence rates of ever smokers and past-30-days smokers in this sample were 24.3% and 9.0%. Smoking was much more prevalent in boys than girls. Students in the 11th grade were more likely than those in the 7th grade to have tried smoking at some time and to have smoked within the past 30 days. Odds ratios confirmed that meanings of smoking were significantly associated wit smoking behaviors.Conclusions. Meanings of smoking are associated with smoking behaviour among Chinese adolescents in that smoking may connote autonomy, control, or social relatedness. Prevention programs in China require new strategies to incorporate meanings of smoking in order to meet adolescent psychological needs for autonomy, competence, and social connections.