Measuring nicotine dependence among high-risk adolescent smokers
Measuring nicotine dependence among high-risk adolescent smokers
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DOI：
10.1016/0306-4603(96)00048-2
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发表时间：
1996-01-01
影响因子：
4.4
通讯作者：
Niaura, R
中科院分区：
文献类型：
--
作者：
Prokhorov, AV;Pallonen, UE;Niaura, R
在本研究中，我们检验了我们的假设，即由于职业技术学生（N = 110； 51.8%男性；平均年龄17岁）吸烟的流行程度和强度较高，青少年可能表现出与成年吸烟者（N = 173； 50%男性；平均年龄42岁）相似的尼古丁依赖模式。在青少年样本中使用的Fagerstrom容忍问卷（FTQ）的修改版本进行编码，使其与成人样本中使用的原始FTQ相当。改进后的青少年FTQ的项目结构和内部一致性测试令人满意；总体平均FTQ得分与吸烟强度和持续时间显著相关。虽然青少年样本的FTQ值普遍较低，但20%的学生总体FTQ得分在6分及以上，表明尼古丁严重依赖（成人为49%）。讨论了现有青少年戒烟计划失败的原因，以及在行为戒烟治疗中增加尼古丁替代选择的基本原理，以治疗一部分高风险的尼古丁依赖青少年。
In the present study we tested our hypothesis that because of the higher prevalence and greater intensity of cigarette smoking among vocational-technical students (N = 110; 51.8% males; mean age 17 years), adolescents might demonstrate the nicotine dependence patterns comparable to those measured in a similar fashion in a group of adult smokers (N = 173; 50% males; mean age 42 years). A modified version of the Fagerstrom Tolerance Questionnaire (FTQ) utilized in the adolescent sample was coded to make it comparable to the original FTQ used in the adult sample. The tests of item structure and internal consistency of the modified FTQ for adolescents were satisfactory; the overall mean FTQ score correlated significantly with the intensity and duration of smoking. Although the FTQ values were generally lower in the adolescent sample, 20% of students had an overall FTQ score of 6 and above, indicating substantial nicotine dependence (compared to 49% in adults). Reasons for failure of the existing adolescent smoking cessation programs as well as the rationale for adding a nicotine replacement option to the behavioral smoking cessation treatment for a subset of high-risk nicotine-dependent adolescents are discussed.