Adolescent Smoking Susceptibility: Gender-Stratified Racial and Ethnic Differences, 1999-2018

Adolescent Smoking Susceptibility: Gender-Stratified Racial and Ethnic Differences, 1999-2018
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DOI:
10.1016/j.amepre.2019.11.023
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发表时间:
2020-05-01
影响因子:
5.5
通讯作者:
El-Toukhy, Sherine
El-Toukhy, Sherine
中科院分区:
医学2区
文献类型:
--
作者:
Kamke, Kristyn;Sabado-Liwag, Melanie;El-Toukhy, Sherine

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简介:易感性或对吸烟的开放性是未来吸烟的预测因素。本研究探讨了历史时期(1999-2018年)和发育年龄(11-18岁)吸烟易感性的性别内种族/民族差异。方法:数据来自全国青年烟草调查的14波中的205,056名青少年从不吸烟者。采用加权时变效应模型来估计少数民族(相对于白色)青少年吸烟易感性的非线性趋势。结果:与白人相比,拉丁裔/a青少年始终更容易吸烟,而黑人和亚洲青少年随着时间的推移在不太容易和同样容易之间波动。从2014年到2017年,美洲印第安人,阿拉斯加原住民,夏威夷原住民和太平洋岛民青少年更容易受到影响,女孩的差异更大。易感性在14岁时达到高峰。与白人相比,拉丁裔/a青少年在整个青春期更容易受到影响。黑人青少年在青春期早期更容易受到吸烟的影响,而亚洲青少年在青春期早期至中期对吸烟的影响较小或相同。美洲印第安人、阿拉斯加原住民、夏威夷原住民和太平洋岛民的女孩在青春期早期和中期更容易受到影响,但男孩只在青春期早期更容易受到影响。美洲印第安人,阿拉斯加原住民,夏威夷原住民,和太平洋岛民的女孩是不太容易受到比白色女孩年龄18 years.Conclusions:20年的种族/民族差异吸烟的易感性是显而易见的,特别是在女孩中,但大多是在发育年龄的性别之间的等效。针对易感青少年开展针对性别、种族/民族和年龄的预防工作,可以预防或延迟青少年向烟草使用的过渡,并减少与烟草有关的差异。爱思唯尔公司出版《美国预防医学杂志》(American Journal of Preventive Medicine)
Introduction: Susceptibility, or openness to smoking, is a predictor of future smoking. This study examines within-gender racial/ethnic differences in smoking susceptibility over historical time (1999-2018) and developmental age (11-18 years).Methods: Data were obtained from 205,056 adolescent never smokers in 14 waves of the National Youth Tobacco Survey. Weighted time-varying effect models were used to estimate nonlinear trends in smoking susceptibility among minority (versus white) adolescents. Analyses were conducted in 2019.Results: Compared with whites, Latino/a adolescents were consistently more susceptible to smoking, whereas black and Asian adolescents fluctuated between being less and equally susceptible over time. American Indian, Alaska Native, Native Hawaiian, and Pacific Islander adolescents were more susceptible from 2014 to 2017, with differences being larger for girls. Susceptibility peaked at age 14 years. Compared with whites, Latino/a adolescents were more susceptible throughout adolescence. Black adolescents were more susceptible in early adolescence, whereas Asian adolescents were less or equally susceptible to smoking in early to mid-adolescence. American Indian, Alaska Native, Native Hawaiian, and Pacific Islander girls were more susceptible in early and mid-adolescence, but boys were more susceptible in early adolescence only. American Indian, Alaska Native, Native Hawaiian, and Pacific Islander girls were less susceptible than white girls aged 18 years.Conclusions: Twenty-year racial/ethnic differences in smoking susceptibility were evident, particularly among girls, but were mostly equivalent between genders over developmental age. Targeting susceptible adolescents with gender-, race/ethnic-, and age-tailored prevention efforts may prevent or delay adolescents' transition to tobacco use and reduce tobacco-related disparities. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.