Weight status, quality of life, and cigarette smoking among adolescents in Washington State.
Weight status, quality of life, and cigarette smoking among adolescents in Washington State.
复制标题
华盛顿州青少年的体重状况、生活质量和吸烟情况。
DOI：
10.1007/s11136-012-0306-4
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Patrick,DonaldL
中科院分区：
文献类型：
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作者：
Wang,Hong-Mei;Bell,JaniceF;Edwards,ToddC;Patrick,DonaldL
目的：我们在一个大样本的青少年中研究了体重状况和吸烟强度之间的年龄和性别特异性联系。此外，我们还测试了生活质量（QOL）和体重控制行为（即，方法我们使用了2010年华盛顿州健康青年调查收集的8、10和12年级（n= 11，222）的横断面数据。采用多项logistic回归模型，将吸烟（不吸烟、轻度吸烟、频繁吸烟）作为体重状况、体重控制行为和性别和年龄QOL的函数。间接影响的假定介质进行了评估，使用产品的系数approach.ResultsWeight状态与吸烟无关。试图保持相同的体重与年轻女孩轻度吸烟的几率较低相关（OR = 0.25; 95% CI = 0.08，0.84），而试图减肥与年龄较大的女孩轻度吸烟的几率较高相关（OR = 1.73; 95% CI = 1.11，2.70）。低生活质量与女孩和男孩的轻度和频繁吸烟的几率较高相关（P< 0.001）。体重控制行为和生活质量相结合的中介作用是显着的身体质量指数百分位数和吸烟年龄较大的girls.ConclusionTargeted干预措施，旨在促进生活质量和健康的体重控制行为的青年可能有助于降低吸烟的患病率。
PurposeWe examine age- and sex-specific associations between weight status and intensity of cigarette smoking in a large sample of adolescents. Additionally, we test whether quality of life (QOL) and weight control behaviors (i.e., trying to lose, gain, or stay the same weight) mediate the association.MethodsWe used cross-sectional data from the 2010 Washington State Healthy Youth Survey collected in grades 8, 10, and 12 (n= 11,222). Multinomial logistic regression was used to model cigarette smoking (none, light, frequent) as a function of weight status, weight control behaviors, and QOL by sex and age. Indirect effects of presumed mediators were assessed using the product of coefficients approach.ResultsWeight status was not associated with smoking. Trying to stay the same weight was associated with lower odds of light smoking for younger girls (OR = 0.25; 95 % CI = 0.08, 0.84), whereas trying to lose weight was associated with higher odds of light smoking for older girls (OR = 1.73; 95 % CI = 1.11, 2.70). Low QOL was associated with higher odds of light and frequent smoking for both girls and boys (P< 0.001). The mediation effects of weight control behavior and QOL combined were significant in the associations between body mass index percentile and smoking among older girls.ConclusionTargeted interventions designed to promote QOL and healthy weight control behaviors among youth may help to decrease the prevalence of smoking.