Association between parental and individual psychiatric/substance use disorders and smoking stages among Puerto Rican adolescents
Association between parental and individual psychiatric/substance use disorders and smoking stages among Puerto Rican adolescents
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DOI：
10.1016/j.drugalcdep.2006.01.008
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发表时间：
2006-09-15
影响因子：
4.2
通讯作者：
Merikangas, Kathleen R.
中科院分区：
文献类型：
--
作者：
Dierker, Lisa C.;Canino, Glorisa;Merikangas, Kathleen R.
目的：为了研究父母和个人的精神疾病和吸烟阶段之间的关联在波多黎各青年从移民和非migrant family.Method：分析进行了绘制作为一个移民家庭研究的一部分，研究青年在高和低风险的物质使用障碍的基础上存在或不存在的父母的药物滥用或依赖的历史收集的数据。在波多黎各的圣胡安（n=450）和美国康涅狄格州的纽黑文（n=350）招募父母及其子女。相比之下，定期吸烟行为（定义为至少每周吸烟一个月或更长时间）和DSM-IV尼古丁依赖与青少年自身的精神疾病更密切相关。除焦虑障碍外，每种精神/物质使用障碍与尼古丁依赖之间均存在显著的双变量关联。一旦合并症被统计学控制，只有注意缺陷多动障碍（ADHD），酒精和药物使用障碍与尼古丁依赖显著相关。在控制了青少年的精神共病后，父母的精神障碍与青少年后代的实验性吸烟和常规吸烟之间存在关联。通过在一项研究中结合家庭和移民研究策略，本调查能够同时检查家庭，个人和社会文化因素可能在波多黎各青少年吸烟行为的发展和/或持续性中发挥作用。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To examine the associations between parental and individual psychiatric disorders and smoking stages among Puerto Rican youth from migrant and non-migrant families.Method: Analyses were conducted drawing on data collected as part of a migrant family study examining youth at high and low risk for substance use disorders based on the presence or absence of a parental history of substance abuse or dependence. Parents and their offspring were recruited in San Juan, Puerto Rico (n=450) and New Haven, CT, USA (n=350).Results: Experimental smoking among adolescent offspring was associated with parent proband disorders. In contrast, regular smoking behavior, defined as at least weekly smoking for a month or more, and DSM-IV nicotine dependence were more strongly associated with the adolescents' own psychiatric disorders. With the exception of anxiety disorders, significant bivariate associations were shown between each psychiatric/substance use disorder and nicotine dependence. Once comorbidity was statistically controlled, only attention deficit hyperactivity disorder (ADHD), and alcohol and drug use disorders were significantly associated with nicotine dependence. After controlling for adolescents' psychiatric comorbidity, there was an association between parental disorders and both experimental and regular smoking in their adolescent offspring.Conclusions: By combining family and migrant research strategies within a single study, the present investigation was able to simultaneously examine familial, individual and sociocultural factors that may play a role in development and/or persistence of smoking behavior among Puerto Rican adolescents. (c) 2006 Elsevier Ireland Ltd. All rights reserved.