A multi-level analysis examining how smoking friends, parents, and older students in the school environment are risk factors for susceptibility to smoking among non-smoking elementary school youth

A multi-level analysis examining how smoking friends, parents, and older students in the school environment are risk factors for susceptibility to smoking among non-smoking elementary school youth
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DOI:
10.1007/s11121-006-0049-y
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发表时间:
2006-12-01
期刊:
影响因子:
3.5
通讯作者:
Brown, K. Stephen
Brown, K. Stephen
中科院分区:
医学2区
文献类型:
--
作者:
Leatherdale, Scott T.;McDonald, Paul W.;Brown, K. Stephen

文献摘要

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摘要本研究旨在探讨吸烟的社会模式与非吸烟小学生吸烟易感性之间的关系。学校健康行动、规划和评估系统(SHAPES)的烟草模块对加拿大安大略省57所小学的6,431名学生(6至8年级)进行了管理。采用多层级logistic回归分析,对2478名不吸烟的六、七年级学生的吸烟易感性与吸烟朋友、父母和八年级学生吸烟率的关系进行了研究。研究结果表明,不吸烟的六年级和七年级学生如果有(a)吸烟的朋友,(b)吸烟的母亲,或(c)两个或两个以上吸烟的亲密朋友,并且在八年级学生中吸烟率较高的学校就读,则更容易受到吸烟的影响。不吸烟青少年的亚群吸烟风险可能因为他们上的小学而增加。未来以学校为基础的预防吸烟计划可能会受益于针对那些将学生置于吸烟风险最大的学校的预防规划活动。
The purpose of this study was to examine how social models for smoking are related to smoking susceptibility among a sample of non-smoking elementary school students. The Tobacco Module of the School Health Action, Planning and Evaluation System (SHAPES) was administered to 6,431 students (grades 6 to 8) in 57 elementary schools in the province of Ontario, Canada. Multi-level logistic regression analysis was used to examine how smoking friends, parents, and the prevalence of smoking among grade 8 students at a school were related to smoking susceptibility among the 2,478 non-smoking grade 6 and 7 students. Findings indicate that non-smoking grade 6 and 7 students are more likely to be susceptible to smoking if they have (a) smoking friends, (b) a mother who smokes, or (c) two or more close friends who smoke and attend a school with a relatively high smoking rate among the grade 8 students. Sub-populations of non-smoking youth may be at increased risk for smoking because of the elementary school they attend. Future school-based smoking prevention programs might benefit from targeting prevention programming activities to the schools that are putting students at the greatest risk for smoking.