Adolescent alcohol and tobacco use: onset, persistence and trajectories of use across two samples
Adolescent alcohol and tobacco use: onset, persistence and trajectories of use across two samples
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DOI：
10.1046/j.1360-0443.2002.00082.x
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发表时间：
2002-05-01
期刊：
影响因子：
6
通讯作者：
Wood, PK
中科院分区：
文献类型：
--
作者：
Jackson, KM;Sher, KJ;Wood, PK
目的：我们研究了酒精和烟草的关系，使用两个前瞻性的，不同种族的样本。酒精和烟草使用的轨迹是按性别和种族总体描绘的。使用前瞻性分析，我们检查了酒精和烟草使用之间的方向性影响，并将饮酒和吸烟的开始与持续描述为使用其他物质的函数。设计、设置数据来自国家青少年健康纵向研究（AddHealth）和青少年。健康风险研究（ARRS）。AddHealth和AHRS的随访间隔分别为1年和5年。（n = 4831）平均年龄为14.8岁（48%，男性，23%黑人，61%白色）和AHRS应答者（n = 1814）平均年龄为16.7岁（47%男性，44%黑人，49%白色）。饮酒频率和大量饮酒的频率，经常（目前）吸烟和每日吸烟数量的cigarettes.Findings酒精和烟草的使用表现出单调增加，在青春期和年轻的成年。男性和白色受访者报告的使用率高于女性和黑人受访者。酒精和烟草在这两个时期都有中度相关性。分析显示，先前饮酒对烟草使用的预测比匡威的预测更强。吸烟的开始是先前饮酒的功能;在较小程度上。饮酒的开始是先前吸烟的函数。吸烟的持久性是一个功能，以前饮酒和持久性饮酒是一个功能，以前smoking.Conclusions临时支持存在的索赔，酒精的使用预测烟草的使用比匡威的更强烈。对于饮酒和吸烟，发作和持续性是通过先前使用其他物质来预测的，并且这些关联在性别和种族之间都很强。
Aims We examined the alcohol-tobacco relationship using two prospective, ethnically diverse samples. Trajectories of alcohol and tobacco use are portrayed overall and by sex and ethnicity. Using prospective analyses, we examine directional influences between alcohol and tobacco use, and we characterize initiation versus persistence of drinking and smoking as a function of use of the other substance.Design, setting Data were from the National Longitudinal Study of Adolescent Health (AddHealth) and the Adolescent. Health Risk Study (ARRS). Follow-up intervals for AddHealth and AHRS were 1 and 5 years, respectively.Participants AddHealth respondents (n = 4831) were on average 14.8 years old (48%, male, 23% black, 61% white) and AHRS respondents (n = 1814) were on average 16.7 years old (47% male, 44%, black, 49% white).Measurements Two alcohol consumption variables and two smoking variables were used: drinking frequency and heavy drinking frequency, and regular (current) smoking and daily number of cigarettes.Findings Alcohol and tobacco use exhibited monotonic increases over adolescence and young adulthood. Men and white respondents reported more use than women and black respondents. Alcohol and tobacco were moderately associated at both times. Analyses revealed that prior alcohol use predicted tobacco use more strongly than the converse. Initiation of smoking was a function of prior drinking; to a lesser extent. initiation of drinking was a function of prior smoking. Persistence of smoking was a function of prior drinking and persistence of drinking was a function of prior smoking.Conclusions Provisional support exists for the claim that alcohol use predicts tobacco use more strongly than the converse. For both drinking and smoking, onset and persistence are predicted by prior use of the other substance, and these associations were robust across sex and ethnicity.