Positive and negative outcome expectations of smoking: Implications for prevention
Positive and negative outcome expectations of smoking: Implications for prevention
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DOI：
10.1006/pmed.1999.0582
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发表时间：
1999-12-01
影响因子：
5.1
通讯作者：
Stevens, M
中科院分区：
文献类型：
--
作者：
Dalton, MA;Sargent, JD;Stevens, M
背景。为了为烟草预防计划的信息制定提供信息，我们检查了吸烟的七种积极结果预期和五种消极结果预期，作为吸烟的危险因素。方法。对 471 名从未吸烟或尝试吸烟的 6 至 12 年级学生进行了一项横断面、自我管理的调查。使用逻辑回归来检查结果期望与未来成为吸烟者的易感性之间的关系，这是对同伴吸烟的意图和抵制的衡量标准。结果。总共 36.1% 的样本对吸烟敏感，所有积极的结果预期均显示与易感性存在强烈且显着的关联。如果学生相信自己会喜欢吸烟，那么他们最有可能受到影响（OR = 29.4）。五个负面结果预期中的三个与易感性显着相关，但这些关联的强度远低于观察到的正面预期的强度（OR = 0.5 至 0.6）。对吸烟负面结果的强烈信念并没有改变易感性和积极结果预期之间的关联。结论。这些发现表明，向青少年传授吸烟的负面后果不太可能改变他们吸烟的意图。预防工作应找到方法来满足青少年对吸烟的积极期望，可能通过提供实现这些结果的替代方法，(C) 1999 美国健康基金会和学术出版社。
Background. To inform the development of messages for tobacco prevention programs, we examined seven positive and five negative outcome expectations of smoking as risk factors for smoking uptake.Methods. A cross-sectional, self-administered survey of 471 students in grades 6-12 who were never or experimental smokers was performed. Logistic regression was used to examine the relationship between outcome expectations and susceptibility to becoming a smoker in the future, a measure of intent and resistance to peer smoking.Results. A total of 36.1% of the sample was susceptible to smoking, All positive outcome expectations showed a strong and significant association with susceptibility. Students were most likely to be susceptible if they believed they would enjoy smoking (OR = 29.4). Three of the five negative outcome expectations were significantly associated with susceptibility, but the strength of these associations was much lower than that observed for the positive expectations (OR = 0.5 to 0.6). A strong belief in the negative outcomes of smoking did not alter the association between susceptibility and positive outcome expectations.Conclusions. These findings suggest that teaching adolescents and teens about the negative consequences of smoking is unlikely to change their intent to smoke. Preventive efforts should identify ways to address the positive expectations adolescents have about smoking, possibly by offering alternative means for achieving these outcomes, (C) 1999 American Health Foundation and Academic Press.