Tobacco retailer density surrounding schools and youth smoking behaviour: a multi-level analysis.

Tobacco retailer density surrounding schools and youth smoking behaviour: a multi-level analysis.
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DOI:
10.1186/1617-9625-9-9
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发表时间:
2011-07-27
影响因子:
3.7
通讯作者:
Leatherdale ST
Leatherdale ST
中科院分区:
医学4区
文献类型:
--
作者:
Chan WC;Leatherdale ST

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预防青少年吸烟应成为公共卫生的优先事项。不仅要防止青少年吸烟,而且要防止不吸烟的青少年变得容易吸烟。过去的研究已经研究了与年轻人成为未来吸烟者的易感性相关的因素,但研究还没有研究烟草零售商密度和从不吸烟者吸烟的易感性。本研究的目的是研究如何烟草零售商密度周围的学校和社会吸烟的影响与吸烟易感性的青年从不吸烟者,偶尔和日常吸烟的青年目前吸烟者。数据收集于2005-2006年,来自加拿大安大略76所中学的9至12年级学生,作为SHAPES-On研究的一部分。进行了一系列多水平logistic回归分析,以了解学生和学校层面的因素如何与三种吸烟行为结果相关:从不吸烟者的吸烟易感性,偶尔吸烟和每日吸烟。学校周围烟草零售商的数量与从不吸烟者未来吸烟的可能性相关(OR 1.03,95 CI % 1.01,1.05)。我们还发现,被吸烟的社会影响所包围,特别是家人和亲密的朋友,可以大大增加从不吸烟者未来吸烟的风险,或者年轻人已经偶尔或每天吸烟的可能性。我们发现,学校周围烟草零售商的数量与从不吸烟的男性未来吸烟的可能性增加有关。青年周围的吸烟社会模式似乎也对他们的吸烟行为有重要影响,无论他们是否吸烟。青少年吸烟预防计划必须及早开始,阻断青少年对未来吸烟的易感性,并将重点放在吸烟风险较高的亚群体上。政府应考虑烟草零售商密度对青少年吸烟行为的影响,并在向销售烟草产品的机构发放许可证时谨慎行事。
Youth smoking prevention should be a public health priority. It is not only vital to prevent youth from smoking but also to prevent non-smoking youth from becoming susceptible to smoking. Past research has examined factors associated with youth's susceptibility to become a future smoker, but research has yet to examine tobacco retailer density and susceptibility to smoking among never smokers. The objectives of this study are to examine how tobacco retailer density surrounding schools and social smoking influences are associated with smoking susceptibility among youth of never smokers, and occasional and daily smoking among youth of current smokers. Data were collected in 2005-2006 from grade 9 to 12 students attending 76 secondary schools in Ontario, Canada, as part of the SHAPES-On study. A series of multi-level logistic regression analyses were performed to understand how student- and school-level factors are associated with three smoking behaviour outcomes: smoking susceptibility among never smokers, occasional smoking, and daily smoking. The number of tobacco retailers surrounding a school was found to be associated with the likelihood of a never smoker being susceptible to future smoking (OR 1.03, 95CI% 1.01, 1.05). We also identified that being surrounded by smoking social influences, specifically family and close friends, can substantially increase the likelihood that never smokers are at risk for future smoking or that youth are already occasional or daily smokers. We identified that the number of tobacco retailers surrounding a school was associated with an increased odds of being susceptible to future smoking among male never smokers. Smoking social models surrounding youth also appears to have an important impact on their smoking behaviour regardless of their smoking status. It is important for youth smoking prevention programs to begin early, interrupt youths' susceptibility to future smoking, and focus on subgroups that are at higher risk of smoking. The government should consider the impact of tobacco retailer density on youth smoking behaviour, and be cautious when granting licenses for establishments to sell tobacco products.
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发表时间: 2007-04-01
影响因子: 5.1
作者:
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影响因子: 4.7
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发表时间: 2006-12-01
期刊: PREVENTION SCIENCE
影响因子: 3.5
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Leatherdale, Scott T.;McDonald, Paul W.;Brown, K. Stephen
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DOI: 10.1080/14622200600576339
发表时间: 2006-04-01
影响因子: 4.7
作者:
Bricker, Jonathan B.;Peterson, Arthur V., Jr.;Sarason, Irwin G.
通讯作者: Sarason, Irwin G.