The changing risk profile of the American adolescent smoker: implications for prevention programs and tobacco interventions.
The changing risk profile of the American adolescent smoker: implications for prevention programs and tobacco interventions.
复制标题
DOI：
10.1016/j.jadohealth.2005.10.014
复制
发表时间：
2006-07-01
期刊：
影响因子：
--
通讯作者：
Roy, Jason
中科院分区：
文献类型：
--
作者：
Camenga, Deepa R;Klein, Jonathan D;Roy, Jason
目的：确定 1991 年至 2003 年间吸烟与其他危险行为（如药物滥用、暴力和危险性行为）之间的关联发生了怎样的变化。方法：对 1991 年至 2003 年的青少年危险行为调查 (YRBS) 进行了分析。对于每个队列，使用控制性别、种族/民族和学校成绩的逻辑回归模型来描述吸烟与其他危险行为之间的关联。趋势分析证实了比值比随时间的变化。 结果：吸烟与其他危险行为之间的关系强度随一生性伴侣数量（1991 年比值比 [OR] 1.49；2003 年或 1.61 (p < .001)）、过去 3 个月内性伴侣数量（1991 年或 1.77；2001 年或 2.05 (p < .001))，并且从未戴过自行车头盔 1991 OR 1.40； 1997 年或 5.94（p < .001）。酗酒和打架行为也有所增加。吸烟与大麻使用之间的关联略有下降。结论：未来的预防工作和烟草干预计划应该认识到，与九十年代初期的青少年相比，当前的青少年吸烟者更有可能从事危险的性行为、危险的酒精相关行为以及不使用安全带或自行车头盔。
PURPOSE: To determine how the association between cigarette smoking and other risky behaviors, such as substance use, violence, and risky sexual practices, has changed between 1991 and 2003.METHODS: Youth Risk Behavior Surveys (YRBS) from 1991 to 2003 were analyzed. For each cohort, logistic regression models controlling for gender, race/ethnicity, and school grade were used to describe the associations between smoking and other risky behaviors. Changes in the odds ratios over time were confirmed with a trend analysis.RESULTS: The strength of the relationship between smoking and other risky behaviors increased for lifetime number of sexual partners (1991 odds ratio [OR] 1.49; 2003 OR 1.61 (p < .001)), sexual partners in the past 3 months (1991 OR 1.77; 2001 OR 2.05 (p < .001)), and never wearing a bicycle helmet 1991 OR 1.40; 1997 OR 5.94 (p < .001). Increases were also seen for binge drinking, and physical fighting. The association between cigarette smoking and marijuana use decreased slightly.CONCLUSIONS: Future prevention efforts and tobacco intervention programs should recognize that current adolescent smokers are even more likely to engage in risky sexual behavior, risky alcohol-related behaviors, and to not use a seatbelt or bicycle helmet than were adolescents in the early nineties.