Trajectories of Cigarette Smoking From Teens to Young Adulthood: 2000 to 2013.

Trajectories of Cigarette Smoking From Teens to Young Adulthood: 2000 to 2013.
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DOI:
10.1177/0890117117696358
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发表时间:
2018-06
期刊:
American journal of health promotion : AJHP
影响因子:
--
通讯作者:
Forster JL
Forster JL
中科院分区:
其他
文献类型:
--
作者:
Lenk KM;Erickson DJ;Forster JL

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旨在确定 2000 年至 2013 年期间青年群体的吸烟行为轨迹。明尼苏达州青少年社区队列研究,一项基于人群的队列研究。在全国范围内,对源自美国中西部的青少年群体进行了为期 14 年的调查,从 12 至 16 岁开始(基线时 n = 4241 人;招募率为 59%)。主要感兴趣的变量是过去 30 天内吸烟的天数。还包括时变和时不变协变量。我们利用增长混合模型将个体分组为随时间变化的轨迹。我们确定了五个不同的轨迹:不吸烟者(59.5%)、早发经常吸烟者(14.2%)、偶尔吸烟者(11.5%)、晚发经常吸烟者(9.4%)和戒烟者(5.3%)。调整后的模型显示,早发和晚发的经常吸烟者(与不吸烟者相比)进入四年制大学或从四年制大学毕业的几率较低(p<.05)。与非吸烟者相比,所有吸烟类别的参与者拥有更多吸烟亲密朋友的可能性更大 (p<.05)。我们的研究结果表明,从青少年到成年早期的个体可以分为五种吸烟轨迹。这个年龄段的人仍然戒酒的人数比大多数之前的研究发现的要多。然而,相当多的群体在成年初期就被确定为经常吸烟者。显然,仍然需要针对青少年的干预措施,包括解决社会和环境影响的干预措施,以防止青少年在步入成年后吸烟率上升。
To identify trajectories of smoking behaviors of a cohort of youth followed through young adulthood from 2000 to 2013. The Minnesota Adolescent Community Cohort study, a population-based cohort study. Nationwide, originating in Midwest U.S. Cohort of youth surveyed for 14 years beginning at ages 12–16 (n=4241 at baseline; 59% recruitment rate). Main variable of interest was number of days smoked in past 30 days. Also included time varying and time invariant covariates. We utilized growth mixture modeling to group individuals into trajectories over time. We identified five distinct trajectories: Non-Smokers (59.5%), Early Onset Regular Smokers (14.2%), Occasional Smokers (11.5%), Late Onset Regular Smokers (9.4%), and Quitters (5.3%). Adjusted models showed that early- and late-onset regular smokers (compared to non-smokers) had lower odds of attending or graduating from a four-year college (p<.05). Participants in all smoking classes compared to non-smokers had greater odds of having more close friends who smoked (p<.05). Our results show that individuals in their teens through young adulthood can be classified into five smoking trajectories. More people in this age range remained abstainers than found in most previous studies; however, a sizable group was identified as regular smokers by the time they reached young adulthood. Interventions targeted at teens, including those that address social and environmental influences, are clearly still needed to prevent escalation of smoking as they move toward young adulthood.
DOI: 10.1037/0278-6133.27.6.811
发表时间: 2008-11
期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子: --
作者:
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