Parent, peer, and executive function relationships to early adolescent e-cigarette use: a substance use pathway?
Parent, peer, and executive function relationships to early adolescent e-cigarette use: a substance use pathway?
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DOI：
10.1016/j.addbeh.2014.10.040
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发表时间：
2015-03
影响因子：
4.4
通讯作者：
Chou, Chih-Ping
中科院分区：
文献类型：
--
作者：
Pentz, Mary Ann;Shin, HeeSung;Riggs, Nathaniel;Unger, Jennifer B.;Collison, Katherine L.;Chou, Chih-Ping
人们对电子烟对青少年早期使用的影响知之甚少。这项研究考察了之前发现的与青少年吸毒相关的影响因素：人口统计（年龄、性别、种族、免费午餐）、父母和同龄人的社会背景影响以及执行功能缺陷（EF）。对来自南加州两个不同学区的 410 名七年级学生进行了一项横断面调查（男性年龄 = 12.4 岁，48.3% 为女性，34.9% 吃免费午餐（社会经济地位低），45.1% 白人，25.4% 西班牙裔/拉丁裔，14.9% 混血/双种族。）Logistic 回归分析检查了人口统计、家长电子烟拥有量和同伴使用的影响，以及关于终生电子烟和入门药物使用（香烟和/或酒精使用）的 EF。电子烟的终生使用率为 11.0%，香烟为 6.8%，酒精为 38.1%。免费午餐和年龄与电子烟的使用略有相关（p<.10）。父母拥有电子烟与所有物质的使用相关，而同伴的使用与入门药物的使用相关（p<.05-.001）。 EF 缺陷与所有物质的使用相关，使用电子烟的可能性是其他物质的五倍，使用入门药物的可能性是其他物质的两倍以上。电子烟和入门药物的使用可能在青春期早期具有共同的潜在危险因素，包括父母和同伴的物质使用模型，以及 EF 缺陷。未来的研究需要检查人口统计、父母和同伴模型的纵向关系、较大样本中电子烟使用的 EF 缺陷、电子烟使用轨迹与其他物质的使用相比，以及 EF 技能培训计划预防电子烟使用的潜力。
Little is known about influences on e-cigarette use among early adolescents. This study examined influences that have been previously found to be associated with gateway drug use in adolescents: demographic (age, gender, ethnicity, free lunch), social contextual influences of parents and peers, and executive function deficits (EF). A cross-sectional survey was administered to 410 7th grade students from two diverse school districts in Southern California (M age=12.4 years, 48.3% female, 34.9% on free lunch (low socioeconomic status), 45.1% White, 25.4% Hispanic/Latino, 14.9% Mixed/bi-racial.) Logistic regression analyses examined influences of demographic, parent e-cigarette ownership and peer use, and EF on lifetime e-cigarette, and gateway drug use (cigarette and/or alcohol use). Lifetime use prevalence was 11.0% for e-cigarettes, 6.8% for cigarettes, and 38.1% for alcohol. Free lunch and age were marginally related to e-cigarette use (p<.10). Parent e-cigarette ownership was associated with use of all substances, while peer use was associated with gateway drug use (p’s<.05-.001). EF deficits were associated with use of all substances five times more likely than others to use e-cigarettes and over twice as likely to use gateway drugs. E-cigarette and gateway drug use may have common underlying risk factors in early adolescence, including parent and peer modeling of substance use, as well as EF deficits. Future research is needed to examine longitudinal relationships of demographics, parent and peer modeling, and EF deficits to e-cigarette use in larger samples, trajectories of e-cigarette use compared to use of other substances, and the potential of EF skills training programs to prevent e-cigarette use.
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