The association between cigarette smoking and DSM-IV nicotine dependence among first year college students
The association between cigarette smoking and DSM-IV nicotine dependence among first year college students
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DOI：
10.1016/j.drugalcdep.2006.05.025
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发表时间：
2007-01-12
影响因子：
4.2
通讯作者：
Clayton, Richard R.
中科院分区：
文献类型：
--
作者：
Dierker, Lisa C.;Donny, Eric;Clayton, Richard R.
目的：本研究进行了评估吸烟行为和DSM-IV尼古丁dependence.Design之间的关联：绘制一个样本的第一年的大学生选择代表整个连续的吸烟行为，目前的DSM-IV尼古丁依赖标准进行了评估，参与者报告任何吸烟在前一周的网络调查协议。Logistic回归和接收器操作员特征分析被用来估计吸烟和DSM-IV尼古丁dependence.Findings之间的整体一致性：支持在过去的一周内吸烟的数量和频率之间的关系和DSM-IV尼古丁依赖显示较高的使用水平依赖的患病率较高（p < 0.05）。虽然在报告最频繁和重度吸烟的受试者中尼古丁依赖的患病率最高，但大量报告每日吸烟和/或重度吸烟的受试者不符合尼古丁依赖的标准。相反，在报告非日常吸烟水平相对较低的参与者亚组中发现了尼古丁依赖。诊断一致性被认为是温和的数量和频率，并没有改善，结合这两个index.Conclusions信息：除了确认DSM-IV尼古丁依赖在相对较低的吸烟水平，这些结果可用于通知研究，旨在确定样本的尼古丁依赖青年的吸烟水平的范围。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Aims: This study was undertaken to evaluate the association between cigarette smoking behavior and DSM-IV nicotine dependence.Design: Drawing on a sample of first year college students selected for representation across a continuum of smoking behavior, current DSM-IV nicotine dependence criteria were assessed among participants reporting any smoking in the preceding week on a web-based survey protocol. Logistic regression and receiver operator characteristic analyses were used to estimate the overall concordance between smoking and DSM-IV nicotine dependence.Findings: Relationships were supported between both quantity and frequency of smoking in the past week and DSM-IV nicotine dependence showing higher prevalence of dependence at higher levels of use (p < 0.05). While the highest prevalence of nicotine dependence was seen among those reporting the most frequent and heavy smoking, a substantial number of participants reporting daily and/or heavy smoking did not meet criteria for nicotine dependence. Conversely, nicotine dependence was seen among a subgroup of participants reporting relatively low levels of non-daily smoking. Diagnostic concordance was found to be moderate for both quantity and frequency and was not improved by combining information from these two indices.Conclusions: Aside from confirming DSM-IV nicotine dependence at relatively low levels of smoking, these results may be used to inform research aimed at identifying samples of nicotine dependent youth across the range of smoking levels. (c) 2006 Elsevier Ireland Ltd. All rights reserved.