Stressful life events, smoking behavior, and intentions to smoke among a multiethnic sample of sixth graders
Stressful life events, smoking behavior, and intentions to smoke among a multiethnic sample of sixth graders
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DOI：
10.1080/1355785042000285384
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发表时间：
2004-11-01
影响因子：
3.1
通讯作者：
Johnson, CA
中科院分区：
文献类型：
--
作者：
Booker, CL;Gallaher, P;Johnson, CA
目标。青少年吸烟与紧张的生活事件有关。然而，很少有研究在多种族青少年样本中调查压力、吸烟意图和吸烟行为之间的关系。我们编制了一份与多民族青年有关的压力生活事件清单，并对洛杉矶城市的1074名六年级学生进行了调查。在美国，不同种族和年龄段的人最常报告的压力事件是相似的：考试、家务和与朋友的争吵。据报告，最严重的事件是家庭生活中的干扰，例如：死亡、父母之间的争吵、疾病或受伤。据报道，白人和拉丁美洲人的吸烟率和吸烟意图高于亚洲/太平洋岛民。在积极的家庭相关事件量表上，拉丁美洲人的得分高于白人或亚洲/ pi。白人在与同伴相关的负面事件和与个人相关的负面事件上的得分都高于拉丁裔或亚洲人/ pi。观察到总压力、压力生活事件、吸烟行为和吸烟意图之间的关联。在整个样本中，总压力与曾经吸烟者、下一年和高中时期的吸烟意图有关。在拉丁美洲人中，消极的同伴相关事件与下一年内吸烟的意图有关。在亚洲/ pi中，消极的同伴相关事件与来年和高中时期的吸烟意图有关。在父母出生在美国的美国出生的孩子中，与学校相关的负面事件与曾经吸烟和下一年吸烟的意图显著相关，与高中吸烟的意图轻微相关。消极的同伴相关事件和积极的个人相关事件与在美国出生的父母为移民的儿童下一年的吸烟意图显著相关。结果表明，负面的同伴和学校相关事件可能导致多元文化青少年吸烟行为和吸烟意图的风险增加。
Objectives. Adolescent smoking has been associated with stressful life events. However, few studies have examined the associations between stress, smoking intentions, and smoking behavior among a multiethnic sample of adolescents.Methods. We compiled a checklist of stressful life events relevant to multiethnic youth and administered it to 1,074 sixth-grade students in urban Los Angeles.Results. The most frequently reported stressful events were similar across ethnic groups and generations in the USA: test taking, chores, and arguments with friends. The events reported as the most severe were disturbances in family life, such as: death, arguments between parents, and illness or injury. Whites and Latinos had reported higher levels of ever smoking and intentions to smoke than Asian/Pacific Islanders (PIs). On the positive family-related events scale Latinos scored higher than did whites or Asian/PIs. Whites scored higher than Latinos or Asian/PIs on both negative peer-related and negative personal-related events. Associations were observed between total stress, stressful life events, and smoking behavior and intention to smoke. Total stress was associated with ever smokers, smoking intentions within the next year and in high school over the entire sample. Negative peer-related events were associated with intention to smoke within the next year, among Latinos. Among Asian/PIs negative peer-related events were associated with intention to smoke within the next year and in high school. Negative school-related events were significantly associated with ever smoking and intentions to smoke in the next year and marginally associated with intentions to smoke in high school among children born in the USA whose parents were also born in the USA. Negative peer-related events and positive personal-related events were significantly associated with intentions to smoke in the next year among children born in the USA whose parents were immigrants.Conclusions. Results suggest that negative peer- and school-related events may lead to increased risk of smoking behavior and intentions to smoke among multicultural adolescents.