The impact of early life stress on-risk of tobacco smoking initiation by adolescents
The impact of early life stress on-risk of tobacco smoking initiation by adolescents
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DOI：
10.1016/j.addbeh.2015.06.014
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发表时间：
2015-11-01
影响因子：
4.4
通讯作者：
Chislovska, Natalia V.
中科院分区：
文献类型：
--
作者：
Iakunchykova, Olena P.;Andreeva, Tatiana I.;Chislovska, Natalia V.
目的：我们的研究旨在研究早期生活压力与早期开始饮酒和吸烟之间的关系。设计：这项针对妇女和儿童的前瞻性队列研究属于欧洲怀孕和儿童纵向研究的乌克兰部分。地点：第聂普罗泽日恩斯克，乌克兰中南部一座约有25万居民的城市。参与者：所有4398名在1992年12月25日至1994年7月23日期间到产前诊所就诊的妇女，计划继续怀孕，是该市的常住居民。在4398名受邀者中，2148人同意，1020对母子可以进行完整的跟踪调查，直到孩子16岁。测量：当被研究的孩子分别到3岁和7岁时，他们的母亲完成了关于他们的孩子接触到最近压力生活事件的标准清单及其影响的问卷。根据事件患病率和严重程度的数据，我们将每个儿童分配到低、中或高的早期生活压力。在控制了当前家庭收入水平、当前家庭类型、当前学校类型、孩子出生年份、母亲一生吸烟和饮酒以及父母教育程度的多因素分析中，3岁时压力大的女孩比压力小的女孩早早开始吸烟的几率高2.2倍(95%可信区间：1.23~4.08)。结论：本研究可能是首次使用纵向研究设计来探讨早期生活压力作为青春期早期开始吸烟的危险因素。(C)2015爱思唯尔有限公司。保留所有权利。
Aims: Our study aimed to examine the association between early life stress and early initiation of alcohol and tobacco use.Design: This prospective cohort study of women and children belongs to the Ukrainian component of the European Longitudinal Study of Pregnancy and Childhood.Setting: Dniprodzerzhynsk, a city of some 250,000 inhabitants in south central Ukraine.Participants: All 4398 women who visited antenatal clinics between December 25, 1992 and July 23, 1994, planned to continue their pregnancy, and were permanent residents of the city were invited to participate. Of the 4398 invitees, 2148 agreed and 1020 of the mother-child pairs were available for complete follow-up until the children were 16 years old.Measurements: When study children reached ages 3 and 7, their mothers completed questionnaires about their children's exposure to and impact from a standard list of recent stressful life events. From the data on event prevalence and severity, we assigned each child to low, medium, or high early life stress. When the children became age 16, they completed questionnaires about their history of smoking and drinking.Findings: In multivariate analysis that controlled for current level of family income, current family type, current school type, year of child's birth, lifetime smoking and current drinking by mother, and education of mother and father, girls with high stress at age 3 had 2.2 times (95% confidence interval: 1.23-4.08) higher odds than girls with low stress to start smoking early.Conclusions: Our study may be the first to use a longitudinal study design to examine early life stress as a risk factor for early smoking initiation in adolescence. (C) 2015 Elsevier Ltd. All rights reserved.