Smoking and Health-Related Quality of Life Among U.S. Adolescents
Smoking and Health-Related Quality of Life Among U.S. Adolescents
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DOI：
10.1093/ntr/nts163
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发表时间：
2013-02-01
影响因子：
4.7
通讯作者：
Zack, Matthew M.
中科院分区：
文献类型：
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作者：
Dube, Shanta R.;Thompson, William;Zack, Matthew M.
吸烟仍然是青年人的一个公共卫生问题。从发展的角度来看，青春期是一个容易开始吸烟等危险行为的时期。虽然研究已经证明了吸烟和健康相关的生活质量（HRQOL）差的成年人之间的关联，很少有人知道的青少年之间的关联，从2001 - 2008年全国健康和营养检查调查的4,848名年龄为1217岁的青少年的吸烟和HRQOL的数据进行了分析。使用自我报告数据和血清可替宁水平确定吸烟状态（当前、非当前和从不）。HRQOL的评估基于过去30天内自我报告的身体和心理健康状况、过去30天内活动受限状况以及一般自我评估的健康状况。与从不吸烟的青少年相比，曾经吸烟的青少年报告的最近身体不健康天数（p <.001）、精神不健康天数（p < .0001）和活动受限天数（p < .01）更多。与从不吸烟的青少年相比，曾经吸烟或目前吸烟的青少年更有可能报告2014年身体不健康，2014年精神不健康，2014年活动限制日，以及健康状况一般或较差;目前不吸烟的人也比从不吸烟的人更有可能报告14天的身体和精神不健康。青少年，这项研究发现吸烟和HRQOL措施之间的强关联。吸烟与自我报告的活动限制的关系值得关注和进一步研究。研究结果强调了在生命早期解决吸烟和主观幸福感的重要性。
Smoking continues to be a public health problem among youth. Developmentally, adolescence is a period marked by the vulnerability to initiate risk behaviors such as smoking. While studies have documented associations between smoking and poor health related quality of life (HRQOL) among adults, little is known about the association among adolescents.Data on smoking and HRQOL from a sample of 4,848 adolescents aged 1217 years from the 20012008 National Health and Nutrition Examination Surveys were analyzed. Smoking status (current, not current, and never) was determined using self-report data and serum cotinine levels. HRQOL was assessed based on self-reported physical and mental health in the last 30 days, activity limitations in the last 30 days, and general self-rated health.Compared with never smokers, adolescents who ever smoked reported more recent physically unhealthy days (p < .001), mentally unhealthy days (p < .0001), and activity limitation days (p < .01). Compared with never smokers, adolescents who ever smoked or who were current smokers were more likely to report epsilon 14 physically unhealthy days, epsilon 14 mentally unhealthy, epsilon 14 activity limitation days, and fair or poor health; not current smokers were also more likely than never smokers to report epsilon 14 days for being both physically unhealthy and mentally unhealthy.Among a nationally representative sample of adolescents, this study found strong associations between smoking and HRQOL measures. The relationship of smoking to self-reported activity limitations warrants attention and further research. The findings underscore the importance of addressing smoking and subjective well-being early in the lifespan.