Stress-coping and other psychosocial risk factors: A model for smoking in grade 6 students

Stress-coping and other psychosocial risk factors: A model for smoking in grade 6 students
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DOI:
10.1016/s0306-4603(98)00037-9
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发表时间:
1999-03-01
影响因子:
4.4
通讯作者:
Pederson, LL
Pederson, LL
中科院分区:
医学2区
文献类型:
--
作者:
Koval, JJ;Pederson, LL

文献摘要

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研究青少年吸烟的最好方法是在青少年时期对一组儿童进行跟踪调查。在这种研究的第一阶段的分析中,在加拿大斯卡伯勒的一个学校系统中,对1,552名11岁和12岁的青少年进行了研究,探讨了可能改变青少年开始吸烟的心理社会因素的几种假设。压力应对假设和其他可能的影响因素的调查,因为他们涉及到不断吸烟显示,压力(生活事件的数量来衡量)是重要的男性和女性(p = 0.0163和0.0056,分别)。然而,吸烟的潜在机制似乎对男性和女性来说是不同的,即使在这个年轻的年龄。在同时调整几个因素的模型中,发现对于男性来说,吸烟是最重要的因素(p = .0001),其次是对二手烟影响的态度(p = .0063),而对于女性来说,母亲吸烟是最重要的因素(p = .0001),其次是吸烟(p = .0102)。预防方案的设计的影响进行了讨论。(C)1999 Elsevier Science Ltd.
Smoking uptake by adolescents is best studied by a following a cohort of children as they proceed through adolescence. In this analysis of the first stage of such a study, several hypotheses about psychosocial factors that may modify the initiation of smoking in adolescents were examined in 1,552 11- and 12-year-olds in a school system in Scarborough, Canada. Investigation of the stress-coping hypothesis and other possible effect modifiers as they relate to ever-smoking revealed that stress (measured by number of life events) was important for both males and females (p = .0163 and .0056, respectively). However, the mechanisms underlying smoking appear to be different for males and females, even at this young age. In models adjusting for several factors simultaneously, rebelliousness was found to be the most important factor (p = .0001) followed by attitudes toward the effect of second-hand smoke (p = .0063) for males, whereas for females, mother smoking was the most important factor (p = .0001) followed by rebelliousness (p = .0102). Implications for design of prevention programs are discussed. (C) 1999 Elsevier Science Ltd.