Smoking acquisition among adolescents and young Latinas -: The role of socioenvironmental and personal factors

Smoking acquisition among adolescents and young Latinas -: The role of socioenvironmental and personal factors
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DOI:
10.1016/s0306-4603(00)00143-x
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发表时间:
2001-07-01
影响因子:
4.4
通讯作者:
Pérez-Stable, EJ
Pérez-Stable, EJ
中科院分区:
医学2区
文献类型:
--
作者:
Kaplan, CP;Nápoles-Springer, A;Pérez-Stable, EJ

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本文研究了社会环境和个人因素对吸烟连续两个阶段的影响-开始吸烟和经常吸烟-在两个联邦资助的计划生育诊所的1411名拉丁裔客户,年龄14-24岁。社会环境因素包括文化指标、家庭和同伴的吸烟行为以及规范。个人因素主要是冒险行为和将来吸烟的意向。结果表明,与实验相关的指标与与常规吸烟相关的指标不同。与从不吸烟到尝试吸烟的转变相关的社会环境因素包括文化适应(通过语言和熟悉度来衡量)和同伴吸烟行为。在个人因素中,冒险行为(过去使用药物,酒精和一般的风险态度)和吸烟意图与实验相关。从实验者转变为常规吸烟者与社会环境领域的同伴吸烟行为(P <0.05)以及个人因素中的药物使用和未来吸烟意图(均P <0.001)相关。年龄、受教育年限、婚姻状况、规范和父母吸烟并不能独立预测吸烟的结果。吸烟意向是实验性(OR = 8.3,CI 5.87-11.60)和经常吸烟(OR = 19.9,CI 12.31-29.21)的最强预测因子,有助于识别最有可能从预防吸烟和戒烟干预中受益的人群。(C)2001爱思唯尔科技有限公司版权所有。
This paper examined the effects of socioenvironmental and personal factors on two stages of the smoking continuum - onset of smoking and regular smoking - among a sample of 1411 Latina clients, ages 14-24, at two federally funded family planning clinics. The socioenvironmental factors included cultural indicators, smoking behavior of family and peers, and norms. The personal factors were risk-taking behaviors and intention to smoke in the future. Results showed that the indicators associated with experimentation were different than those linked with regular smoking. Socioenvironmental factors associated with the transition from never having smoked to trying cigarettes included acculturation, as measured by language and familialism, and peer smoking behavior. Among the personal factors, risk-taking behavior (past use of drugs, alcohol, and general risk attitude) and smoking intentions were correlates of experimentation. The transition from experimenter to regular smoker was associated with peer smoking behavior (P < .05) in the socioenvironmental domain and drug use and intention to smoke in the future among the personal factors (both P values < .001). Age, years of education, marital status, norms, and parental smoking did not independently predict either of the smoking outcomes. intention to smoke was the strongest predictor of experimentation (OR = 8.3, CI 5.87-11.60) and regular smoking (OR = 19.9, CI 12.31-29.21) and could help identify those most likely to benefit from smoking prevention and cessation interventions. (C) 2001 Elsevier Science Ltd. All rights reserved.