Associations of childhood executive control with adolescent cigarette and E-cigarette use: Tests of moderation by poverty level.

Associations of childhood executive control with adolescent cigarette and E-cigarette use: Tests of moderation by poverty level.
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DOI:
10.1016/j.addbeh.2021.106923
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发表时间:
2021-08
影响因子:
4.4
通讯作者:
Nelson TD
Nelson TD
中科院分区:
医学2区
文献类型:
--
作者:
Alex Mason W;Patwardhan I;Fleming CB;Stevens AL;James TD;Nelson JM;Espy KA;Nelson TD

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青少年吸烟人数继续下降,而电子烟的使用在青年中急剧增加。青少年时期使用任何形式的尼古丁,即使是低水平的尼古丁,也会产生不良后果,特别是对低收入人群。为了阐明潜在的早期干预目标,本研究检查了儿童执行控制(EC),一组用于指导注意力和行为的认知过程,与青少年吸烟和电子烟发病有关,测试贫困水平的差异预测。参与者是2006年开始在美国中西部一个小城市招募的313名儿童(51%为女性,64%为欧洲裔美国人),然后在14至16岁之间进入青春期。在实验室中测量了5岁3个月儿童的EC。在青春期(法师= 15.65岁)获得吸烟和电子烟发作的自我报告。总体而言,24%的样本处于或低于贫困线。贫困组(17%)的吸烟率高于非贫困组(8%),但电子烟的吸烟率并不因贫困水平而异(36%贫困与38%非贫困)。多组结构方程模型显示了统计学上显著的组间差异,即EC能力是贫困青年电子烟发病的显著负预测因子,但对非贫困青年则不是。类似的组间差异作为吸烟发作的趋势是明显的。由于电子烟已被证明是可以改变的,因此改善贫困儿童电子烟的早期干预措施可能有助于预防青少年电子烟发病。
Adolescent cigarette smoking has continued to decline, whereas electronic cigarette use has increased dramatically among youth. Nicotine use in any form, even at low levels, during adolescence can have adverse consequences, particularly for low-income individuals. To elucidate potential early intervention targets, this study examined childhood executive control (EC), a set of cognitive processes for directing attention and behavior, in relation to adolescent cigarette and e-cigarette onset, testing for differential prediction by poverty level. Participants were 313 children (51% female, 64% European American) recruited in a small city in the Midwestern United States beginning in 2006 and then followed into adolescence between ages 14 and 16 years. EC was measured in the laboratory with performance-based tasks when children were age 5 years, 3 months. Self-reports of cigarette onset and e-cigarette onset were obtained in adolescence (Mage = 15.65 years). Overall, 24% of the sample was at or below the poverty line. Cigarette onset was higher in the poverty group (17%) than in the non-poverty (8%) group, but e-cigarette onset did not differ by poverty level (36% poverty versus 38% non-poverty). Multiple group structural equation modeling revealed a statistically significant group difference such that EC ability was a significant negative predictor of e-cigarette onset for poverty but not for non-poverty youth. A similar group difference was evident as a trend for cigarette onset. Because EC has been shown to be modifiable, early interventions to improve EC for children living in poverty might help prevent adolescent e-cigarette onset.
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发表时间: 2015-04-15
期刊: BMJ open
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