Influence of subjective social status on the relationship between positive outcome expectations and experimentation with cigarettes.
Influence of subjective social status on the relationship between positive outcome expectations and experimentation with cigarettes.
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主观社会地位对积极结果期望与卷烟实验之间关系的影响。
DOI：
10.1016/j.jadohealth.2008.08.003
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Spitz,MargaretR
中科院分区：
文献类型：
--
作者：
Wilkinson,AnnaV;Shete,Sanjay;Vasudevan,Vandita;Prokhorov,AlexanderV;Bondy,MelissaL;Spitz,MargaretR
目的：在德克萨斯州，墨西哥裔美国人（MA）的青少年，尤其是男孩，与黑人或白人相比，吸烟的风险更高。积极结果预期（POE），即香烟的功能性社会意义，以及主观社会地位（SSS），即青少年对自己在学校社会等级中的主观看法，是吸烟的独立预测因素。本研究的目的是检验SSS调节POE与香烟实验之间关系的假设。方法采用被试间、2×2方差分析和无条件logistic回归分析检验SSS的调节作用。采用前瞻性研究设计，我们随访了1142名11-13岁的MA青少年。参与者在家中完成了一项基线调查，评估POE、SSS和吸烟情况，并在12个月的时间里每隔6个月进行一次电话随访，以评估吸烟行为的变化。结果随访中，新入组实验者99人。与我们的假设一致，报告中低SSS并在基线时持有POE的青少年比报告中低SSS且持有较少POE的同龄人更有可能在随访评估中尝试吸烟（优势比[OR]， 1.92, 95%可信区间[95% CI]， 1.02-3.58）。在高SSS青少年中，结果预期和实验之间没有关联（OR, 1.79， CI, 0.73 - 4.36）。低SSS男生比女生和高SSS男生更倾向于尝试。结论中低SSS青少年对吸烟的结果期望与高SSS青少年存在差异。结果强调了中低SSS青少年将吸烟等行为视为获得更高SSS从而提高同伴社会地位的一种方式的可能性。我们的研究结果表明，除了根据性别调整干预措施外，将学校内社会地位相似的青少年放入由同伴提名的同伴领导的干预小组中，可能会提高这些同伴领导的预防措施的整体有效性。
PURPOSEIn Texas, Mexican American (MA) adolescents, and in particular boys, are at increased risk for experimenting with cigarettes compared with their black or white counterparts. Positive outcome expectations (POE), that is, the functional social significance ascribed to cigarettes, and subjective social status (SSS), that is, the adolescents' subjective views of where they lie in the school-based social hierarchy, are independent predictors of smoking. The goal of this study was to test the hypothesis that SSS moderates the relationship between POE and experimentation with cigarettes.METHODSModerating effects of SSS were examined using a between-subjects, 2×2 analysis of variance and unconditional logistic regression analyses. Using a prospective study design, we followed 1142 MA adolescents aged 11–13 years. Participants completed a baseline survey at home, which assessed POE, SSS, and smoking and were followed via telephone at 6-month intervals over a 12-month period to assess changes in smoking behavior.RESULTSAt follow-up, there were 99 new experimenters. Consistent with our hypothesis, adolescents who reported moderate–low SSS and who held POE at baseline were more likely to have experimented with cigarettes at either follow-up evaluation than their peers with moderate–low SSS who held less POE (odds ratio [OR], 1.92, 95% confidence interval [95% CI], 1.02–3.58). There was no association between outcome expectations and experimenting among adolescents with high SSS (OR, 1.79, CI, .73–4.36). Low SSS boys were more likely to experiment than girls and high SSS boys.CONCLUSIONSThe results of this study indicate that adolescents with moderate–low SSS hold different outcome expectations about smoking than their higher SSS peers. The results underscore the possibility that moderate–low SSS adolescents view behaviors such as smoking as a way to achieve higher SSS and thereby increase their peer social standing. Our results suggest that, in addition to tailoring intervention efforts by gender, placing adolescents of similar social standing to one another within the school into intervention groups that are led by a peer-nominated peer may increase the overall effectiveness of these peer-led prevention efforts.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1111/j.1360-0443.1992.tb02684.x
发表时间：
1992-12
期刊：
British journal of addiction
影响因子：
--
作者：
K. Conrad;B. Flay;D. Hill
通讯作者：
K. Conrad;B. Flay;D. Hill
影响因子：
--
作者：
Mucha, Lisa;Stephenson, Judith;Dirani, Riad
通讯作者：
Dirani, Riad
影响因子：
8
作者：
Goodman, E;Adler, NE;Colditz, GA
通讯作者：
Colditz, GA
影响因子：
7.6
作者：
Valente, TW;Unger, JB;Johnson, CA
通讯作者：
Johnson, CA