Geographic isolation predicts tobacco product use among youth: A latent class analysis.
Geographic isolation predicts tobacco product use among youth: A latent class analysis.
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DOI：
10.1111/jrh.12583
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Dino G
中科院分区：
文献类型：
--
作者：
Blank MD;Ozga JE;Romm KF;Douglas A;Alexander L;Doogan NJ;Wilson M;Dino G
本研究的目的是评估地理乡村性与青少年烟草使用模式之间的关系。来自阿巴拉契亚中北部的高中学生（N = 566）报告了他们一生和/或目前使用香烟、电子烟、雪茄和无烟烟草的情况。地理乡村性通过隔离量表进行测量，其中住宅邮政编码决定了受访者获得健康相关资源的程度。使用潜在类别分析（LCA）根据青少年烟草使用者的烟草制品使用情况确定离散类别。然后，使用一系列多项逻辑回归来评估参与者的地理乡村性与班级成员之间的关联。LCA将参与者分为非使用者、当前ECIG使用者、香烟/ECIG实验者和多种烟草使用者。与非使用者相比，隔离得分较高的个体更有可能成为多种烟草使用者和卷烟/ECIG实验者，并且更有可能成为多种烟草使用者而不是当前的ECIG使用者。本研究中使用的连续隔离量表预测了青少年的多烟草使用模式，其方式与先前的工作一致，同时扩展了先前的工作。应从考虑地理上孤立地区独特需求的角度来看待烟草控制做法和政策。
The purpose of the current study was to evaluate associations between geographic rurality and tobacco use patterns among adolescents. High school students (N = 566) from north-central Appalachia reported on their lifetime and/or current use of cigarettes, electronic cigarettes (ECIGs), cigars, and smokeless tobacco. Geographic rurality was measured via the Isolation scale, whereby residential ZIP Codes determined the degree to which respondents have access to health-related resources. Latent class analysis (LCA) was used to identify discrete classes of adolescent tobacco users based on their use of tobacco products. Then, associations between participants’ geographic rurality and class membership were evaluated using a series of multinomial logistic regressions. LCA classified participants as Nonusers, Current ECIG Users, Cigarette/ECIG Experimenters, and Polytobacco Users. Individuals with higher Isolation scores were more likely to be Polytobacco Users and Cigarette/ECIG Experimenters than Nonusers, and were more likely to be Polytobacco Users than Current ECIG Users. The continuous Isolation scale used in the present study predicted polytobacco use patterns among adolescents in a manner that is consistent with, while simultaneously expanding upon, prior work. Tobacco control practices and policies should be viewed through a lens that considers the unique needs of geographically isolated areas.
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影响因子：
33.9
作者：
Gentzke, Andrea S.;Creamer, MeLisa;King, Brian A.
通讯作者：
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影响因子：
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作者：
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影响因子：
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影响因子：
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通讯作者：
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影响因子：
2.7
作者：
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通讯作者：
McLeroy, K