Trajectories of smoking from adolescence to early adulthood and their psychosocial risk factors.

Trajectories of smoking from adolescence to early adulthood and their psychosocial risk factors.
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DOI:
10.1037/0278-6133.27.6.811
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发表时间:
2008-11
期刊:
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子:
--
通讯作者:
Rose JS
Rose JS
中科院分区:
其他
文献类型:
--
作者:
Costello DM;Dierker LC;Jones BL;Rose JS

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本研究使用半参数群组模型来探讨吸烟行为的持续性和改变模式,以及与13-25岁吸烟发展过程相关的危险因素。根据国家青少年健康纵向研究的数据,确定了六种不同的轨迹:不吸烟者、实验者、稳定的轻度吸烟者、戒烟者、晚自动扶梯和稳定的高吸烟者。与非吸烟者相比,与所有吸烟轨迹组成员的可能性更大相关的基线风险因素包括饮酒、越轨、同伴吸烟和(除自动扶梯晚些时候外)使用药物。越轨、同伴吸烟、酗酒和吸毒也区分了五个吸烟轨迹组中几个组的成员可能性。这些结果提供了吸烟行为异质性的证据,并前瞻性地将不同的危险因素模式与轨迹组成员的概率联系起来,从而增加了关于青春期和成年期吸烟发展途径的基础病因学研究。
This study used semi-parametric group-based modeling to explore patterns of persistence and change in smoking behavior as well as risk factors associated with the developmental course of smoking from age 13 to 25. Drawing on data from the National Longitudinal Study of Adolescent Health, six distinct trajectories were identified: nonsmokers, experimenters, stable light smokers, quitters, late escalators, and stable high smokers. Baseline risk factors that were associated with greater likelihood of membership in all of the smoking trajectory groups compared to nonsmokers included alcohol use, deviance, peer smoking, and (with the exception of the late escalators) drug use. Deviance, peer smoking, alcohol and drug use also distinguished the likelihood of membership among several of the five smoking trajectory groups. The results add to basic etiologic research on developmental pathways of smoking in adolescence and young adulthood by providing evidence of heterogeneity in smoking behavior and prospectively linking different patterns of risk factors with the probability of trajectory group membership.
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