Familial and non-familial smoking: Effects on smoking and nicotine dependence

Familial and non-familial smoking: Effects on smoking and nicotine dependence
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DOI:
10.1016/j.drugalcdep.2008.11.003
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发表时间:
2009-04-01
影响因子:
4.2
通讯作者:
Brook, David W.
Brook, David W.
中科院分区:
医学2区
文献类型:
--
作者:
Brook, Judith S.;Saar, Naomi S.;Brook, David W.

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背景资料:本研究探讨了家庭和非家庭吸烟对参与者吸烟和尼古丁依赖的相对影响。方法:这是一项纵向研究,838名非洲裔美国人和波多黎各参与者在15-16年的时间里在家中接受了四次采访结果:青少年时期父母吸烟对青少年时期同伴吸烟有直接的正向影响,而青少年时期同伴吸烟又对20岁左右的参与者吸烟有直接的正向影响。除了参与者之间的直接路径吸烟在二十年代中期和参与者尼古丁依赖在二十年代后期,有间接的影响介导的合作伙伴的问题,导致吸烟在二十年代后期。结论:这项研究表明,社会环境中发挥的关键作用吸烟和尼古丁依赖。家庭吸烟和非家庭吸烟与吸烟和尼古丁依赖均显著相关。对公共卫生的影响表明,必须根据参与者的发展阶段制定有针对性的预防和治疗政策。在青少年时期,重点应该放在父母和同伴吸烟上,而在20多岁时,注意力可能会放在自己和伴侣的吸烟上。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Background: This study examined the relative impact of familial and non-familial smoking on participant smoking and nicotine dependence.Methods: This is a longitudinal study of 838 African American and Puerto Rican participants who were interviewed four times in their homes over a 15-16-year period (1990, 1994-1996, 2000-2001, and 2004-2006).Results: Parental smoking during adolescence had a direct positive path to peer smoking during adolescence, which in turn had a direct positive path to participant smoking during the mid-twenties. In addition to the direct path between participant smoking in the mid-twenties and participant nicotine dependence during the late twenties, there was an indirect effect mediated by the partner's problems resulting from smoking during the late twenties.Conclusions: This research demonstrates the key role the social environment plays in smoking and nicotine dependence. Both familial and non-familial smoking were significantly related to smoking and nicotine dependence. Public health implications suggest the importance of targeting prevention and treatment policies based on the participants' stage of development. During adolescence the focus should be on parental and peer smoking, whereas during the twenties attention might be paid to their own smoking and that of their partners. (C) 2008 Elsevier Ireland Ltd. All rights reserved.