Gender, Race, Ethnicity & Smoking Initiation & Cessation

描述（由申请人提供）： 吸烟的风险和弹性在美国人口为基础的纵向调查中进行了检查，以了解为什么种族和少数民族在青春期开始吸烟时更有弹性，但到中年，他们报告吸烟的风险更高，戒烟率更低。吸烟和社会角色之间的关系被认为是在从青春期到成年的过渡，并通过中年的过程中，以确定这种关系是否是由不同的时间和成年人的社交顺序混淆。过去的研究表明，吸烟的风险和弹性的年龄模式对于不同种族和民族背景的人以及男性和女性都有所不同。过去的研究还证明，社会角色的时间和顺序因种族、民族和性别而异。没有已知的研究探讨了社会角色的年龄模式和吸烟的年龄模式之间的关系，或者将这些与种族/民族和性别差异联系起来。美国国立药物滥用研究所赞助的全国青年纵向调查（1979年）的补充资料的20多年的数据将被用来模拟吸烟和社会角色转变的相互依赖的过程与动态，随机效应的风险回归。这项研究将有助于实现“2010年健康人”目标，具体做法是将吸烟的决定因素和后果置于背景之中，并指导公共卫生从业人员预测当前和新出现的弱势群体的需求。

DESCRIPTION (provided by applicant): Risk and resiliency to tobacco smoking are examined in a US population-based, longitudinal survey to understand why racial and ethnic minorities are more resilient to smoking initiation in adolescence, and yet by midlife, they report higher risk to smoking and lower rates of cessation. The relationship between smoking and social roles is considered during the transition from adolescence into adulthood, and through the course of midlife, to determine whether this relationship is confounded by different timing and sequencing of adult socials. Past research documents that the age pattern of risk and resilience to smoking varies for people of different racial and ethnic backgrounds, as well as for men and women. Past research also documents that the timing and sequencing of social roles vary by race, ethnicity and gender. No known research has examined the relationship between the age patterns of social roles and the age patterns of smoking, or related these to racial/ethnic and gender differences. Over twenty years of data from the National Institutes on Drug Abuse sponsored supplements to the National Longitudinal Survey of Youth (1979) will be employed to model the interdependent processes of smoking and social role transitions with dynamic, random effects hazard regression. This study will contribute to the achievement of Healthy People 2010 by contextualizing the determinants and consequences of smoking and guiding public health practitioners to anticipate the needs of current and emerging vulnerable populations.