Transitions in Smoking Among Adolescent Minority Girls

少数民族青少年女孩吸烟情况的转变

• 批准号: 6805011
• 负责人: TRACY R Nichols
• 金额: $ 8.4万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-12-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6805011
• 关键词: academic achievement; adolescence (12-20); behavioral /social science research tag; clinical research; computer data analysis; disease /disorder proneness /risk; family structure /dynamics; female; human data; human puberty; identity; longitudinal human study; peer group; quality of life; racial /ethnic difference; religion; secondary schools; self concept; smoking; socializations; socioeconomics; substance abuse epidemiology; substance abuse related behavior; tobacco abuse; urban poverty area

DESCRIPTION (provided by applicant): Although adolescent smoking has been a major national concern for many years, there is still relatively little known about its etiology among girls, particularly among young minority girls. While historically smoking rates were greater among males, gender differences in smoking are now virtually non-existent. Studies have demonstrated that at the same level of use, females are more likely to become dependent upon tobacco and are more likely to suffer from a variety of cancers than males, including a greater susceptibility to higher fatality forms of lung cancer. Minority women in particular appear to be at increased risk of developing smoking-related diseases. Therefore, although minority girls demonstrate the lowest rates of smoking during adolescence they may in fact be at highest risk for future smoking and for smoking-related problems. The current project would address existing gaps in the literature in a cost-effective manner through secondary analysis of largely minority, inner-city girls who participated in one of two school-based drug and violence prevention trial (N = 1,138 and N = 1,337). The primary goals of the proposed research are to improve our understanding of how smoking develops among urban minority girls and to examine transitional patterns of smoking behaviors among this population from middle school through high school. Secondary aims of the study are to investigate individual characteristics (i.e., household structure, religiosity, SES, pubertal timing) as potential moderators of the relationship between hypothesized risk factors and smoking as well as to examine relationships between smoking trajectories and indicators of health and well-being among this population. Finally, this study will compare and contrast smoking trajectories by racial/ethnic subgroups as well as examine potential cohort effects. The proposed study represents an important next step in the field of smoking etiology since it examines developmental transitions in smoking behaviors among a severely under-represented population (urban, minority adolescent girls) using state-of-the-art data analytic techniques. Findings from the proposed study will not only advance our understanding of smoking behaviors and transitions among minority girls, but will ultimately help develop and refine prevention efforts for this population and thereby decrease existing gender and racial/ethnic health disparities in the consequences of smoking.

描述（由申请人提供）： 尽管多年来青少年吸烟一直是全国关注的主要问题，但人们对其在女孩中的病因仍然知之甚少，特别是在年轻的少数族裔女孩中。虽然从历史上看，男性吸烟率较高，但现在吸烟方面的性别差异几乎不存在。研究表明，在同样的吸烟水平下，女性比男性更有可能依赖烟草，更有可能患上各种癌症，包括更容易患上致死率较高的肺癌。特别是少数群体妇女似乎更有可能患上与吸烟有关的疾病。因此，虽然少数民族女孩在青春期吸烟的比例最低，但事实上，她们今后吸烟和与吸烟有关的问题的风险最高。目前的项目将通过对主要是少数民族的市中心女孩进行二次分析，以符合成本效益的方式解决文献中存在的差距，这些女孩参加了两项以学校为基础的预防毒品和暴力试验（N = 1 138和N = 1 337）。拟议的研究的主要目标是提高我们的理解如何吸烟的城市少数民族女孩的发展，并检查这一人群从初中到高中的吸烟行为的过渡模式。研究的次要目的是调查个体特征（即，家庭结构、宗教信仰、社会经济地位、青春期时间）作为假设风险因素与吸烟之间关系的潜在调节因素，并检查吸烟轨迹与该人群健康和福祉指标之间的关系。最后，本研究将按种族/民族亚组比较和对比吸烟轨迹，并检查潜在的队列效应。这项拟议的研究代表了吸烟病因学领域的重要下一步，因为它使用最先进的数据分析技术研究了严重代表性不足的人群（城市，少数民族少女）吸烟行为的发展转变。这项研究的结果不仅将促进我们对少数民族女孩吸烟行为和转变的理解，而且最终将有助于发展和完善这一人群的预防工作，从而减少吸烟后果中现有的性别和种族/民族健康差异。