Vocational Student Tobacco Use

高职学生烟草使用

• 批准号: 7334520
• 负责人: ALEXANDRA LOUKAS
• 金额: $ 7.14万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7334520
• 关键词: Accounting; Acculturation; Address; Adult; American; Appendix; Bladder; Buffers; Categories; Centers for Disease Control and Prevention (U.S.); Cervical; Cessation of life; Data; Development; Discrimination; Disease; Distress; Enrollment; Esophageal; Ethnic Origin; Event; Expenditure; Exposure to; Family; Focus Groups; Gender; Goals; Healthy People 2010; Horns; Income; Individual; Interview; Kidney; Latino; Life; Link; Literature; Lung; Malignant Neoplasms; Measures; Mediating; Mediator of activation protein; Medical; Mentorship; Methodology; Modeling; Morbidity - disease rate; Perception; Population; Prevalence; Prevention intervention; Productivity; Race; Rate; Reporting; Research; Research Personnel; Risk; Risk Factors; Role; Smoke; Smoking; Societies; Socioeconomic Status; Stress; Students; Surveys; Symptoms; Texas; Tobacco; Tobacco use; United States; base; caucasian American; cigarette smoking; cost; day; depressive symptoms; dysphoria; health disparity; intervention program; low socioeconomic status; mortality; programs; racial and ethnic; reduce tobacco use; young adult

DESCRIPTION (provided by applicant): Although the prevalence of tobacco use decreased for most segments of the US population between 1993 and 2000, disparities persist. Young adults and individuals in the lowest socioeconomic status (SES) categories report the highest rates of tobacco use. Low SES increases exposure to multiple types of stress and stress is positively associated with tobacco use. Unfortunately, studies examining the putative mechanisms, or mediators, of the stress-tobacco use relationship for low SES young adults are scare. Also lacking from the literature is an understanding of the roles of race/ethnicity and cultural factors as moderators of the relationships among cumulative stress, depressive symptoms, and tobacco use. This application aims to: 1) determine whether depressive symptoms mediate the relationship between an accumulation of life events stress, discrimination stress, financial stress, role overload and tobacco use in low SES young adults and b) Explore the cultural factors that may moderate the cumulative stress and depressive symptoms effects. Quantitative (survey) and qualitative (focus group interviews) methodologies will be used to address these aims. Approximately 900 ethnically diverse young adult students enrolled in two 2-year post-secondary vocational programs will be asked to complete an anonymous survey examining varying types of stress, depressive symptoms, and tobacco use. A subset of these students will be asked to participate in focus group interviews aimed at understanding the cultural factors involved in tobacco use. The Specific Aims of the project will be to: 1) determine if levels of stress and depressive symptoms vary across tobacco use 2) examine the relationships among cumulative stress, depressive symptoms, tobacco use, and race/ethnicity, after accounting for gender and income and 3) explore cultural differences in young adult perceptions of why they use tobacco and the roles of stress and depressive symptoms in their tobacco use. This proposed project is consistent with the Healthy People 2010 Goal #2 of reducing health disparities and the objective of reducing cigarette smoking by adults. Tobacco use remains the leading cause of preventable death in the United States. Each year more than 440,000 adults die from tobacco-related diseases and smoking, the most common form of tobacco use, is causally linked to the development of numerous cancers including, but not limited to, lung, bladder, kidney, cervical, and esophageal. Young adults and individuals in the lowest socioeconomic status categories report the highest rates of tobacco use and the lowest rates of cessation. Development of effective prevention and intervention programs aimed at reducing tobacco use in this population require an understanding of the factors that contribute to their tobacco use.

描述（由申请人提供）：尽管在1993年至2000年之间，美国大多数人群的烟草使用率降低，但差异持续存在。社会经济地位最低的年轻人和个人报告说，烟草使用率最高。低SES增加暴露于多种类型的压力，压力与烟草使用呈正相关。不幸的是，研究了低SES年轻人的压力 - 烟草使用关系的假定机制或介体的研究是恐慌。文献中还缺乏对种族/种族和文化因素的作用的理解，因为累积压力，抑郁症状和烟草使用之间的关系是主持人。该应用的目的是：1）确定抑郁症状是否介导了生命事件的积累，歧视压力，财务压力，角色超负荷和在低SES年轻人中使用烟草之间的关系，b）探索可能减轻累积压力和抑郁症状的文化因素。定量（调查）和定性（焦点小组访谈）方法将用于解决这些目标。将要求大约900名种族多样化的年轻成年学生参加两项2年的初中职业计划，以完成一项匿名调查，检查各种类型的压力，抑郁症状和烟草的使用。这些学生的一部分将被要求参加旨在了解烟草使用中涉及的文化因素的焦点小组访谈。该项目的具体目的是：1）确定压力和抑郁症状水平在烟草中使用2）检查累积压力，抑郁症状，抑郁症状，烟草使用和种族/种族之间的关系，在考虑性别和收入和收入以及3）探索压力的养育差异之后，探索了他们为何使用造成压力和抑郁症状的成人症状和抑郁症状的症状和造成损害的症状。这个拟议的项目与健康的人2010年的目标＃2一致，即减少健康差异的目标以及减少成年人吸烟的目的。在美国，烟草使用仍然是可预防死亡的主要原因。每年，最常见的烟草使用形式与烟草有关的疾病和吸烟而死亡，这是最常见的烟草疾病和吸烟，这与许多癌症的发展息息相关，包括但不限于肺，膀胱，膀胱，肾脏，宫颈和食道。社会经济地位最低的年轻人和个人报告说，烟草使用率最高，停止率最低。制定旨在减少该人群中烟草使用的有效预防和干预计划需要了解有助于其烟草使用的因素。