Predictors of persistent nicotine dependence among adults in the United States
Predictors of persistent nicotine dependence among adults in the United States
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DOI：
10.1016/j.drugalcdep.2011.03.010
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发表时间：
2011-11-01
影响因子：
4.2
通讯作者：
Sareen, Jitender
中科院分区：
文献类型：
--
作者：
Goodwin, Renee D.;Pagura, Jina;Sareen, Jitender
背景：有证据表明尼古丁依赖是成功戒烟的关键障碍。以前的研究没有记录社区成年人持续尼古丁依赖的预测因素。本研究的目的是前瞻性地确定预测持续尼古丁依赖超过3年的时间amongst adults.Methods：数据来自波I和II的全国流行病学调查酒精和相关条件（NESARC），一个全国性的代表性样本的34,653名成年人在美国。采用Logistic回归分析，在第1波存在各种社会人口学和精神病学预测因素的情况下，估计第2波持续性尼古丁依赖的几率。结果：情绪、焦虑、人格和非法物质使用障碍与持续性尼古丁依赖的风险显著增加相关。在调整人口统计学差异后，这些关系的强度略有减弱，但仍具有统计学意义。持续性尼古丁依赖是更常见的未婚，年轻的女性，收入水平较低，教育程度较低acquisition.Conclusions：据我们所知，这项研究是第一个前瞻性地确定成人持续性尼古丁依赖的预测因素。我们的研究结果表明，将心理健康治疗纳入替代戒烟方法可能有助于提高这些计划的有效性，并且需要将这些服务更多地关注弱势群体，以减少普通人群中吸烟的持续差异。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Background: Evidence suggests that nicotine dependence is the key barrier to successful smoking cessation. No previous study has documented predictors of persistent nicotine dependence among adults in the community. The goal of this study is to prospectively identify predictors of continued nicotine dependence over a 3-year period among adults.Methods: Data were drawn from Waves I and II of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), a nationally representative sample of 34,653 adults in the United States. Logistic regression analyses were used to estimate the odds of persistent nicotine dependence at Wave 2 given the presence of various sociodemographic and psychiatric predictors at Wave 1.Results: Mood, anxiety, personality and illicit substance use disorders were associated with significantly increased risk of persistent nicotine dependence. The strength of these relationships was attenuated slightly after adjusting for demographic differences, but remained statistically significant. Persistent nicotine dependence was more common among unmarried, younger females with lower income levels and lower educational attainment.Conclusions: To our knowledge, this study is the first to prospectively identify predictors of persistent nicotine dependence among adults. Our results suggest that the incorporation of mental health treatment into alternative smoking cessation approaches may help to increase the effectiveness of these programs and that a greater focus of these services on vulnerable segments of the population is needed in order to reduce continued disparities in smoking in the general population. (C) 2011 Elsevier Ireland Ltd. All rights reserved.