PREVENTING INITIATION OF SMOKING BY CHILDREN

在童年时第一次吸烟的年轻人正处于兴奋状态 随后对烟草上瘾的风险，以及父母 吸烟对提早发病的风险很高。 抽烟。几乎没有什么程序可以用来 防止在儿童时期开始吸烟，而且没有一个是 旨在通过以下方式防止早期启动的可用工具 吸烟的父母改变了孩子吸烟的特殊性 社交。该项目测试了一项创新计划，以 改变家庭中儿童吸烟的社会化 父母抽烟的地方。目标1：在童年时期 多年来，通过沟通、建模、角色设定、监测、 指导经验和其他社交实践，父母 影响他们的孩子对艾滋病流行的看法 吸烟、吸烟的可接受性、可获得性 香烟，以及吸烟的个人和社会后果。 这项研究的一个前提是所有的父母，包括父母 吸烟的人，可以从事反吸烟的社交活动，而且 禁烟社交可以降低儿童吸烟的风险。 以家庭为基础的反吸烟社会化计划的组成部分 专门针对吸烟父母的已经开发出来了。 拟议的项目将最终确定该计划的开发 通过纳入已完成的可行性研究的信息 对122名吸烟的父母进行了调查。目标2：随机化的 对照研究将测试禁烟的效果 儿童易感性行为的社会化与启蒙 抽烟。样本：864个非概率样本 将招募母子配对，纳入标准为 指定母亲、继母或其他母亲人物 来自有男性或女性的单亲或双亲家庭 在基线上达到三年级的儿童有资格参加。 设计：完成Badline调查的合格配对将为 随机分配到治疗组(禁烟社会化 程序)或控制条件。关于计划的跟踪数据 执行情况将通过电话访问获得，访问地址为 妈妈们每个月都要治疗后。关于计划的跟踪数据 将通过在学校进行的调查来获得效果 基线后12、24和36个月的儿童。假设： 儿童接触反吸烟社交的程序由 吸烟的母亲将不太容易吸烟，并报告说 与未接触过的同龄人相比，开始吸烟的人数较少。分析：A 稍后将使用过渡模型来测试 禁烟社会化对儿童易感性行为的影响 抽烟。生存分析将被用于测试 禁烟社会化对儿童成长的影响 吸烟的人。

Youth who first smoke cigarettes during childhood are at high risk for subsequent addiction to tobacco, and youth whose parents smoke cigarettes are at high risk for early initiation of cigarette smoking. Few programs are available that aim to prevent initiation of smoking during childhood, and none is available that aim to prevent early initiation by engaging parents who smoke in altering children's smoking-specific socialization. This project tests an innovative program to change smoking-specific socialization of children in households where parents smoke cigarettes. Aim 1: During the childhood years, through communication, modeling, role setting, monitoring, guided experience, and other socialization practices, parents influence their children's perceptions of the prevalence of smoking, the acceptability of smoking, the accessibility of cigarettes, and the personal and social consequences of smoking. A premise of this research is that all parents, including parents who smoke, can engage in anti-smoking socialization, and that anti-smoking socialization can lower children's risk of smoking. Components of a home-based anti-smoking socialization program specifically for parents who smoke have already been developed. The proposed project will finalize development of this program by incorporating information from a completed feasibility study conducted with 122 parents who smoke. Aim 2: A randomized controlled study will test the effects of anti-smoking socialization on children's susceptibility to and initiation of cigarette smoking. Sample: A nonprobability sample of 864 mother-child pairs will be recruited, where inclusion criteria specify that mothers, step-mothers, or other maternal figures from single or two-parent households who have male or female children who will be in the 3rd grade at baseline are eligible. Design: Eligible pairs who complete the badeline survey will be randomly assigned to the treatment (anti-smoking socialization program) or control condition. Follow-up data on program implementation will be obtained via telephone interviews from mothers I month post-treatment. Follow-up data on program effects will be obtained using surveys administered at school to children at 12, 24, and 36 months post-baseline. Hypothesis: Children exposed to a grogram of anti-smoking socialization by mothers who smoke will be less susceptible to smoking and report less initiation of smoking than unexposed peers. Analyses: A later transition model will be used to test the effects of anti-smoking socialization on children's susceptibility to cigarette smoking. Survival analysis will be used to test the effects of anti-smoking socialization on children's initiation of cigarette smoking.