PREVENTING INITIATION OF SMOKING BY CHILDREN

在童年时期第一次吸烟的青少年， 吸烟成瘾的风险，以及父母 吸烟者有很高风险， 吸烟。 很少有计划旨在 防止在儿童时期开始吸烟，没有一个是 旨在通过参与防止早期启动 吸烟的父母在改变孩子的吸烟特异性 社会化 该项目测试了一个创新的程序， 改变家庭中儿童因吸烟而进行的社会化 父母抽烟的地方 目标1：童年时期 多年来，通过沟通，建模，角色设定，监控， 指导经验和其他社会化实践，父母 影响他们的孩子对流行病的看法 吸烟，吸烟的可接受性， 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，可以参与反吸烟社会化， 反吸烟社会化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 专门为吸烟的父母设计的。 拟议的项目将完成该计划的开发 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。 目的2：随机 一项对照研究将测试戒烟的效果 社会化对儿童的易感性和启动 吸烟。 样本：864个非概率样本 将招募母子配对，其中入选标准 指明母亲、继母或其他母亲形象 来自单亲或双亲家庭， 基线时将在三年级的儿童有资格参加。 设计：完成badeline调查的合格配对将 随机分配到治疗组（反吸烟社会化 程序）或控制条件。 项目随访数据 实施情况将通过电话采访获得， 治疗后一个月的母亲。 项目随访数据 将使用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： 儿童接触到一个反吸烟社会化的程序， 吸烟的母亲不易受吸烟的影响， 比未暴露的同龄人少开始吸烟。 分析：A 稍后的过渡模型将被用来测试的影响， 反吸烟社会化对儿童吸烟易感性的影响 吸烟。 生存分析将用于检验 反吸烟社会化对儿童启蒙的影响 吸烟的危害。

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.