二手烟暴露时间,水平和模式与早期酒精开始的关联:一个队列研究
Ling-Yin Chang1, Tung-Liang Chiang2
1Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
Drug and alcohol dependence
|October 16, 2023
概括
早期的二手烟 (SHS) 暴露,特别是产前,增加了青少年开始饮酒的风险. 纵向模式和累积暴露水平很重要,在这些关联中观察到的性别差异.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 青少年健康 青少年健康
背景情况:
- 关于早年接触二手烟 (SHS) 和青少年开始饮酒之间的纵向关系的研究有限.
- 在生命早期暴露于SHS会造成行为困难的风险,强调需要了解其对物质使用的影响.
- 调查SHS暴露的时间,水平和模式对于了解其长期影响至关重要.
研究的目的:
- 检查SHS暴露的时间,水平和模式之间的关联,从怀孕到童年和早期的酒精开始.
- 评估SHS暴露和早期酒精开始之间的关系中的潜在性别差异.
主要方法:
- 利用了来自台湾出生队列研究的16440名参与者的数据,这些数据是在从6个月到12岁的多个时间点收集的.
- 采用基于群体的轨迹建模,以识别随着时间的推移SHS暴露的不同模式.
- 进行多次后勤回归分析,以评估SHS暴露和酒精开始之间的关系,控制相关因素.
主要成果:
- 产前SHS暴露与早期酒精开始的风险增加显著相关 (aOR = 1.17).
- 与持续低暴露相比,持续高或产前高下降的SHS暴露模式的青少年的风险增加 (aORs分别为1.27和1.18).
- 更高的累积SHS暴露水平也与风险增加相关 (aOR = 1.03),并且观察到显著的性别差异.
结论:
- 早期生活中SHS暴露的时间,水平和纵向模式对早期酒精开始有不同的影响.
- 性差异在SHS暴露和青少年酒精使用之间的关联中发挥着作用.
- 针对SHS暴露的干预措施,考虑到其特定特征和性别差异,对于预防青少年使用酒精至关重要.
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