在新兴成年期吸烟:在德克萨斯州一个多元化的队列中,大麻和雪茄的共同使用的转变的特征
Dale S Mantey1, LaTrice Montgomery2, Baojiang Chen3
1UTHealth, University of Texas School of Public Health, Department of Health Promotion and Behavioral Science, USA; UTHealth, University of Texas School of Public Health, Department of Epidemiology, Human Genetics & Environmental Sciences, USA; Michael and Susan Dell Center for Healthy Living, USA.
Addictive behaviors
|May 28, 2024
概括
黑人和西班牙裔年轻人开始吸烟的比例更高. 酒精使用与所有种族群体的抽烟增加有关,这凸显了有针对性的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 药物使用研究研究 药物使用研究
背景情况:
- 抽烟是青少年和年轻人普遍的行为,需要详细描述行为转变的特征.
- 了解开始,发病,持续和停止模式对于制定有效的预防和干预策略至关重要.
研究的目的:
- 分析和比较在青少年和年轻成年人的多样性队列内粗的吸烟行为中的过渡.
- 确定与这些转变相关的人口和行为预测因素,特别关注种族/种族和酒精使用.
主要方法:
- 一项使用德克萨斯州青少年烟草和营销监测 (TATAMS) 系统的纵向研究,从2610名参与者 (在基线时年龄为16.5-20.1岁) 中进行了14,152次观察.
- 一个三态马尔科夫模型被用来估计粗的吸烟行为中的过渡.
- 分析比较了种族/种族的过渡和分层模型,确定了包括性别,年龄,酒精使用,抑郁,焦虑和雪茄吸烟在内的预测因素.
主要成果:
- 与非西班牙裔白人 (NHWs) 相比,非西班牙裔黑人 (NHB) 和西班牙裔参与者表现出明显更高的抽烟开始风险.
- 吸烟者显示继续吸烟的风险增加,戒烟的风险降低.
- 酒精使用是所有种族/族群 (NHW,NHB,西班牙裔) 患病风险更高的重要预测因素.
结论:
- 在NHB和西班牙裔年轻人中,粗暴的吸烟开始最为普遍,NHB也显示出更高的持续使用.
- 酒精使用和抽烟开始/开始之间的强烈联系需要进一步的研究和针对年轻人的有针对性的公共卫生干预措施.
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