逆境调解 青少年的社会决定因素 烟草使用 启动
Shervin Assari1,2,3,4, Payam Sheikhattari5,6,7, Hossein Zare8,9
1Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States.
概括
健康的社会决定因素 (SDOH) 影响年轻人吸烟. 多维逆境部分调解了这种关系,这表明干预措施应该解决SDOH和青少年逆境.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响年轻人的健康行为,包括吸烟.
- 歧视,邻居压力,创伤和经济压力等不利因素可能会调解SDOH和青少年吸烟之间的联系.
- 了解这些调解因素对于制定有效的公共卫生战略至关重要.
研究的目的:
- 调查多维逆境是否调解SDOH对青少年烟草使用的影响.
- 检查所感知的歧视,生活创伤和财务压力作为调解者的作用.
- 分析家长教育,家庭收入,社区收入和家庭结构对烟草使用的影响.
主要方法:
- 利用了青少年大脑认知发展 (ABCD) 研究的数据 (n = 11,878).
- 分析了9-10岁的多元青年队伍,追踪到15-16岁.
- 采用结构方程模型来测试对烟草使用不利因素的调解效应.
主要成果:
- SDOH,包括父母教育,家庭收入,社区收入和家庭结构,通过逆境部分调解了青年烟草使用.
- 较高的父母教育和家庭收入与较低的烟草使用有关,这种关系因考虑逆境而减弱.
- 稳定的家庭结构和更高的社区收入也与减少吸烟相关,逆境起到了调解作用.
结论:
- 多维逆境部分调解了SDOH和随后的青少年烟草使用之间的联系.
- 针对青少年吸烟的干预措施应同时解决SDOH和青少年面临的多重逆境.
- 改善社会经济和环境因素的政策通过减少对逆境的暴露,减少了青少年的烟草使用.
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