探索与青少年吸烟,电子烟和情绪问题之间的关联相关的多种规范:多元宇宙分析
Jillian Halladay1, Rachel Visontay2, Matthew Sunderland2
1School of Nursing, McMaster University, Ontario, Canada; The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, New South Wales, Australia; Peter Boris Centre for Addictions Research, McMaster University/St. Joseph's Healthcare Hamilton, Ontario, Canada.
Addictive behaviors
|May 22, 2025
概括
青少年吸烟和电子烟经常与情绪问题同时发生. 然而,这些问题的关系在很大程度上取决于研究方法,特别是关于时间和混因素.
科学领域:
- 青少年健康 青少年健康
- 心理健康研究 心理健康研究
- 药物使用流行病学.
背景情况:
- 青少年吸烟和电子烟的比例在过去二十年中发生了重大变化.
- 了解青少年中物质使用和情绪问题的同时发生对于公共卫生政策和预防策略至关重要.
- 研究人员在定义,操作化和建模这些关系方面的决定可以影响研究结果.
研究的目的:
- 通过使用多元宇宙分析,调查青少年吸烟,电子烟和情绪问题的同时发生.
- 评估各种方法选择 (如操作化,混,时间性) 对观察到的关系的影响.
- 为了更好地了解青少年吸毒与情绪健康之间的联系.
主要方法:
- 从2021-2022年对6639名澳大利亚青少年 (年龄为14.7-15.7岁) 的长度研究.
- 采用多元宇宙分析,生成3,648个独特模型来探索所有合理的规格.
- 检查了不同定义对情绪问题,混因素和时间关系的影响.
主要成果:
- 在未调整或人口调整的横截面模型中观察到吸烟/vaping和情绪问题之间的一致共发生.
- 关系的暂时性是显著的,在吸烟报告之前,情绪问题更频繁 (88%) 比反过来 (9%).
- 专注于抑郁症的测量结果显示,与焦虑度的测量结果相比,与吸烟/吸烟的关联更强烈,诸如行为问题,多动症和其他物质使用等混因素解释了许多观察到的关联.
结论:
- 青少年吸烟/吸烟和情绪问题经常同时发生,但这种关联的强度对方法论决策敏感.
- 时机的选择,情绪问题的定义,以及混因素的选择都会对研究结果产生重大影响.
- 在解释青少年吸毒和心理健康的研究时,政策和预防工作必须仔细考虑这些方法细微差别.
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