Youth susceptibility to tobacco use: is it general or specific?

Autor: Cheng HG; Altria Client Services LLC, 601 E. Jackson, Richmond, VA, 23219, USA. hui.cheng@altria.com., Lizhnyak PN; Altria Client Services LLC, 601 E. Jackson, Richmond, VA, 23219, USA., Knight NA; Altria Client Services LLC, 601 E. Jackson, Richmond, VA, 23219, USA., Vansickel AR; Altria Client Services LLC, 601 E. Jackson, Richmond, VA, 23219, USA., Largo EG; Altria Client Services LLC, 601 E. Jackson, Richmond, VA, 23219, USA.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2021 Oct 21; Vol. 21 (1), pp. 1913. Date of Electronic Publication: 2021 Oct 21.
DOI: 10.1186/s12889-021-11956-6
Abstrakt: Background: Susceptibility to tobacco use predicts tobacco use onset among youth. The current study aimed to estimate the extent of overlap in susceptibilities across various tobacco products, investigate sociopsychological correlates with susceptibilities, and examine whether the relationship linking susceptibility with the onset of use is product-specific or is accounted for by a general susceptibility-onset relationship.
Methods: The study population consisted of US youth 12-17 years old who had never used a tobacco product, sampled in the longitudinal Population Assessment of Tobacco and Health study wave 4 (Dec. 2016-Jan. 2018; n = 10,977). Tobacco product-specific susceptibility at wave 4 was assessed via questions about curiosity, likelihood to try, and likelihood of use if a best friend offered. The onset of use of various tobacco products was defined as first use occurring between the wave 4 and wave 4.5 (Dec. 2017-Dec. 2018) assessments (n = 8841). Generalized linear regression and structural equation models were used for data analysis.
Results: There is a large degree of overlap in susceptibilities across tobacco products (65% of tobacco-susceptible youth were susceptible to more than one tobacco product). Tobacco-susceptible youths were more likely to have recently used cannabis, consumed alcohol, or to have been associated with tobacco-using peers. Structural equation models suggest that the susceptibility-onset relationship largely operates in a non-product-specific manner after accounting for the general susceptibility-to-tobacco-onset relationship.
Conclusions: Youth susceptibility to tobacco use overlaps widely across different tobacco products and other risky behaviors. Findings from this study support a holistic approach towards the prevention of risk behaviors, supplemented by product-specific strategies when needed.
(© 2021. The Author(s).)
Databáze: MEDLINE
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