Identifying demographic and psychosocial factors related to the escalation of smoking behavior among Mexican American adolescents
| Autor: | Anna V. Wilkinson, Sahil S. Shete |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Adolescent Epidemiology Population Psychological intervention 030508 substance abuse Social Environment Peer Group Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Environmental health Mexican Americans Medicine Humans 030212 general & internal medicine Risk factor education Mexico Demography education.field_of_study Cancer prevention business.industry Smoking Public Health Environmental and Occupational Health United States Adolescent Behavior Cohort Anxiety Female medicine.symptom 0305 other medical science business Psychosocial Acculturation Social status |
| Zdroj: | Preventive medicine. 99 |
| ISSN: | 1096-0260 2010-2011 |
| Popis: | Cigarette smoking is the leading preventable cause of death in the United States; smoking in Mexican American adolescents, a rapidly growing population, remains a major concern. Factors associated with escalation or progression along the smoking trajectory have not been studied in adolescent Mexican Americans. A better understanding of escalation is needed for cancer prevention and overall health. N=1,328 Mexican American adolescents joined a cohort in 2005-06. At baseline participants provided demographic, acculturation and psychosocial data, and reported their smoking status using the Minnesota Smoking Index. Those that never tried a cigarette or only had a few puffs in their life were included in this study. The primary outcome of interest, escalation in smoking status, was defined as moving up the Minnesota Smoking Index by 2010-2011. The current analysis is based on 973 participants of whom 48.2% were male, mean age=11.8 (SD=0.8), and 26.0% were born in Mexico. By 2010-2011, 283 (29%) escalated their smoking status and 690 (71%) remained the same. Being older (OR=1.30; CI=1.07-1.57), male (OR=1.88, CI=1.40-2.53), having higher levels of anxiety (OR=1.03, CI=1.02-1.05), intending to smoke (OR=1.70, CI=1.18-2.46), having friends who smoke (OR=1.73, CI=1.12-2.70) and having parents' friends who smoke (OR=1.38, CI=1.02-1.88) increased risk for smoking escalation. Higher levels of subjective social status (OR=0.91, CI=0.83-0.99) were protective against smoking escalation. Contrasting previous work in smoking experimentation, parents' friends influence was a stronger predictor than the family household influence. Preventative interventions for Mexican American youth could address this risk factor to reduce smoking escalation. |
| Databáze: | OpenAIRE |
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