青少年对香烟的显性和隐性认知可预测对香烟和电子烟的尝试。

IF 2.7 3区 医学 Q2 PSYCHOLOGY, CLINICAL American Journal of Drug and Alcohol Abuse Pub Date : 2024-05-03 Epub Date: 2024-05-20 DOI:10.1080/00952990.2024.2335979
Christopher Cappelli, James Russell Pike, Bin Xie, Alyssa Jenna Michaels, Alan W Stacy
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引用次数: 0

摘要

背景:尽管卷烟使用率有所下降,但青少年在过去一年、一个月和一生中的电子烟使用率仍然居高不下。以前的调查指出,个人对某一行为的积极和消极认知与随后开始该行为之间存在密切关系:本调查旨在确定与香烟相关的积极和消极的显性和隐性认知对高危、未吸食过香烟的青少年使用香烟和电子烟的影响:一项为期三年的纵向调查评估了香烟相关认知与随后香烟和电子烟使用之间的关系,调查对象是基线评估时从未吸过烟的 586 名高中生(女性:50.8%;平均年龄:17.4 岁;西班牙裔/拉丁裔:75.0%)。研究采用多层次逻辑回归模型得出人口统计学调整后的几率比(OR)和 95% 置信区间(95% CI):基线时对香烟有较高积极明确认知的学生随后吸烟的几率更大(OR = 1.72,95% CI 1.11-2.68)。如果学生的积极(OR = 3.45,95% CI 2.10-5.68)或消极(OR = 1.93,95% CI 1.03-3.61)显性香烟认知随时间推移有所增加,则使用香烟的几率也会增加。与负性隐性认知水平较低的学生相比,基线负性隐性香烟认知水平较高的学生同时使用香烟和电子烟的几率更大(OR = 2.07,95% CI 1.03-4.17):结论:与只注重增加个人对香烟或电子烟的负面认知的项目相比,注重减少与尼古丁和烟草使用相关的积极认知的预防项目可能会对减少烟草使用产生更大的整体影响。
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Adolescent's explicit and implicit cigarette cognitions predict experimentation with both cigarettes and e-cigarettes.

Background: Past year, month, and lifetime adolescent e-cigarette use rates remain persistently high, despite falling cigarette use rates. Previous investigations have noted a strong relationship between an individual's positive and negative cognitions related to a behavior, and subsequent initiation of that behavior.Objective: This investigation was conducted to determine the impact positive and negative explicit and implicit cigarette-related cognitions may have on the use of cigarettes and e-cigarettes among at-risk, cigarette-naive adolescents.Methods: A three-year longitudinal investigation evaluated the relationship between cigarette-related cognitions and subsequent cigarette and e-cigarette use among 586 alternative high school students (female: 50.8%; mean age: 17.4 years; Hispanic/Latino: 75.0%) who had never smoked cigarettes at the baseline assessment. Multilevel logistic regression models were used to generate demographics-adjusted odds ratios (OR) and 95% confidence intervals (95% CI).Results: Students with higher positive explicit cigarette cognitions at the baseline had greater odds of subsequent cigarette use (OR = 1.72, 95% CI 1.11-2.68). If students also reported an increase over time in positive (OR = 3.45, 95% CI 2.10-5.68) or negative (OR = 1.93, 95% CI 1.03-3.61) explicit cigarette cognitions, the odds of cigarette use increased. The odds of dual use of cigarettes and e-cigarettes were greater among students who had higher negative implicit cigarette cognitions at the baseline (OR = 2.07, 95% CI 1.03-4.17) compared to those with lower levels of negative implicit cognitions.Conclusion: Prevention programming that focuses on decreasing positive cognitions related to nicotine and tobacco use may have greater overall effect on decreasing use compared to programs that only focus on increasing negative cognitions individuals form surrounding cigarette or e-cigarettes.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
68
期刊介绍: The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration. Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
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