A Longitudinal Study of the Predictors of Smoking in Women in Late Midlife

中年晚期女性吸烟预测因素的纵向研究

基本信息

批准号：
8298609
负责人：
JUDITH S BROOK
金额：
$ 51.2万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-05 至 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8298609
关键词：
Adoption Adult Adult Children Adverse effects Age Area Behavior Behavioral Characteristics Cohort Studies Communities Conflict (Psychology)Data Data Collection Data Set Dependence Development Drug abuse Drug usage Ecology Economics Educational Status Employment Etiology Family Family Relationship Family history of Family member Frequencies Friends Generations Goals Growth Guidelines Health Health behavior Home environment Individual Interview Interviewer Investigation Knowledge Life Life Style Light Link Logistic Regressions Long-Term Effects Longitudinal Studies Malignant Neoplasms Marriage Measures Mediator of activation protein Mental disorders Methods Mission Modeling National Cancer Institute Neighborhoods Occupational Status Occupations Outcome Parents Participant Pathway interactions Pattern Performance at work Personality Positioning Attribute Predictive Value Property Psychometrics Psychopathology Psychosocial Factor Psychosocial Influences Public Health Public Policy Random Allocation Recording of previous events Regression Analysis Relative (related person)Research Retirement Risk Risk Factors Role Sampling Services Smoking Social Network Social support Spouses Staging Techniques Time Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Training Woman Work anti social base cohesion cohort contextual factors cost effective therapy emerging adult environmental stressor experience maternal tobacco use middle age next generation offspring peer psychologic psychosocial smoking cessation transmission process

项目摘要

DESCRIPTION (provided by applicant): The overall goals of this longitudinal study are to examine etiologic predictors and consequences of women's tobacco use and dependence in late midlife. Our focus related to the late midlife experience will be on the broader socioenvironmental context (e.g., neighborhood services and organizations, neighborhood cohesion, social network, and social support), in interaction with individual factors related to tobacco use and dependence, drug use, health, and psychopathology. The original sample in 1975 consisted of women whose average age was 32 (T1). Subsequently, the women were interviewed when their average age was 40 (T2), 42 (T3), and 47 (T4). A fifth data collection (T5) for the women is proposed when the participants are an average age of 62, in order to accomplish the following: (1) examine interrelations and interactions of personality (including psychopathology), family, friend, and socioenvironmental contextual factors as they relate to the course of tobacco use and dependence over time (i.e., stability and change) and cessation; (2) study the consequences of long-term tobacco use and dependence on women's psychopathology and functioning; and (3) examine the impact of tobacco dependence and cessation across two generations. Interviews will be conducted in the participants' homes by trained interviewers. Scales with adequate psychometric properties measuring the independent variables will be developed. The primary analytic techniques will be causal analysis, logistic regression analysis, and growth mixture modeling. The significance of this study for public health lies in the intrapersonal, interpersonal, and neighborhood longitudinal data available at several crucial stages of development. Since tobacco use is a major predictor of many adverse health outcomes in women (e.g., cancer), this study will have great relevance for the mission of the National Cancer Institute. Knowledge of the longitudinal pathways to tobacco dependence from age 32 to 62 and the cessation of tobacco use will help provide detailed and specific guidelines for treatment. This study is also unique in that the long-term effects of tobacco use and dependence can be evaluated for their cumulative impact. In addition, by identifying protective factors that can mitigate the adverse effects of tobacco use and dependence on women's functioning in late midlife, we can provide additional information necessary for effective treatment efforts and public policy. 7. PROJECT NARRATIVE Knowledge of the longitudinal pathways to tobacco dependence from age 32 to 62 and the cessation of tobacco use will help provide detailed and specific guidelines for treatment. This study is also unique in that the long-term effects of tobacco use and dependence can be evaluated for their cumulative impact. In addition, by identifying protective factors that can mitigate the adverse effects of tobacco use and dependence on women's functioning in late midlife, we can provide additional information necessary for effective treatment efforts and public policy.

描述（由申请人提供）：这项纵向研究的总体目标是检查中年晚期女性烟草使用和依赖的病因预测因素和后果。我们与中年晚期经历相关的重点将放在更广泛的社会环境背景上（例如，社区服务和组织、社区凝聚力、社交网络和社会支持），以及与烟草使用和依赖、吸毒、健康相关的个人因素的相互作用。和精神病理学。 1975 年的原始样本由平均年龄为 32 岁的女性组成（T1）。随后，这些女性在平均年龄为 40 岁（T2）、42 岁（T3）和 47 岁（T4）时接受采访。当参与者的平均年龄为 62 岁时，建议对女性进行第五次数据收集（T5），以便完成以下任务：（1）检查人格（包括精神病理学）、家庭、朋友和社会环境背景的相互关系和相互作用与烟草使用过程和依赖随时间变化（即稳定性和变化）以及戒烟有关的因素； (2) 研究长期吸烟和依赖烟草对妇女心理病理和功能的影响； (3) 研究烟草依赖和戒烟对两代人的影响。访谈将由经过培训的访谈员在参与者家中进行。将开发具有足够的心理测量特性来测量自变量的量表。主要的分析技术是因果分析、逻辑回归分析和增长混合模型。这项研究对公共卫生的意义在于提供了几个关键发展阶段的个人内部、人际和邻里纵向数据。由于烟草使用是女性许多不良健康后果（例如癌症）的主要预测因素，因此这项研究与国家癌症研究所的使命具有很大的相关性。了解 32 岁至 62 岁之间烟草依赖的纵向途径以及戒烟将有助于提供详细且具体的治疗指南。这项研究的独特之处还在于可以评估烟草使用和依赖的长期影响的累积影响。此外，通过确定可以减轻烟草使用和依赖对中年晚期妇女功能的不利影响的保护因素，我们可以为有效的治疗工作和公共政策提供必要的额外信息。 7. 项目叙述了解 32 岁至 62 岁之间烟草依赖的纵向途径以及戒烟将有助于提供详细而具体的治疗指南。这这项研究的独特之处还在于，烟草使用和依赖的长期影响可以通过评估其累积影响。此外，通过识别可以减轻烟草使用和依赖对妇女晚期功能的不利影响中年时，我们可以提供有效治疗所需的额外信息，公共政策。