Bio-Behavioral and Environmental Factors in Teen Smoking

青少年吸烟的生物行为和环境因素

• 批准号: 6743412
• 负责人: HYOSHIN KIM
• 金额: $ 9.81万
• 依托单位: BATTELLE CENTERS/PUB HLTH RES & EVALUATN
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6743412
• 关键词: adolescence (12-20); behavioral /social science research tag; child rearing; clinical research; drug controls; family structure /dynamics; human data; longitudinal human study; parents; peer group; psychobiology; role model; secondary schools; smoking; socioenvironment; substance abuse related behavior; tobacco abuse; tobacco abuse prevention

DESCRIPTION (provided by applicant): The purpose of this proposal is to investigate the inter-relationships between bio-behavioral and environmental factors in adolescent tobacco use. A multilevel analysis of The National Longitudinal Study of Adolescent Health (Add Health) will assess multiple influences on adolescent smoking. The rationale underlying the multilevel approach is that no single factor from one level has been identified that completely accounts for adolescent tobacco use. Instead, a complex interaction between risk and protective factors from proximal and distal environments requires the adoption of a multi-faceted approach. The proposed study will examine the effect of state and school tobacco control policies on adolescent smoking behavior as moderated by parental smoking and parenting styles while controlling for individual demographic characteristics. The approach to achieve this goal is to specify and estimate a model combining bio-behavioral and environmental influences using a nationally-representative data set. Neither the bio-behavioral influences models nor the environmental influences models alone adequately explain why adolescents take up smoking and why they continue to smoke. The proposed study will use a novel approach in that it incorporates these two approaches in a multilevel analysis of smoking behavior in youth, which permits more precision in the estimates of the effects of the conjunction of various policies and factors by accurately accounting for nonindependence effects associated with each level of the model. Nationally representative data from Add Health, Waves I and III (a 5-year longitudinal survey) will be used to estimate a mixed-effects model with fixed effects and two-levels of random effects from state and school. The findings will inform tobacco control policy makers as to how to direct spending so as to maximize efficacy in terms of the prevention of smoking initiation in the short term and the promotion of cessation in general in the long term.

描述（由申请人提供）： 该提案的目的是研究青少年烟草使用中生物行为和环境因素之间的关系。对国家青少年健康纵向研究（ADD健康）的多层次分析将评估对青少年吸烟的多种影响。多级方法的基本原理是，尚未确定一个完全解释青少年烟草使用的单个因素。取而代之的是，近端和远端环境中风险与保护因素之间的复杂相互作用需要采用多方面的方法。 拟议的研究将研究州和学校烟草控制政策对青少年吸烟行为的影响，同时由父母的吸烟和育儿方式进行调节，同时控制个体人口统计学特征。实现这一目标的方法是使用全国代表性的数据集指定和估计结合生物行为和环境影响的模型。生物行为影响模型和环境影响模型都没有充分解释青少年在吸烟以及为什么继续吸烟的原因。拟议的研究将使用一种新颖的方法，因为它将这两种方法纳入了青年吸烟行为的多层次分析中，这可以在估计各种政策和因素的效果的估计中，通过准确考虑与模型的每个级别相关的非独立效应，从而更加准确。来自ADD健康，WAVE I和III（一项为期5年的纵向调查）的全国代表性数据将用于估算具有固定效果和两级随机效应的混合效应模型。 这些发现将告知烟草控制决策者如何指导支出，以便在短期内预防吸烟启动以及长期促进戒烟方面最大化疗效。