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）： 该提案的目的是调查青少年吸烟中生物行为和环境因素之间的相互关系。国家青少年健康纵向研究（Add Health）的多层次分析将评估青少年吸烟的多重影响。多层次方法的基本原理是，尚未确定任何一个层次的单一因素可以完全解释青少年烟草使用。相反，来自近端和远端环境的风险和保护因素之间的复杂相互作用需要采用多方面的方法。 拟议的研究将考察州和学校控烟政策对青少年吸烟行为的影响，青少年吸烟行为受到父母吸烟和养育方式的调节，同时控制个人人口特征。实现这一目标的方法是使用具有全国代表性的数据集来指定和估计一个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不足以单独解释为什么青少年开始吸烟以及为什么他们继续吸烟。拟议的研究将使用一种新颖的方法，它将这两种方法纳入对青少年吸烟行为的多层次分析中，通过准确地考虑相关的非独立效应，可以更精确地估计各种政策和因素结合的影响。模型的每个级别。 Add Health、第 I 波和第 III 波（一项为期 5 年的纵向调查）的全国代表性数据将用于估计具有固定效应以及州和学校两级随机效应的混合效应模型。 研究结果将告知控烟政策制定者如何引导支出，以便在短期内预防吸烟和长期促进戒烟方面发挥最大功效。