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：
7891342
负责人：
JUDITH S BROOK
金额：
$ 59.43万
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 2013-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7891342
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 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 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 social 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.

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年妇女烟草使用和依赖性的病因学预测因子和后果。我们与晚期中年经验有关的重点将放在更广泛的社会环境背景下（例如，邻里服务和组织，邻里凝聚力，社交网络和社会支持），与与烟草使用和依赖，毒品使用，健康相关的个人因素互动和心理病理学。 1975年的原始样本由平均年龄32岁（T1）的妇女组成。随后，当妇女的平均年龄40岁（T2），42（T3）和47（T4）时，对妇女进行了采访。当参与者平均年龄为62岁时，提出了第五次数据收集（T5），以完成以下操作：（1）检查人格的相互关系和互动（包括心理病理学），家人，朋友和社会环境背景。与随着时间的流逝（即稳定性和变化）和停止相关的烟草使用和依赖的过程相关的因素；（2）研究长期烟草使用以及对妇女的心理病理学和功能的依赖的后果；（3）检查两代人的烟草依赖性和停止的影响。训练有素的访调员将在参与者的家中进行访谈。将开发具有测量自变量的足够心理测量特性的量表。主要的分析技术将是因果分析，逻辑回归分析和生长混合物建模。这项研究对公共卫生的意义在于在几个关键发展阶段可用的人际，人际和社区纵向数据。由于烟草使用是女性许多不良健康结果（例如癌症）的主要预测指标，因此这项研究将与国家癌症研究所的使命具有很大的意义。了解从32岁到62岁的烟草依赖性的纵向途径以及烟草使用停止的知识将有助于提供详细的和具体的治疗指南。这项研究也是独一无二的，因为可以评估烟草使用和依赖性的长期影响。此外，通过确定可以减轻烟草使用的不利影响以及对中年后期妇女功能的不利影响的保护因素，我们可以提供有效治疗工作和公共政策所需的其他信息。