Longitudinal Examination of Loneliness and Smoking in Adolescents and Young Adults: A Multiple Dataset Study.

IF 2.8 3区医学 Q2 PSYCHIATRY

International Journal of Mental Health and Addiction Pub Date : 2026-01-01 Epub Date: 2025-08-05 DOI:10.1007/s11469-025-01522-1

Maaike Verhagen, Desi Beckers, Nina van den Broek, Kirsten J M van Hooijdonk, Suhaavi Kochhar, Laila Qodariah, Milagros Rubio, Eveline Sarintohe, Jacqueline M Vink

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Abstract

Loneliness might be associated with smoking, especially in youth. We examined temporal associations from loneliness to smoking behaviours among adolescents and young adults using a multi-dataset approach. For adolescents (sample 1: N = 600, M _age = 12.6, 52.7% female; sample 2: N = 551, M _age = 12.8, 54.3% female; sample 3: N = 261, M _age = 13.8, 46.7% female), discrete-time survival analyses revealed that loneliness did not predict smoking initiation over time. For young adults (sample 4: N = 2,636, M _age = 21.7, 70.5% female; sample 5: N = 404, M _age = 22.6, 65.6% female), structural equation models revealed that baseline loneliness did not predict smoking status (non-smoker/occasional smoker/regular smoker) after 6 and 18 months (except in sample 4 after 18 months; β = 0.07, p = 0.035). Complementary analyses showed that baseline loneliness preceded regular but not occasional smoking. Utilizing multiple datasets enabled focusing on overall patterns and obtaining robust insights. Future studies could explore at-risk subgroups. With complex behaviours like smoking, many risk factors play a role, each having small effects.

Supplementary information: The online version contains supplementary material available at 10.1007/s11469-025-01522-1.

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青少年和年轻人孤独感与吸烟的纵向研究：一项多数据集研究。

孤独可能与吸烟有关，尤其是在年轻人中。我们使用多数据集方法研究了青少年和年轻人中孤独感与吸烟行为之间的时间关联。对于青少年（样本1:N = 600，男性年龄= 12.6，女性占52.7%；样本2:N = 551，男性年龄= 12.8，女性占54.3%；样本3:N = 261，男性年龄= 13.8，女性占46.7%），离散时间生存分析显示，孤独感并不能随时间推移预测吸烟的开始。对于年轻人（样本4:N = 2636， M年龄= 21.7，女性占70.5%；样本5:N = 404， M年龄= 22.6，女性占65.6%），结构方程模型显示，基线孤独不能预测6个月和18个月后的吸烟状况（不吸烟者/偶尔吸烟者/经常吸烟者）（样本4除外，18个月后；β = 0.07, p = 0.035）。补充分析显示，基线孤独感先于定期吸烟，而不是偶尔吸烟。利用多个数据集可以专注于整体模式并获得可靠的见解。未来的研究可以探索有风险的亚组。对于像吸烟这样的复杂行为，许多风险因素都起作用，每个因素的影响都很小。补充信息：在线版本包含补充资料，下载地址：10.1007/s11469-025-01522-1。

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来源期刊

International Journal of Mental Health and Addiction SUBSTANCE ABUSE-PSYCHIATRY

CiteScore

15.90

自引率

2.50%

发文量

245

审稿时长

6-12 weeks

期刊介绍： The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.