防止年轻人过渡使用多种烟草：减少吸烟干预试验的潜在转变分析。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-11-02 DOI:10.1016/j.addbeh.2024.108195

Lisbeth Lund, Christian Ritz, Lotus Sofie Bast, Marie Pil Jensen, Susan Andersen

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引用次数: 0

摘要

目的：青少年使用多种烟草的趋势不断升级，这令人担忧，因为使用多种烟草会对健康造成更大的影响。本研究旨在重新分析一项减少吸烟干预措施的数据，应用潜伏转变分析法（LTA）探讨减少吸烟干预措施对烟草和尼古丁使用行为模式（尤其是多烟草使用）随时间转变的影响。此外，还探讨了社会人口变量对过渡模式的影响：从 2018 年到 2020 年，在丹麦的 14 所职业学校开展了一项双臂随机对照试验，评估一项以学校综合烟草政策为重点的减少吸烟干预措施。基线调查和五个月的随访调查评估了香烟、电子烟、无烟烟草和水烟的自我报告使用情况。本研究是利用潜伏转换分析（LTA）进行的二次数据分析。该试验的主要分析未发现干预措施对烟草使用有显著的总体影响：共有 2,158 名学生完成了基线和/或跟踪调查（平均年龄：20.8 岁，49.5% 为女性）。在这两个时间点，出现了三种潜在的烟草和尼古丁使用行为类别（非烟草使用者、香烟使用者和多种烟草使用者）。与对照组学校的学生相比，干预组学校的学生从基线使用香烟过渡到后续使用多种烟草的几率降低了36%（OR = 0.64; 95 % CI 0.41,0.99，p = 0.047）。男性和年龄较小的学生从吸烟过渡到吸食多种烟草的几率更高。相比之下，非丹麦裔学生从使用多种烟草过渡到不使用多种烟草的几率增加：本研究表明，减少吸烟的干预措施能有效减少职业学校学生使用多种烟草的情况。

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Preventing the transitions in poly-tobacco use among young adults: A latent transition analysis of a smoking reduction intervention trial

Objective

The escalating trends in poly-tobacco use among young people are worrying due to the heightened health consequences associated with use. This study aims to re-analyze data from a smoking reduction intervention applying latent transition analysis (LTA) to explore the effect of a smoking reduction intervention on the transition between tobacco and nicotine use behavior patterns, particularly poly-tobacco use, over time. Additionally, the effect of sociodemographic variables on transition patterns was explored.

Methods

From 2018 to 2020, a two-armed randomized controlled trial was conducted to evaluate a smoking reduction intervention focusing on a comprehensive school tobacco policy across 14 vocational schools in Denmark. Baseline and five-month follow-up surveys assessed self-reported use of cigarettes, e-cigarettes, smokeless tobacco, and waterpipe. This study was a secondary data analysis using latent transition analysis (LTA). The primary analysis of the trial did not find a significant overall effect of the intervention on tobacco use.

Results

A total of 2,158 students completed the baseline and/or follow-up surveys (mean age: 20.8 years, 49.5 % female). At both time points, three latent classes of tobacco and nicotine use behavior emerged (non-users, cigarette users, and poly-tobacco users). Intervention school students had 36 % lower odds of transitioning from cigarette use at baseline to poly-tobacco use at follow-up (OR = 0.64; 95 % CI 0.41,0.99, p = 0.047) compared to control school students. Males and younger students had increased odds of transitioning from cigarette use to poly-tobacco. In contrast, students of non-Danish origins had increased odds of transitioning from poly-tobacco use to non-use.

Conclusions

This study demonstrates the effectiveness of a smoking reduction intervention in reducing the progression toward poly-tobacco use among vocational school students.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.