与男孩相比,创伤和青春期提前可能是女孩早期吸烟的更强预测因素。

Journal of biomedical and life sciences Pub Date : 2025-01-01 Epub Date: 2025-01-23 DOI:10.31586/jbls.2025.1135
Shervin Assari, Hossein Zare
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引用次数: 0

摘要

目的:本研究探讨了社会经济地位(SES)、创伤、青春期提前和烟草使用之间的联系途径,重点研究了这些关系在性别上的差异。利用青少年大脑认知发展(ABCD)研究的数据,我们探讨了社会经济地位和种族如何影响创伤暴露,创伤暴露反过来可能影响青春期早期和烟草使用。该研究还研究了创伤和青春期提前对社会经济地位和烟草使用之间关系的潜在中介作用,同时比较了男性和女性的这些途径。方法:从ABCD研究中提取数据,采用结构方程模型(SEM)来检验SES、创伤、青春期早期和烟草使用之间的直接和间接途径。样本按性别分层,以评估男性和女性在这些关系中的差异。主要预测因素包括社会经济地位、种族和年龄,而结果是创伤、青春期提前和吸烟。该模型评估了创伤和青春期早期对烟草使用的中介作用。结果:创伤是女性青春期提前的显著预测因子(B = 0.032, SE = 0.015, p = 0.039),而男性没有。女性的青春期提前与烟草使用显著相关(B = 0.048, SE = 0.015, p = 0.001),但男性没有。此外,创伤对女性吸烟有影响(B = 0.048, SE = 0.014, p < 0.001),而对男性没有影响。社会经济地位越低,男性(B = -0.109, SE = 0.014, p < 0.001)和女性(B = -0.110, SE = 0.015, p < 0.001)的创伤暴露越高。结论:研究结果表明,与男性相比,创伤和青春期提前在女性从SES到烟草使用的途径中起着更重要的作用。虽然创伤和青春期提前是女性的重要媒介,但这些因素对男性的预测能力较弱。这些结果强调了针对创伤和青春期早期的性别特异性干预作为早期烟草使用途径的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trauma and Early Puberty May Be Stronger Predictors of Early Tobacco Initiation in Girls Compared to Boys.

Objective: This study investigates the pathways linking socioeconomic status (SES), trauma, early puberty, and tobacco use, with a focus on how these relationships differ by sex. Using data from the Adolescent Brain Cognitive Development (ABCD) study, we explore how SES and race contribute to trauma exposure, which in turn may influence early puberty and tobacco use. The study also examines potential mediating effects of trauma and early puberty on the association between SES and tobacco use, while comparing these pathways for males and females.

Methods: Data were drawn from the ABCD study, and structural equation modeling (SEM) was employed to test direct and indirect pathways between SES, trauma, early puberty, and tobacco use. The sample was stratified by sex to assess differences in these relationships for males and females. Key predictors included SES, race, and age, while outcomes were trauma, early puberty, and tobacco use. The model assessed mediating effects of trauma and early puberty on tobacco use.

Results: Trauma was a significant predictor of early puberty for females (B = 0.032, SE = 0.015, p = 0.039) but not males. Early puberty was significantly linked to tobacco use for females (B = 0.048, SE = 0.015, p = 0.001) but not for males. Additionally, trauma had an effect on tobacco use among females (B = 0.048, SE = 0.014, p < 0.001) but not males. Lower SES was significantly associated with higher trauma exposure for both males (B = -0.109, SE = 0.014, p < 0.001) and females (B = -0.110, SE = 0.015, p < 0.001).

Conclusions: The findings suggest that trauma and early puberty play more significant roles in the pathways from SES to tobacco use for females than for males. While trauma and early puberty are crucial mediators for females, these factors are less predictive for males. These results highlight the importance of sex-specific interventions targeting trauma and early puberty as pathways to early tobacco use.

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