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首页> 外文期刊>Risk analysis >Cigarette Smoking and Multiple Health Risk Behaviors: A Latent Class Regression Model to Identify a Profile of Young Adolescents
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Cigarette Smoking and Multiple Health Risk Behaviors: A Latent Class Regression Model to Identify a Profile of Young Adolescents

机译：吸烟和多种健康风险行为：识别年轻青少年剖面的潜在类回归模型

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Cigarette smoking is often established during adolescence when other health-related risk behaviors tend to occur. The aim of the study was to further investigate the hypothesis that risky health behaviors tend to cluster together and to identify distinctive profiles of young adolescents based on their smoking habits. To explore the idea that smoking behavior can predict membership in a specific risk profile of adolescents, with heavy smokers being more likely to exhibit other risk behaviors, we reanalyzed the data from the 2014 Health Behaviour in School-Aged Children Italian survey of about 60,000 first- and third-grade junior high school (JHS) and second-grade high school (HS) students. A Bayesian approach was adopted for selecting the manifest variables associated with smoking; a latent class regression model was employed to identify smoking behaviors among adolescents. Finally, a health-related risk pattern associated with different types of smoking behaviors was found. Heavy smokers engaged in higher alcohol use and abuse and experienced school failure more often than their peers. Frequent smokers reported below-average academic achievement and self-rated their health as fair/poor more frequently than nonsmokers. Lifetime cannabis use and early sexual intercourse were more frequent among heavy smokers. Our findings provide elements for constructing a profile of frequent adolescent smokers and for identifying behavioral risk patterns during the transition from JHS to HS. This may provide an additional opportunity to devise interventions that could be more effective to improve smoking cessation among occasional smokers and to adequately address other risk behaviors among frequent smokers.
机译：当其他健康相关的风险行为往往发生时，往往在青春期建立了吸烟。该研究的目的是进一步研究风险健康行为倾向于聚集在一起的假设，并根据吸烟习惯确定年轻青少年的独特谱。为了探讨吸烟行为可以预测青少年特定风险概况的成员，重量吸烟者更有可能展现出其他风险行为，我们从2014年校龄儿童的健康行为中重新分析了大约60,000次的学龄儿童的健康行为的数据 - 三年级初中（JHS）和二级高中（HS）学生。采用贝叶斯方法来选择与吸烟相关的清单变量;采用潜在的回归模型来识别青少年之间的吸烟行为。最后，发现了与不同类型的吸烟行为相关的健康相关的风险模式。重量吸烟者从事酒精使用更高的酒精和滥用，比同龄人更频繁地失败。频繁的吸烟者报告的学术成就低于平均水平，并将其作为公平/穷人的健康更频繁地是不常用的。终身大麻使用和早期性交在重型吸烟者中更频繁。我们的调查结果提供了构建频繁青少年吸烟者的轮廓，并在从JHS到HS过渡期间识别行为风险模式的要素。这可能会提供额外的机会，可以制定可能更有效的干预措施，这些干预措施可以更有效地改善偶尔的吸烟者之间的吸烟，并充分解决频繁吸烟者之间的其他风险行为。

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