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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Comment on 'Modifiable family and school environmental factors associated with smoking status among adolescents in Guangzhou, China'.
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Comment on 'Modifiable family and school environmental factors associated with smoking status among adolescents in Guangzhou, China'.

机译：评论“中国广州青少年与吸烟状况有关的可调节家庭和学校环境因素”。

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Chen and colleagues describe social factors that are related with Chinese adolescent smoking behaviors [Chen, W., Wen, X., Muscat, J., et al., 2007-this issue. Modifiable family and school environmental factors associated with smoking status among adolescents in Guangzhou, China. Prev. Med. doi:10.1016/j.ypmed.2007.02.009]. These types of studies in China are very much needed given the fact that smoking is a significant health problem in China. Environmental factors may be more important than sometimes thought, since some studies suggest that smoking onset may not be such a 'reasoned' process by youngsters (Kremers, S.P., Mudde, A.N., de Vries, N.K., Brug, J., de Vries, H., 2004. Unplanned smoking initiation: new insights and implications for interventions. Patient Educ. Couns. 55 (3), 345-52.). Studies indicate that a multitude of factors are related to smoking onset, and thus deserve attention in a smoking prevention approach (see, e.g., [Tyas, S., Pederson, L., 1998. Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob. Control 7, 409-420; Lantz, P., Jacobson, P., Warner, K., et al., 2000. Investing in youth tobacco control: a review of smoking prevention and control strategies. Tob. Control 9, 47-63]). The study conclusions were derived from a cross-sectional report. Consequently, one needs to be careful in making conclusions about causal pathways [Bauman, K., Fisher, L., 1986. On the measurement of friend behavior in research on friend influence and selection: findings from longitudinal studies of adolescent smoking and drinking. J. Youth Adolesc. 15 (4), 345-353]. Longitudinal studies also suggest the impact of selection mechanisms implying that adolescents were not pressured to start to smoke, but selected smoking friends. Chen, W., Wen, X., Muscat, J., et al.'s [2007-this issue. Modifiable family and school environmental factors associated with smoking status among adolescents in Guangzhou, China. Prev. Med. doi:10.1016/j.ypmed.2007.02.009.] work is importantbecause it describes one of the many steps that are needed in China for realizing effective smoking prevention programs, a study that could be described as one of the first steps in the planning cycle of health promotion [Green, L., Kreuter, M., 1999. Health Promotion Planning: An Educational and Ecological Approach. Mayfield Publishing Company, Mountain View, CA]. Ultimately Chen and colleagues may want to develop smoking prevention interventions. These interventions should indeed incorporate the modifiable social factors, and - as the Chinese data suggest - should be gender sensitive. Consequently, the great challenge for Chen and several other Chinese colleagues will be to develop an integral long-term approach for their country to prevent smoking onset as effectively as possible using comprehensive approaches.
机译：Chen及其同事描述了与中国青少年吸烟行为相关的社会因素[Chen，W.，Wen，X.，Muscat，J.，et al。，2007- this issue。中国广州青少年与吸烟状况相关的可改变的家庭和学校环境因素。上一个中doi：10.1016 / j.ypmed.2007.02.009]。鉴于吸烟是中国严重的健康问题，因此在中国非常需要进行此类研究。环境因素可能比有时想像的更为重要，因为一些研究表明，吸烟可能不是年轻人的“合理”过程（Kremers，SP，Mudde，AN，de Vries，NK，Brug，J.，de Vries， H.，2004.计划外吸烟：干预措施的新见解和启示，《患者教育》，第55卷，第3期，第345-52页。研究表明，多种因素与吸烟开始有关，因此在预防吸烟的方法中应引起注意（例如，参见[Tyas，S.，Pederson，L.，1998。与青少年吸烟有关的社会心理因素：重要评论Tob。Control 7，409-420; Lantz，P.，Jacobson，P.，Warner，K.，et al。，2000.投资于青年烟草控制：吸烟预防和控制策略的综述。 （控制9，47-63））。研究结论来自横断面报告。因此，在得出因果关系的结论时需要谨慎[Bauman，K.，Fisher，L.，1986。关于对朋友影响和选择的研究中对朋友行为的测量：青少年吸烟和饮酒的纵向研究的发现。 J.青年Adolesc。 15（4），345-353]。纵向研究还表明选择机制的影响意味着青少年没有压力开始吸烟，而是选择吸烟的朋友。 Chen，W.，Wen，X.，Muscat，J。等人的[2007-本期。中国广州青少年与吸烟状况相关的可改变的家庭和学校环境因素。上一个中doi：10.1016 / j.ypmed.2007.02.009。]这项工作很重要，因为它描述了在中国实现有效的吸烟预防计划所需的许多步骤之一，这项研究可以说是计划中的第一步。健康促进周期[Green，L.，Kreuter，M.，1999。健康促进计划：一种教育和生态方法。梅菲尔德出版公司，加利福尼亚州山景城]。最终，陈和同事可能希望开发预防吸烟的干预措施。这些干预措施确实应纳入可改变的社会因素，并且-正如中国数据所暗示的-应该对性别敏感。因此，对于陈和其他几个中国同事来说，最大的挑战将是为他们的国家制定一个完整的长期方法，以使用综合方法尽可能有效地预防吸烟。

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