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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Effect of cigarette promotions on smoking uptake among adolescents.
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Effect of cigarette promotions on smoking uptake among adolescents.

机译：香烟促销对青少年吸烟量的影响。

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BACKGROUND: The purpose of this study was to evaluate the association between receptivity to cigarette promotions and smoking uptake in a cohort of adolescents. METHODS AND MEASURES: This was a prospective cohort study of 480 4th- to 11th-grade students conducted in three rural Vermont K-12 schools. Cigarette use was determined by self-report at baseline, 12 months (survey 2), and 21 months (survey 3). Proportional odds models were used to evaluate smoking uptake as a function of baseline measures of cigarette use, receptivity to cigarette promotions, and confounding factors, including grade, parental education, peer smoking, and family smoking. Adolescents were receptive to cigarette promotions if they owned or were willing to use a personal item bearing a cigarette brand logo [cigarette promotional item (CPI)]. Smoking status was measured using a 6-point ordinal index that combined experience and attitudes: 0 = never smokerot susceptible to smoking, 1 = never smoker/susceptible to smoking, 2 = puffer (1 cigarette or less in lifetime), 3 = non-current experimenter (2-99 cigarettes in lifetimeone in past 30 days), 4 = current experimenter, and 5 = smoker (> or =100 cigarettes in lifetime). RESULTS: The 480 students were equally distributed across grade at baseline. Environmental exposure to smoking was high, and 30% were receptive to cigarette promotions at baseline. Higher levels on the smoking index at baseline were associated with higher grade in school, peer smoking, and receptivity to cigarette promotions. One hundred eighty-five students (38.5%) had moved to a higher category on the smoking index by survey 3, of whom 30 had become smokers. Receptivity to cigarette promotions at baseline was significantly associated with higher smoking uptake, with 48.7% of receptive students moving up one or more categories on the smoking index [adjusted proportional odds 1.9 (95% CI 1.3, 2.9)]. Acquisition of receptivity to cigarette promotions was also associated with increased smoking uptake, with those becoming receptive in surveys 2 or 3 having significantly higher odds of progression [3.6 (1.8, 7.0) and 2.9 (1.5, 5.5), respectively] compared with those who did not change. Conversely, those who were receptive at one point but became non-receptive in surveys 2 or 3 had lower odds of progression [0.4 (0.2, 0.9) and 0.5 (0.3, 1.1), respectively]. CONCLUSIONS: This study supports a close linkage between tobacco promotional activities and uptake of smoking among adolescents beyond baseline descriptions of receptivity to cigarette promotions. Over time, the likelihood of smoking uptake is increased when an adolescent acquires a CPI or becomes willing to use one and is decreased when an adolescent who owns a CPI loses it or becomes unwilling to use it. This provides strong evidence that elimination of cigarette promotional campaigns could reduce adolescent smoking. Copyright 2000 American Health Foundation and Academic Press.
机译：背景：这项研究的目的是评估青少年对香烟促销的接受能力与吸烟量之间的关系。方法和措施：这是对三所乡村Vermont K-12学校进行的480名4至11年级学生的前瞻性队列研究。通过基线，12个月（调查2）和21个月（调查3）的自我报告来确定卷烟的使用。比例赔率模型用于评估吸烟量，作为基线吸烟量度，对卷烟促销的接受度以及混杂因素的函数，包括年级，父母教育，同伴吸烟和家庭吸烟。如果青少年拥有或愿意使用带有香烟品牌徽标的个人物品[香烟促销品（CPI）]，则他们接受香烟促销。使用结合经验和态度的6点序数指标对吸烟状况进行测量：0 =永不吸烟者/不吸烟，1 =永不吸烟者/易吸烟，2 =吸烟者（一生中不吸烟1支或更少），3 =非现成实验者（寿命内2-99支香烟/过去30天无烟），4 =现成实验者和5 =吸烟者（终生>或= 100支香烟）。结果：480名学生在基线时平均分布在各个年级。吸烟的环境暴露很高，基线时有30％的人接受卷烟促销。基线时吸烟指数的较高水平与学校的高年级，同伴吸烟和对卷烟促销的接受程度有关。根据调查3，有185名学生（38.5％）移至吸烟指数的较高类别，其中30名已成为吸烟者。基线时对卷烟促销活动的接受度与吸烟量的增加显着相关，接受吸烟的学生中有48.7％的学生在吸烟指数上上升了一个或多个类别[调整比例几率为1.9（95％CI 1.3，2.9）]。与卷烟促销活动有关的接受性也与吸烟量的增加有关，与那些接受调查的人相比，在调查2或3中变得容易接受的人具有更高的进展几率[分别为3.6（1.8，7.0）和2.9（1.5，5.5）]。没有改变。相反，那些在某一点上可以接受但在调查2或3中变得不被接受的人的进展几率较低[分别为0.4（0.2，0.9）和0.5（0.3，1.1）]。结论：本研究支持青少年的烟草促销活动与吸烟量之间的紧密联系，而对吸烟促销的接受程度没有基线描述。随着时间的流逝，当青少年获得CPI或愿意使用CPI时，吸烟的可能性就会增加，而拥有CPI的青少年失去或不愿意使用它时，吸烟的可能性会降低。这提供了有力的证据，证明消除香烟促销活动可以减少青少年吸烟。版权所有2000美国健康基金会和学术出版社。

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