The incidence of experimental smoking in school children: an 8-year follow-up of the child and adolescent behaviors in long-term evolution (CABLE) study

BMC Public Health

Research Article

Baai-Shyun Hurng¹  Chi-Chen Wu²  Hsing-Yi Chang²  Jennifer Y Cheng²  Lee-Lan Yen³  Wen-Chi Wu⁴ 

[1] Department of Health, Center for Population and Health Survey Research, Bureau of Health Promotion, Taichung, ROC, Taiwan;Division of Preventive Medicine and Health Service Research, Institute of Population Health Sciences, National Health Research Institutes, Zhunan Town, Miaoli County, ROC, Taiwan;Division of Preventive Medicine and Health Service Research, Institute of Population Health Sciences, National Health Research Institutes, Zhunan Town, Miaoli County, ROC, Taiwan;Institute of Health Policy and Management, College of Public Health, National Taiwan University, Rm. 623, No. 17, Xu-Zhou Road, 100, Taipei, ROC, Taiwan;School of Health Care Management, Department of Nutrition and Health Sciences, Kainan University, ROC, Taiwan;

关键词: cigarette smoking;    adolescent behavior;    epidemiological factors;    socioeconomic factors;   

DOI  :  10.1186/1471-2458-11-844

 received in 2011-06-23, accepted in 2011-11-03,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundStudies have established that most regular adult smokers become addicted in their adolescent years. We investigated the incidence of and risk factors associated with initial experimental smoking among a group of school children who were followed for 8 years.MethodsWe used cohort data collected as part of the Child and Adolescent Behaviors in Long-term Evolution (CABLE) study, which selected nine elementary schools each from an urban area (Taipei City) and a rural area (Hsingchu county) in northern Taiwan. From 2002 to 2008, children were asked annually whether they had smoked in the previous year. An accelerated lifetime model with Weibull distribution was used to examine the factors associated with experimental smoking.ResultsIn 2001, 2686 4th-graders participated in the study. For each year from 2002 to 2008, their incidences of trial smoking were 3.1%, 4.0%, 2.8%, 6.0%, 5.3%, 5.0% and 6.0%, respectively. There was an increase from 7th to 8th grade (6.0%). Children who were males, lived in rural areas, came from single-parent families, had parents who smoked, and had peers who smoked were more likely to try smoking earlier. The influence of parents and peers on experimental smoking demonstrated gradient effects.ConclusionsThis study used a cohort to examine incidence and multiple influences, including individual factors, familial factors, and community factors, on experimental smoking in adolescents. The findings fit the social ecological model, highlighting the influences of family and friends. School and community attachment were associated with experimental smoking in teenagers.

【 授权许可】

CC BY   
© Chang et al; licensee BioMed Central Ltd. 2011