The purpose of this study was to identify distinct trajectories of smoking behavior during a period extending from adolescence (mean age = 14 years) to young adulthood (mean age = 26 years) among African American and Puerto Rican adolescents/young adults, to examine ethnic and gender differences in group membership, and to assess the ability of peer and parental smoking to distinguish among trajectory groups. A community-based sample of 451 African American and Puerto Rican adolescents was interviewed four times during adolescence and in early adulthood, covering a span of 12 years. For both ethnic/racial groups, four distinct trajectories were identified: Nonsmokers, maturing-out smokers, late-starting smokers, and early-starting continuous smokers. Compared with Puerto Ricans, African Americans were over-represented in the nonsmoking group, whereas Puerto Ricans were over-represented in the early-starting continuous group. Females were more likely than males to be early-starting continuous smokers than late starters. Adolescents who were exposed to peer and parental smoking in early adolescence were more likely to belong to trajectory groups characterized by higher levels of smoking. These findings show that exposure to peer and parental smoking in early adolescence constitutes a risk factor for engaging in elevated levels of smoking behavior at an early age and for continued smoking into adulthood for urban African Americans and Puerto Ricans. To be most effective, smoking prevention programs should address peer group and family influences on adolescent smoking.

译文

:这项研究的目的是确定在非洲裔美国人和波多黎各的青少年/年轻人中,从青春期(平均年龄= 14岁)到成年年轻人(平均年龄= 26岁)的吸烟行为的不同轨迹,以进行研究族裔成员的种族和性别差异,以及评估同伴吸烟和父母吸烟以区分轨迹组的能力。以社区为基础的451名非洲裔美国人和波多黎各青少年的抽样在青春期和成年初期进行了四次采访,涵盖了12年的时间。对于两个种族/族裔群体,确定了四个不同的轨迹:不吸烟者,成年吸烟者,起步较晚的吸烟者和起步较早的连续吸烟者。与波多黎各人相比,非裔美国人在非吸烟组中的任职人数过多,而波多黎各人在早期开始的连续性组中的任职人数过多。女性比男性更容易早起并持续吸烟。在青春期早期曾接受同伴和父母吸烟的青少年更可能属于以吸烟水平较高为特征的轨迹群体。这些发现表明,青春期早期接触同伴和父母的吸烟是构成风险的因素,这些因素是城市非洲裔美国人和波多黎各人在早年参与吸烟行为水平升高以及成年后继续吸烟的成因。为了最有效,预防吸烟计划应解决同龄人群体和家庭对青少年吸烟的影响。

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