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从青春期 (平均年龄 = 14岁) 到成年青年 (平均年龄 = 26岁) 的一段时期内,非洲裔美国人和波多黎各青少年/年轻人的吸烟行为的不同轨迹,以检查种族和性别在群体成员中的差异,并评估同伴和父母吸烟区分轨迹组的能力。在青春期和成年初期,对451名非洲裔美国人和波多黎各青少年的社区样本进行了四次采访,涵盖了12年。对于两个种族/种族群体,都确定了四个不同的轨迹: 不吸烟者,成熟吸烟者,较晚开始吸烟者和早期开始连续吸烟者。与波多黎各人相比,非裔美国人在不吸烟组中的比例过高,而在开始的连续组中,波多黎各人的比例过高。女性比男性更有可能是早起的连续吸烟者,而不是早起的吸烟者。青春期早期暴露于同伴和父母吸烟的青少年更有可能属于吸烟水平较高的轨迹组。这些发现表明,青春期早期暴露于同伴和父母吸烟是城市非裔美国人和波多黎各人早期吸烟行为水平升高以及成年后继续吸烟的危险因素。为了最有效,预防吸烟计划应解决同伴群体和家庭对青少年吸烟的影响。

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