METHODS: Data are from 8757 individuals in Great Britain from the birth cohort National Child Development Study and who reported being smokers or former smokers by age 23.
METHODS: Smoking initiation in adolescence was measured at 16 y and smoking trajectories were derived from smoking variables from ages 23 to 55. We modelled the relationship between smoking initiation in adolescence with or without ACEs and smoking trajectories.
RESULTS: Individuals who initiated smoking in adolescence were more likely to quit later than quitting in twenties (RRR quitting in thirties = 3.43 [2.40; 4.89] p < .001; RRR quitting in forties = 5.25 [3.38; 8.14] p < .001; RRR quitting in fifties = 4.48 [2.95; 6.79] p < .001), to relapse (RRR Relapse = 3.66 [2.82; 4.76] p < .001) and to be persistent smokers (RRR persistent = 5.25 [3.81; 7.25] p < .001) compared to those who had initiated smoking in young adulthood. These effects were particularly pronounced in case of ACEs.
CONCLUSIONS: Smoking prevention programs aimed at reducing smoking initiation should be promoted to adolescents to limit the burden of smoking, especially for people who have suffered adversity during childhood.
方法:数据来自英国出生队列国家儿童发展研究的8757名个体,他们报告在23岁时是吸烟者或曾经吸烟者。
方法:青春期开始吸烟的时间为16岁,吸烟轨迹来自23至55岁的吸烟变量。我们模拟了有或没有ACE的青春期开始吸烟与吸烟轨迹之间的关系。
结果:在青春期开始吸烟的人比二十多岁戒烟的人更有可能晚戒烟(三十多岁戒烟的RRR=3.43[2.40;4.89]p<.001;四十多岁戒烟的RRR=5.25[3.38;8.14]p<.001;五十多岁戒烟的RRR=4.48[2.95;6.79]p<.001),复发(RRR复发=3.66[2.82;4.76]p<.001)和持续吸烟者(RRR持续=5.25[3.81;7.25]p<.001)与年轻时开始吸烟的人相比。这些作用在ACE的情况下尤其明显。
结论:应向青少年推广旨在减少吸烟的预防吸烟计划,以减少吸烟负担,特别是对于那些在童年时遭受逆境的人。