Article de Périodique
Youth smoking risk and community patterns of alcohol availability and control: a national multilevel study (2005)
Auteur(s) :
WEITZMAN, E. ;
CHEN, Y. ;
SUBRAMANIAN, S. V.
Année :
2005
Page(s) :
1065-1071
Langue(s) :
Anglais
Refs biblio. :
49
Domaine :
Plusieurs produits / Several products
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
TABAC
;
ALCOOL
;
ENQUETE
;
MILIEU SCOLAIRE
;
ENSEIGNEMENT SECONDAIRE
;
ETUDE TRANSVERSALE
;
FACTEUR DE RISQUE
;
MILIEU ETUDIANT
;
EVALUATION
Note générale :
Journal of Epidemiology and Community Health, 2005, 59, (12), 1065-1071
Résumé :
Study objective: To test whether college youth smoking risks are independently associated with community patterns of alcohol availability and control. Design: Hierarchical multilevel multivariable modelling of cross sectional survey data. Outcomes included self reported current (past 30 day) cigarette smoking and heavy episodic (binge) drinking. Setting: 120 nationally representative US colleges. Participants: 10 924 randomly selected students. Main results: Individual risks for smoking and binge drinking are independently associated with community patterns of alcohol availability, policy enforcement and control over and above individual perceptions about these factors, student and college characteristics, and school binge drinking rates. Youth exposed to high levels of alcohol availability are at higher risk of smoking (OR 3.61, 95% CI 1.75, 7.44) and binge drinking (OR 4.22, 95% CI 2.25, 7.93) than youth not so exposed; youth exposed to strongly enforced alcohol policy environments are at lower risk for smoking (OR 0.30, 95% CI 0.16, 0.57) and binge drinking (OR 0.17, 95% CI 0.10, 0.31) than youth not so exposed; youth exposed to communities with strong parental controls are at lower risk for smoking (OR 0.05, 95% CI 0.01, 0.23) and binge drinking (OR 0.06, 95% CI 0.01, 0.21) than youth not so exposed. Individual risks related to environmental exposures differ for youth with varying perceptions about alcohol availability and policy control. Conclusions: Drinking environments in US college communities comprise strong independent risks for smoking. Smoking prevention models should be tested that include environmental drinking prevention strategies tailored to underlying perceptions and experiences of college youth.
Affiliation :
Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts, USA
Cote :
Abonnement