Generation smoke-free: Protective factors for never smoking among young First Nations peoples aged 10–15 years in the Next Generation Youth Wellbeing Study
Notice bibliographique
Résumé
In Australia, smoking accounts for half of all Aboriginal and Torres Strait Islander (First Nations) deaths aged ≥45 years. Regular smoking is more common among First Nations than non-Indigenous peoples in Australia. Smoking primarily commences during adolescence and young adulthood. Preventing uptake is important for long-term health outcomes. This study aimed to identify the protective factors that support young people to be smoke-free, to inform prevention programs and strategies. The ‘Next Generation Youth Wellbeing Study’ is a mixed-methods cohort study. It includes First Nations adolescents aged 10–24 years and living in urban, rural and remote communities in central Australia, Western Australia and New South Wales. This study analysed self-reported data on smoking from young people aged 10–15 years, collected during 2018–20, using Poisson regression to investigate the relation of various factors to never-smoking. Among 682 participants, 54% were female, 90% had never smoked tobacco and 79% lived in smoke-free homes. Factors independently associated with never smoking were: having friends who did not smoke (prevalence ratio [PR] 1.22, 95% confidence interval [CI] 1.15–1.30); daily school attendance (PR 1.14, 1.06–1.22), never drinking (PR 1.84, 1.38–2.46), self-reported good/excellent health (PR 1.12, 1.00–1.26), good mental health (PR 1.12, 1.04–1.20), never been questioned by police (PR 1.24, 1.14–1.34) and never interacting with the justice system (PR 1.23, 1.13–1.33), compared with participants without these exposures. There was no association between never smoking and sex, available money or physical activity. Most First Nations young people had never smoked; this was related to multiple smoke-free influences, good health and wellbeing and positive social engagement and experiences. Alongside opportunities in home, school and community settings to support smoke-free behaviours, broader system-wide changes are required. • Most young people had never smoked. This was related to good health and wellbeing and positive social engagement and experiences. • There are opportunities in home, school and community settings to support smoke-free behaviours with broader system-wide changes also required. • Community programs must support wellbeing – keeping people physically healthy, in good mental health and engaged and active, centring family, community and culture. • Bigger systemic changes are needed. No negative interactions with the police was one of the strongest predictors of being a never smoker. The culture of over-policing and systemic racism that targets young Aboriginal people is directly impacting their health.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,006 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».