273189 Cusp Catastrophe Modeling of Cigarette Smoking among Vocational High School Students

Tuesday, October 30, 2012

Xinguang Chen , Department of Pediatrics, Wayne State University, Detroit, MI
Jie Gong, Professor , Wuhan Centers for Disease Prevention and Control, Wuhan Centers for Disease Prevention and Control, Wuhan, China
Din Chen, Professor , School of Nursing, University of Rochester, Rochester, NY
Evidence from diverse sources implies that many adolescent health risk behavior, including tobacco use may be quantum in nature, which challenges the traditional linear continuous analytical approach. In this study, we used cusp catastrophe, a method for characterizing quantum behaviors. Data were collected from a random sample of vocational high school students (n=553). Cigarette smoking was based on self-report, verified using a biomarker. Two controlled variables (Threat Appraisal and Coping Appraisal) based on the Protection Motivation Theory (PMT) were included. Study findings indicate the superiority of cusp model to the alternative linear and logistic regression models with regard to R2 (>0.8 for cusp and <0.2 for linear and <0.25 for logistic) as well as AIC and BIC. Consistent with PMT, the Threat Appraisal (asymmetry variable, á=0.2151, p<0.01) and Coping Appraisal (bifurcation variable, â= 0.1676, p<0.01) significantly predicted past 30-day smoking after controlling for covariates. Study findings support the conclusion that adolescent smoking is a quantum process in nature and cusp catastrophe provides a useful method for analyzing this behavior.

Learning Areas:
Biostatistics, economics
Environmental health sciences
Public health or related education

Learning Objectives:
(1) Understanding the quantum nature of health risk behavior and (2) employing cusp catastrophe modeling method in analyzing health behaviors that are quantum in nature.

Keywords: Adolescent Health, Behavior Modification

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a researcher in this field
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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