Malcon Maura C, Menezes Ana Maria B, Chatkin Moema
Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Rev Saude Publica. 2003 Feb;37(1):1-7. doi: 10.1590/s0034-89102003000100003.
Tobacco smoking is one of the main causes of preventable disease and premature disability. The study was aimed at measuring smoking prevalence and related risk factors among adolescents.
A population-based cross-sectional study was carried out in a representative sample of 1,187 adolescents aged 10 to 19 years living in the urban area of Pelotas, southern Brazil. All adolescents were interviewed separately using a confidential coded questionnaire. Kaplan-Meier test was performed for survival curve analysis.
The overall smoking prevalence rate in the sample was 12.1% (95% CI 10.3%-14%). Boys and girls had similar prevalence rates. The following were the risk factors for smoking found in the multivariate logistic regression analysis: older age (OR=28.7; 95% CI 11.5-71.4), older smoking siblings (OR=2.4; 95% CI 1.5-3.8), three or more smoking friends (OR=17.5; 95% CI 8.8-34.8) and low schooling (OR=3.5; 95% CI 1.5-8.0).
The prevalence of smoking among adolescents in the city of Pelotas was high. Campaigns against tobacco use should be aimed at the community and families, targeting adolescents. The government must adopt legal actions in order to prevent adolescents to have access to to smoking.
吸烟是可预防疾病和过早残疾的主要原因之一。本研究旨在测量青少年中的吸烟率及相关风险因素。
在巴西南部佩洛塔斯市区生活的1187名10至19岁青少年的代表性样本中开展了一项基于人群的横断面研究。所有青少年均使用保密编码问卷单独接受访谈。采用Kaplan-Meier检验进行生存曲线分析。
样本中的总体吸烟率为12.1%(95%置信区间10.3%-14%)。男孩和女孩的吸烟率相似。多因素逻辑回归分析中发现的吸烟风险因素如下:年龄较大(比值比=28.7;95%置信区间11.5-71.4)、有吸烟的兄弟姐妹(比值比=2.4;95%置信区间1.5-3.8)、有三个或更多吸烟的朋友(比值比=17.5;95%置信区间8.8-34.8)以及受教育程度低(比值比=3.5;95%置信区间1.5-8.0)。
佩洛塔斯市青少年的吸烟率较高。反对烟草使用的活动应面向社区和家庭,以青少年为目标。政府必须采取法律行动,以防止青少年接触烟草。