Sarraf-Zadegan Nizal, Boshtam Maryam, Shahrokhi Shahnaz, Naderi Gholam Ali, Asgary Seddigheh, Shahparian Mansour, Tafazoli Fatemah
Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Eur J Public Health. 2004 Mar;14(1):76-8. doi: 10.1093/eurpub/14.1.76.
The aim of this study was to evaluate the self-reported and serum cotinine based prevalence rates of smoking among Iranian men, women and adolescents. The study was carried out on 2626 men and women aged 19 years and above and 836 high school students aged 14-18 years, randomly selected from different clusters and schools in Isfahan. The WHO smoking standard questionnaire was completed for all samples and serum cotinine level was measured using high-performance liquid chromatography in 10% and 20% of the original adult and adolescent samples, respectively. The prevalence of self-reported smoking among Iranian men and women aged 19 years and above was 18.7% and 1.3%, respectively, compared to 21.2% and 6.7% based on serum cotinine level. Nearly 10.6% and 14.6% of claimed nonsmoker girls and boys were classified as current smokers by serum cotinine level. More than 80% of male smokers started the habit before the age of 20 years and the effect of smoker friends was the most important factor for smoking initiation among smokers. Using self-reported prevalence data for smoking among women or adolescents in special populations like Iranians can give invalid measurements, therefore, data based on biochemical tests are suggested.
本研究的目的是评估伊朗男性、女性和青少年中自我报告的吸烟率以及基于血清可替宁的吸烟率。该研究对2626名19岁及以上的男性和女性以及836名14 - 18岁的高中生进行，这些人是从伊斯法罕不同的群组和学校中随机选取的。所有样本均完成了世界卫生组织的吸烟标准问卷，并分别对10%的成年样本和20%的青少年样本使用高效液相色谱法测量血清可替宁水平。19岁及以上伊朗男性和女性自我报告的吸烟率分别为18.7%和1.3%，而基于血清可替宁水平的吸烟率分别为21.2%和6.7%。根据血清可替宁水平，近10.6%声称不吸烟的女孩和14.6%声称不吸烟的男孩被归类为当前吸烟者。超过80%的男性吸烟者在20岁之前开始吸烟，而吸烟朋友的影响是吸烟者开始吸烟的最重要因素。在伊朗等特殊人群中，使用女性或青少年自我报告的吸烟流行率数据可能会得出无效的测量结果，因此，建议使用基于生化检测的数据。
