Mohan Sailesh, Sankara Sarma P, Thankappan K R
Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695 011, India.
Prev Med. 2005 Aug;41(2):685-92. doi: 10.1016/j.ypmed.2005.01.013.
Tobacco use is increasing among adolescents. We conducted this study to find prevalence and correlates of tobacco use among adolescent boys in Trivandrum city, Kerala.
Using a two-stage cluster sampling technique, 1323 boys (12-19 years) were selected from 14 schools. Information on tobacco use, academic performance, pocket money, and other variables was collected using a questionnaire. Multivariate analyses were done to find associations between current use of tobacco and other variables.
Prevalence of current tobacco use was 11.3% (95% CI 9.6-13.0). Current tobacco use was 2.9 times higher among older boys compared to younger boys (OR 2.9, CI 1.6-5.3), 2 times higher among boys whose fathers used tobacco (OR 2.0, CI 1.3-3.1), 2.9 times higher among boys whose friends used tobacco (OR 2.9, CI 1.6-5.1) compared to their counterparts, 3 times higher among boys securing poor (<40% marks) grade compared to those securing excellent (>80% marks) grade (OR 3.0, CI 1.4-6.6), and 4 times higher among those who received pocket money compared to those who did not (OR 4.0, CI 2.2-7.4).
Health programs to quit tobacco are suggested in schools with special emphasis on poor performers, those receiving pocket money, and those whose fathers and friends use tobacco.
青少年吸烟现象呈上升趋势。我们开展这项研究，旨在了解喀拉拉邦特里凡得琅市青少年男性吸烟的患病率及其相关因素。
采用两阶段整群抽样技术，从14所学校选取了1323名12至19岁的男孩。通过问卷调查收集了吸烟情况、学业成绩、零花钱及其他变量的信息。进行多变量分析以确定当前吸烟与其他变量之间的关联。
当前吸烟的患病率为11.3%（95%可信区间9.6 - 13.0）。年龄较大的男孩当前吸烟率是年龄较小男孩的2.9倍（比值比2.9，可信区间1.6 - 5.3），父亲吸烟的男孩吸烟率是父亲不吸烟男孩的2倍（比值比2.0，可信区间1.3 - 3.1），朋友吸烟的男孩吸烟率是朋友不吸烟男孩的2.9倍（比值比2.9，可信区间1.6 - 5.1），成绩差（低于40分）的男孩吸烟率是成绩优秀（高于80分）男孩的3倍（比值比3.0，可信区间1.4 - 6.6），有零花钱的男孩吸烟率是没有零花钱男孩的4倍（比值比4.0，可信区间2.2 - 7.4）。
建议在学校开展戒烟健康项目，特别关注成绩差的学生、有零花钱的学生以及父亲和朋友吸烟的学生。
