Hublet A, De Bacquer D, Boyce W, Godeau E, Schmid H, Vereecken C, De Baets F, Maes L
Department of Public Health, Ghent University, 9000 Ghent, Belgium.
J Public Health (Oxf). 2007 Dec;29(4):343-9. doi: 10.1093/pubmed/fdm047. Epub 2007 Aug 4.
Modern guidelines for the management of asthma state that asthmatic patients should be strongly advised not to smoke. However, it remains unclear to what extend young people with asthma actually behave like this. This study compares the prevalence of daily smoking between 15-year adolescents with diagnosed asthma and without asthma, and evaluates to what extent risk factors for smoking play a comparable role in the smoking behaviour of these two groups.
The study is part of the 2001-2002 international HBSC study. Besides questions about health behaviour, individual and social resources, a set of asthma questions were included in six countries.
Adolescents with diagnosed asthma are more likely to be daily smokers than non-asthmatic adolescents. In asthmatic and non-asthmatic adolescents, similar associations with risk factors are found for daily smoking (drunkenness, cannabis use, low life satisfaction, spending evenings with friends, having smoking parents and peers). Diagnosed asthmatics are more prone to score high on these factors than non-asthmatics.
Smoking in adolescents with asthma is a public health problem. Smoking prevention efforts directed towards young people should pay attention to young people with asthma and the curative sector should increase their efforts to motivate asthmatic adolescents not to smoke.
现代哮喘管理指南指出，应强烈建议哮喘患者不要吸烟。然而，尚不清楚患哮喘的年轻人在多大程度上实际会这样做。本研究比较了确诊患有哮喘和未患哮喘的15岁青少年的每日吸烟率，并评估吸烟风险因素在这两组人群吸烟行为中所起的作用是否相当。
该研究是2001 - 2002年国际健康行为与学校卫生调查（HBSC）研究的一部分。除了有关健康行为、个人和社会资源的问题外，六个国家还纳入了一组哮喘问题。
确诊患有哮喘的青少年比未患哮喘的青少年更有可能每日吸烟。在患哮喘和未患哮喘的青少年中，每日吸烟与风险因素（醉酒、使用大麻、生活满意度低、与朋友共度夜晚、父母和同伴吸烟）之间存在相似的关联。确诊患有哮喘的青少年在这些因素上的得分比未患哮喘的青少年更高。
哮喘青少年吸烟是一个公共卫生问题。针对年轻人的吸烟预防工作应关注患哮喘的年轻人，治疗部门应加大力度激励哮喘青少年戒烟。
