Rudatsikira Emmanuel, Muula Adamson S, Siziya Seter, Mataya Ronald H
Department of Community Medicine and Public Health, College of Medicine, University of Malawi, Blantyre, Malawi.
Int Arch Med. 2008 Jun 11;1(1):8. doi: 10.1186/1755-7682-1-8.
Many studies examining the social correlates of tobacco use among adolescents fail to recognise theories of health behaviour and health promotion in their analysis. Using the Socio-Ecologiocal Model (SEM) we assessed the demographic and social factors associated with current cigarette smoking among adolescents in Thailand.
A secondary analysis of cross-sectional data from the Thai Global Youth Tobacco Survey (Thai GYTS) 2005 was analysed to obtain prevalence of selected attributes and assess factors associated with current cigarette smoking. Current cigarette smoking was defined as having smoked a cigarette, even a single puff, in the last 30 days. Logistic regression was conducted to estimate the level of association between the explanatory variables and current smoking.
Of the 18,368 respondents, 22.0% males and 5.2% females reported being current smokers (p < 0.001). In multivariate logistic regression analysis, current smoking was negatively associated with the perception that smoking is harmful to health (OR = 0.47; 95% CI [0.33, 0.66]) and positively associated with male gender (OR = 3.46; 95% CI [2.72, 4.86]) and having smoking parents (OR = 1.62; 95% CI [1.25, 2.11]) and friends (OR = 5.07; 95% CI [3.54, 7.25]) for some friends smokers and OR = 26.71; 95% CI [18.26, 39.06] for most or all friends smokers. Compared to subjects 11 = 12 year olds, those who were older were less likely to report smoking (OR = 0.49; 95% CI [0.36, 0.66] for 13 years olds, OR = 0.56; 95% CI [0.40, 0.79] for 14 years olds, OR = 0.59; 95% CI [0.41, 0.86] for 15 years olds).
Current cigarette smoking was associated with male gender, smoking parents or closest peers. Perception that smoking was harmful to health was associated with less likelihood of being a current smoker.
许多研究青少年烟草使用社会关联因素的研究在分析过程中未能认识到健康行为和健康促进理论。我们运用社会生态模型（SEM）评估了泰国青少年当前吸烟行为相关的人口统计学和社会因素。
对2005年泰国全球青少年烟草调查（泰国GYTS）的横断面数据进行二次分析，以获取特定属性的患病率，并评估与当前吸烟行为相关的因素。当前吸烟行为定义为在过去30天内吸过烟，哪怕只吸过一口。进行逻辑回归分析以估计解释变量与当前吸烟行为之间的关联程度。
在18368名受访者中，22.0%的男性和5.2%的女性报告为当前吸烟者（p < 0.001）。在多变量逻辑回归分析中，当前吸烟行为与认为吸烟有害健康的认知呈负相关（比值比[OR]=0.47；95%置信区间[CI][0.33, 0.66]），与男性性别呈正相关（OR = 3.46；95% CI [2.72, 4.86]），与父母吸烟（OR = 1.62；95% CI [1.25, 2.11]）以及朋友吸烟（对于一些朋友吸烟的情况，OR = 5.07；95% CI [3.54, 7.25]；对于大多数或所有朋友吸烟的情况，OR = 26.71；95% CI [18.26, 39.06]）呈正相关。与11至12岁的受试者相比，年龄较大的受试者报告吸烟的可能性较小（13岁的受试者，OR = 0.49；95% CI [0.36, 0.66]；14岁的受试者，OR = 0.56；95% CI [0.40, 0.79]；15岁的受试者，OR = 0.59；95% CI [0.41, 0.86]）。
当前吸烟行为与男性性别、父母吸烟或关系最亲密的同龄人有关。认为吸烟有害健康与当前吸烟可能性较低有关。
