Øverland Simon Nygaard, Hetland Jørn, Aarø Leif Edvard
Unifob Helse Universitetet i Bergen Christies gate 13 5015 Bergen.
Tidsskr Nor Laegeforen. 2008 Aug 28;128(16):1820-4.
During the last decades, the proportion of smokers has declined and the use of snus has increased. We examined changes in 16 - 20-year-olds' use of tobacco products after introduction of stricter smoking regulations in 2004.
16 - 20-year-olds' use of and attitudes towards tobacco-products were assessed in national surveys representative for the age-group (n 2004 =2400 and n 2007 =2415) in 2004 and 2007. We compared use of such products at the two measurement points and to what extent the decline in smoking and increase in snus.
The same proportion of adolescents used snus or smoked in both surveys (28.8 %), but the distribution was markedly changed. In 2004, 22.5 % of the girls and 20.3 % of the boys smoked daily or every week; corresponding figures in 2007 were 17.3 % and 17.0 %. In 2004, 18.2 % of the boys used snus daily or every week and in 2007 the proportion had increased to 24.9 %. Among the girls, this figure tripled between the two surveys, from 2.4 % to 7.3 %.
A further reduction in smoking rates can be expected if we presume that the changes we found are stable. The increased use of snus calls for more knowledge about how this product affects health.
在过去几十年中，吸烟者的比例有所下降，而鼻烟的使用有所增加。我们研究了2004年实施更严格的吸烟规定后，16至20岁青少年烟草制品使用情况的变化。
在2004年和2007年对该年龄组具有全国代表性的调查（2004年n = 2400，2007年n = 2415）中，评估了16至20岁青少年对烟草制品的使用情况和态度。我们比较了两个测量点此类产品的使用情况，以及吸烟率下降和鼻烟使用增加的程度。
两次调查中使用鼻烟或吸烟的青少年比例相同（28.8%），但分布明显改变。2004年，22.5%的女孩和20.3%的男孩每天或每周吸烟；2007年相应的数字分别为17.3%和17.0%。2004年，18.2%的男孩每天或每周使用鼻烟，2007年这一比例增至24.9%。在女孩中，这一数字在两次调查之间增加了两倍，从2.4%增至7.3%。
如果我们假设我们发现的变化是稳定的，那么吸烟率有望进一步下降。鼻烟使用的增加需要更多关于该产品如何影响健康的知识。
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