土耳其青少年经常吸烟的影响因素。

Factors contributing to regular smoking in adolescents in Turkey.

作者信息

Can Gamze, Topbas Murat, Oztuna Funda, Ozgun Sukru, Can Emine, Yavuzyilmaz Asuman

机构信息

Department of Public Health, Kardeniz Technical University, 61080 Trabzon, Turkey.

出版信息

J Sch Health. 2009 Mar;79(3):93-7. doi: 10.1111/j.1746-1561.2008.0392.x.

DOI:10.1111/j.1746-1561.2008.0392.x

PMID:19207514

Abstract

PURPOSE

The objectives of this study were to determine the levels of lifetime cigarette use, daily use, and current use among young people (aged 15-19 years) and to examine the risk factors contributing to regular smoking.

METHODS

The number of students was determined proportionately to the numbers of students in all the high schools in the province of Trabzon in Turkey. The data were gathered using the questionnaire method. A total of 4666 students participated in the study. The chi-square test and logistic regression analysis were used in data analysis.

RESULTS

Of the 4666 students who took part in the study, the level of lifetime cigarette use was 38.2% (n = 1796), that of lifetime daily cigarette use was 10.5% (n = 491), and that of current cigarette use was 9.5% (n = 447). Male students (P < .0005), those whose mothers were smokers (P < .0005), those whose fathers smoked (P = .005), those whose siblings smoked (P<.0005), those whose friends smoked (P < .0005), those whose teachers smoked (P = .001), and low achievers in school (P < .0005) stated that they significantly smoked on a more regular basis. According to the results of the logistic regression analysis, the following risk factors were statistically significant: male students smoked 3.02 times (95% CI 2.20-4.16) more than females, those whose mothers were smokers smoked 1.57 times (95% CI 1.09-2.28) more than those whose mothers were not, those whose friends were smokers smoked 2.42 times (95% CI 1.73-3.39) more than those whose friends were non-smokers, poor achievers in school smoked 2.62 times (95% CI 1.97-3.49) more than high achievers, and those without poor grades smoked 1.75 times more (95% CI 1.23-2.40), the risk rising 1.06 times (95% CI 1.01-1.11) with earlier age at first experimentation. The risk of daily cigarette use was observed to decline by 0.91 times (95% CI 0.84-0.98) with increasing numbers of siblings.

CONCLUSION

Effective smoking prevention programs should take into account the dominant influence of peer groups in the onset and continuation of smoking.

摘要

目的

本研究的目的是确定年轻人（15 - 19岁）一生中吸烟、每日吸烟及当前吸烟的水平，并研究导致经常吸烟的风险因素。

方法

学生人数按土耳其特拉布宗省所有高中学生人数的比例确定。数据通过问卷调查法收集。共有4666名学生参与了该研究。数据分析采用卡方检验和逻辑回归分析。

结果

在参与研究的4666名学生中，一生中吸烟的比例为38.2%（n = 1796），一生中每日吸烟的比例为10.5%（n = 491），当前吸烟的比例为9.5%（n = 447）。男性学生（P <.0005）、母亲是吸烟者的学生（P <.0005）、父亲吸烟的学生（P =.005）、兄弟姐妹吸烟的学生（P<.0005）、朋友吸烟的学生（P <.0005）、老师吸烟的学生（P =.001）以及学业成绩差的学生（P <.0005）表示他们吸烟更为频繁。根据逻辑回归分析结果，以下风险因素具有统计学意义：男性学生吸烟的可能性是女性的3.02倍（95%可信区间2.20 - 4.16）；母亲是吸烟者的学生吸烟的可能性是母亲不吸烟的学生的1.57倍（95%可信区间1.09 - 2.28）；朋友是吸烟者的学生吸烟的可能性是朋友不吸烟的学生的2.42倍（95%可信区间1.73 - 3.39）；学业成绩差的学生吸烟的可能性是成绩好的学生的2.62倍（95%可信区间1.97 - 3.49）；成绩不差的学生吸烟的可能性高1.75倍（95%可信区间1.23 - 2.40），首次尝试吸烟的年龄越早，风险增加1.06倍（95%可信区间1.01 - 1.11）。随着兄弟姐妹数量的增加，每日吸烟的风险降低0.91倍（95%可信区间0.84 - 0.98）。