Binu V S, Subba S H, Menezes R G, Kumar Ganesh, Ninan Jefy, Rana M S, Chhetri Shovit Khadka, Sabu K M, Nagraj K
Department of Statistics, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India, India.
Asian Pac J Cancer Prev. 2010;11(1):221-6.
Tobacco is the single largest risk factor for various diseases and its presence in the young heralds more serious problems as they may be exposed for longer periods. Prevalence and predictors of smoking among youth will aid in formulating effective preventive and control measures. A cross-sectional study was therefore conducted among 816 students selected from five colleges of Western Nepal using a self-administered questionnaire. Prevalence of ever smoking was 34.2% (males 47.6% and females 18.4%) and for current smoking was 17%. It was higher among youth belonging to 21 years or older as compared to younger age groups. Mean age of initiation was 16.8 years (standard deviation 2.8 years) and the most common reasons cited for smoking were; like it, to feel more relaxed, out of boredom and to look more mature. Proportion of youth who said they felt they were addicted was 43.1% and 64.7% said that they had tried to quit the habit. Most important predictors having independent effects on youth being ever smokers were having three or more smoker friends (OR=18), their own chewing (OR=4.8) or alcohol use (OR=4.2), male gender (OR=3.7) and the type of course they were pursuing, with professional course students having higher risk. With almost one fifth of college-going youth smoking and a higher prevalence in older age groups within them, smoking is a serious concern for young people in Western Nepal.
烟草是导致各种疾病的最大单一风险因素,年轻人吸烟预示着更严重的问题,因为他们可能接触烟草的时间更长。了解青年吸烟的流行情况和预测因素将有助于制定有效的预防和控制措施。因此,我们使用自填式问卷对从尼泊尔西部五所学院选取的816名学生进行了一项横断面研究。曾经吸烟的 prevalence 为34.2%(男性为47.6%,女性为18.4%),当前吸烟的 prevalence 为17%。与较年轻年龄组相比,21岁及以上的年轻人中吸烟 prevalence 更高。开始吸烟的平均年龄为16.8岁(标准差2.8岁),吸烟的最常见原因是:喜欢、感觉更放松、出于无聊以及看起来更成熟。表示觉得自己上瘾的年轻人比例为43.1%,64.7%的人表示曾试图戒烟。对年轻人成为曾经吸烟者有独立影响的最重要预测因素是有三个或更多吸烟的朋友(OR = 18)、自己咀嚼(OR = 4.8)或饮酒(OR = 4.2)、男性(OR = 3.7)以及他们所学课程的类型,其中攻读专业课程的学生风险更高。由于近五分之一的大学生吸烟,且年龄较大的学生中吸烟 prevalence 更高,吸烟是尼泊尔西部年轻人面临的一个严重问题。 (注:“prevalence”在医学统计中常译为“患病率”“流行率”等,这里根据语境灵活处理为“比例”“情况”等表述,使译文更通顺。)