Family and Community Medicine Department, College of Medicine-Al Hassa, King Faisal University, Al-Hassa 31982, Saudi Arabia.
J Behav Med. 2011 Oct;34(5):339-50. doi: 10.1007/s10865-011-9319-7. Epub 2011 Feb 1.
The objective of this study was to determine the prevalence and determinants of the current smoking status among secondary school students in Al-Hassa, Saudi Arabia. A total of 1,652 secondary school adolescents were selected by multistage proportionate sampling method. Data collection was carried out through self-administered anonymous questionnaire including: Arabic version of the Global Youth Tobacco Survey, modified Fagerstrom Test for Nicotine Dependence and Patient Health Questionnaire to asses for anxiety and depressive disorders. This study revealed that the prevalence of current smokers was 21.7. Seventy-one percent of current cigarette smokers were minimally nicotine dependent. Major depressive and anxiety disorders were significantly higher among current smokers. Hierarchical regression analysis shows that, male, older age, smoking of close relatives and friends, anxiety disorders and socializing motives were statistically significant determinants of current smoking status among the included adolescents. Family members should be made aware of the detrimental influence their smoking behavior has on their youth. Counseling and preventive psychiatric services should be an integral part of the clinical facilities caring for secondary school students.
本研究旨在确定沙特阿拉伯哈萨地区中学生当前吸烟状况的流行率及其决定因素。采用多阶段比例抽样方法，共选取了 1652 名中学生。通过自填匿名问卷收集数据，包括：全球青年烟草调查的阿拉伯语版本、尼古丁依赖程度修正版 Fagerstrom 测试和用于评估焦虑和抑郁障碍的患者健康问卷。研究显示，当前吸烟者的比例为 21.7%。71%的当前吸烟者尼古丁依赖程度较低。在当前吸烟者中，重度抑郁和焦虑障碍的比例显著更高。层次回归分析表明，男性、年龄较大、吸烟的近亲及朋友、焦虑障碍和社交动机是影响中学生当前吸烟状况的统计学显著决定因素。应使家庭成员认识到其吸烟行为对青少年的不利影响。咨询和预防精神科服务应成为照顾中学生的临床设施的一个组成部分。
