Subba S H, Binu V S, Menezes R G, Ninan J, Rana M S
Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, India.
Indian J Community Med. 2011 Apr;36(2):128-32. doi: 10.4103/0970-0218.84132.
Smokeless tobacco is found to be as addictive and harmful as smoking but have not been explored into, especially among youth.
This study was conducted to find the prevalence of tobacco chewing among college students in Nepal and the factors that have influence over their use.
A cross-sectional study with a self-administered questionnaire.
Five colleges of different streams in Pokhara city were selected for the study. A total of 816 students participated. The study was conducted during the period of May 2006-February 2007, using a semi-structured, self-administered questionnaire.
Overall prevalence of ever tobacco chewing was 21.3% (males 30.2% and females 10.9%) among the youth with average age of initiation 15.7 years. Pan masala and gutka were used by 63.6% and frequency of use varied widely and only 5.7% said they were daily users. Reasons cited for chewing were most commonly 'just like it' or 'friends chew'. Multiple logistic regression analysis showed age, ever smoking status, being ever alcoholic, and having friends or family members who chewed were significantly associated with students' tobacco chewing. Almost one-tenth of the students believed they were addicted to chewing tobacco and 42.5% of them had tried to quit the habit.
The study shows a high prevalence of tobacco chewing by Nepali youth. Important factors that influenced the habit were having chewer friends, their own smoking and alcohol status and having family members who chewed. It is pertinent to consider these when formulating cessation and prevention programs.
已发现无烟烟草与吸烟一样容易上瘾且有害，但尚未得到充分研究，尤其是在年轻人中。
本研究旨在查明尼泊尔大学生中嚼烟的流行情况以及影响他们使用嚼烟的因素。
采用自填式问卷的横断面研究。
选择博克拉市五所不同专业的学院进行研究。共有816名学生参与。研究于2006年5月至2007年2月期间进行，使用半结构化自填式问卷。
在平均开始使用年龄为15.7岁的年轻人中，曾经嚼烟的总体患病率为21.3%（男性为30.2%，女性为10.9%）。63.6%的人使用嚼烟和古特卡，使用频率差异很大，只有5.7%的人表示他们是每日使用者。嚼烟的最常见原因是“喜欢”或“朋友嚼”。多因素logistic回归分析显示，年龄、曾经吸烟状况、曾经饮酒状况以及有嚼烟的朋友或家庭成员与学生嚼烟显著相关。近十分之一的学生认为他们对嚼烟上瘾，其中42.5%的人曾试图戒烟。
该研究表明尼泊尔年轻人中嚼烟的患病率很高。影响这种习惯的重要因素包括有嚼烟的朋友、他们自己的吸烟和饮酒状况以及有嚼烟的家庭成员。在制定戒烟和预防计划时考虑这些因素是恰当的。
