Rajabizadeh Ghodratollah, Ramezani Mohammad Arash, Roohafza Hamidreza, Pourdamghan Nasim, Khosravi Alireza, Rabiei Katayoon, Sarrafzadegan Nizal, Toghianifar Nafiseh, Zarfeshani Sonia
Department of Psychiatry, Kerman University of Medical Sciences, Isfahan, Iran.
Southeast Asian J Trop Med Public Health. 2011 Jul;42(4):977-87.
The objective of this study was to evaluate associations between cigarette smoking and socio-economic variable in an Iranian male population. Isfahan Healthy Heart Program (IHHP) is a community oriented health study from which we obtained our data regarding male subjects. Socio-demographic variables--sex, age, marital status, educational level, occupation, and income--and physical activity level were derived from the questionnaire. Nutritional status was asked by the Food Frequency Questionnaire and the general dietry index (GDI) was calculated. A general health questionnaire (GHQ) comprised of 12 items was used to assess mental health. Smoking status was investigated by a self reported questionnaire as a dependent variable. A logistic regression model was used for statistical analysis. Current smokers comprised 26.2% of respondents while 8.5% were ex-smokers. High income (OR 2.04; 95% CI 1.13-3.67), GDI (OR 1.83; 95% CI 1.44-2.32) and high stress (GHQ > or = 4 OR 1.71; 95% CI 1.48-2) were associated with smoking. Older age (OR 0.991; 95% CI 0.985-0.998), university education level (OR 0.53; 95% CI 0.37-0.77), unemployment (OR 0.8; 95% CI 0.64-0.99) and obesity (BMI > or = 25 kg/m2 OR 0.63; 95% CI 0.55-0.73) were associated with non-smoking status. Our findings confirm an association between socio-demographics, lifestyle and mental health variables with smoking in the Iranian population, consistent with other studies worldwide. These factors should be considered when developing smoking cessation strategies.
本研究的目的是评估伊朗男性人群中吸烟与社会经济变量之间的关联。伊斯法罕健康心脏项目（IHHP）是一项以社区为导向的健康研究，我们从中获取了有关男性受试者的数据。社会人口统计学变量——性别、年龄、婚姻状况、教育水平、职业和收入——以及身体活动水平来自问卷。通过食物频率问卷询问营养状况，并计算总体饮食指数（GDI）。使用由12个项目组成的一般健康问卷（GHQ）来评估心理健康。通过自我报告问卷调查吸烟状况作为因变量。使用逻辑回归模型进行统计分析。当前吸烟者占受访者的26.2%，而既往吸烟者占8.5%。高收入（比值比2.04；95%置信区间1.13 - 3.67）、GDI（比值比1.83；95%置信区间1.44 - 2.32）和高压力（GHQ≥4，比值比1.71；95%置信区间1.48 - 2）与吸烟有关。年龄较大（比值比0.991；95%置信区间0.985 - 0.998）、大学教育水平（比值比0.53；95%置信区间0.37 - 0.77）、失业（比值比0.8；95%置信区间0.64 - 0.99）和肥胖（体重指数≥25 kg/m²，比值比0.63；95%置信区间0.55 - 0.73）与不吸烟状况有关。我们的研究结果证实了伊朗人群中社会人口统计学、生活方式和心理健康变量与吸烟之间的关联，这与全球其他研究一致。在制定戒烟策略时应考虑这些因素。
