Prevention of Psychosocial Injuries, Research Centre, Ilam Universty of Medical Sciences, Ilam, Iran.
Addict Behav. 2013 Jun;38(6):2214-8. doi: 10.1016/j.addbeh.2013.01.018. Epub 2013 Feb 4.
The present study aimed to estimate the prevalence of smoking status and its associated factors in Iranian adolescents and a meta-analysis of recent cross-sectional studies in order to estimate the corresponding prevalence for all Iranian adolescents. In a cross-sectional study, 1064 male high school students in Zanjan city (northwest of Iran) were recruited. A self-administered questionnaire was used for smoking status and associated factors. Through the meta-analysis, all relevant published studies were reviewed. Almost one-third of adolescents (34.2%, n=354) have experienced smoking either experimentally (23.4%, n=242), or regularly (10.8%, n=112). Multivariate analysis showed that older age (OR=1.20; 95% CI: 1.05-1.37), risky behaviors (OR=1.83; 1.25-2.68), Tramadol medication (OR=2.19; 1.54-3.11), low self-esteem (OR=1.07; 1.03-1.11), positive attitude toward smoking (OR=1.15; 1.09-1.21), positive thinking about smoking (OR=1.07; 1.01-1.14) and having smoker friends (OR=1.94; 1.36-2.77) were significantly associated with cigarette smoking in adolescents. Meta-analysis results showed that 7% of Iranian adolescents are regular smokers and 27% are experimenters. Increasing prevalence of smoking in Iranian adolescents is a major concern for public health. Controlling risky behaviors and increasing health education are recommended.
本研究旨在估计伊朗青少年的吸烟状况及其相关因素的流行率，并对最近的横断面研究进行荟萃分析，以估计所有伊朗青少年的相应流行率。在一项横断面研究中，我们招募了伊朗西北部赞詹市的 1064 名男高中生。使用自我管理问卷来评估吸烟状况和相关因素。通过荟萃分析，我们回顾了所有相关的已发表研究。几乎三分之一的青少年（34.2%，n=354）有过吸烟经历，要么是尝试性吸烟（23.4%，n=242），要么是规律性吸烟（10.8%，n=112）。多变量分析表明，年龄较大（OR=1.20；95%CI：1.05-1.37）、危险行为（OR=1.83；1.25-2.68）、曲马多药物治疗（OR=2.19；1.54-3.11）、低自尊（OR=1.07；1.03-1.11）、对吸烟的积极态度（OR=1.15；1.09-1.21）、对吸烟的积极思维（OR=1.07；1.01-1.14）和有吸烟的朋友（OR=1.94；1.36-2.77）与青少年吸烟显著相关。荟萃分析结果表明，7%的伊朗青少年是规律性吸烟者，27%是尝试性吸烟者。伊朗青少年吸烟率的增加是公共卫生的一个主要关注点。建议控制危险行为和增加健康教育。
