Kelkar D S, Patwardhan M, Joshi V D
Department of Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune 411004.
Department of Research, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune 411004.
J Assoc Physicians India. 2013 Mar;61(3):174-8.
Health risks associated with tobacco consumption (TC) are well known. The aim of this study was to assess the prevalence and causality of tobacco consumption among adolescents.
A cross-sectional study was conducted with 6577 participants aged 12 to 20 years from 21 schools and colleges in Pune during year 2005/6. Data on socio demographic profile, family members' tobacco habits and respondents' tobacco consumption habits were collected by self-administered questionnaire. Convenience sampling method was used for data collection.
Complete information on age, gender and participants' consumption of tobacco was available for 6119 students. This data was used for analysis. Average age of the students was 16.9 +/- 1.79 years. 51% were boys. 9% lived in the hostels. Prevalence of TC was 4.2% (256). Prevalence increased from 2.1% at < 14 years to 9.8% at 18 to 20 years of age. Respondents aged < 14 years spent about Rs. 110 per month on tobacco while those over 18 years of age spent about Rs.142 per month (P < 0.05). Significantly (p < 0.0001) more boys (85.2%) consumed tobacco compared to girls (14.8%). Hostel residents consumed tobacco more than those not living in hostel (13% Vs 8.6%). Significantly more (p < 0.0001) number of fathers and brothers of TCs consumed tobacco than non TCs. (Fathers: 53.1% Vs 29.7%), (Brothers: 5.7% Vs 1.1%).
Tobacco consumption among adolescents in Pune is low. However to reduce it further, intervention should start prior to teenage before they form their opinion and start consuming tobacco.
与烟草消费（TC）相关的健康风险众所周知。本研究的目的是评估青少年烟草消费的患病率及因果关系。
2005/6年期间，对来自浦那21所中小学和学院的6577名12至20岁的参与者进行了一项横断面研究。通过自填问卷收集社会人口学特征、家庭成员吸烟习惯和受访者烟草消费习惯的数据。采用便利抽样法收集数据。
6119名学生提供了关于年龄、性别和烟草消费的完整信息。这些数据用于分析。学生的平均年龄为16.9±1.79岁。51%为男生。9%住在宿舍。烟草消费患病率为4.2%（256人）。患病率从14岁以下的2.1%上升到18至20岁的9.8%。14岁以下的受访者每月在烟草上花费约110卢比，而18岁以上的受访者每月花费约142卢比（P<0.05）。与女孩（14.8%）相比，吸烟的男孩（85.2%）明显更多（p<0.0001）。宿舍居民吸烟比不住在宿舍的居民更多（13%对8.6%）。吸烟学生的父亲和兄弟吸烟的人数明显多于不吸烟学生（父亲：53.1%对29.7%），（兄弟：5.7%对1.1%）（p<0.0001）。
浦那青少年的烟草消费率较低。然而，为了进一步降低这一比率，干预应在青少年形成观点并开始吸烟之前的青少年时期就开始。
