Department of Preventive Medicine, Medical University of Łódź, Łódź, Poland.
BMC Public Health. 2014 Feb 6;14:127. doi: 10.1186/1471-2458-14-127.
Nowadays the European Union faces a debate on the ban of sale of flavoured cigarettes. There is growing evidence that certain subgroups of smokers are more vulnerable to the use of flavoured cigarettes. However in some European countries, figures on the use of these cigarettes are still scarce. The aim of the study was to assess the prevalence of flavoured cigarettes use in Poland, and examine whether its use among adults varies by socio-demographic characteristics.
Data on tobacco use including flavoured cigarettes and other characteristics were derived from the Global Adult Tobacco Survey (GATS). GATS is a cross-sectional, household survey implemented in Poland between 2009 and 2010. GATS provided data on a representative sample of 7,840 individuals covering 2,254 current smokers. Logistic regression model was used to obtain odds ratios (ORs) and 95% confidence interval (CI) of the selected socio-economic variables on the use of flavoured cigarettes.
Among females the aromatized cigarettes use was 26.1% compared to 10.5% in males (OR = 2.3; 95% CI: 1.62-3.2; p ≤ 0.001). Respondents aged 20-29 years had an increased likelihood of using flavoured cigarettes compared to subjects aged 60 years or older (OR = 2.7; 95% CI: 1.1-6.5; p ≤ 0.001). Respondents aware of negative health consequences of smoking had OR = 1.4 95% CI: 1.1-2.1 (p ≤ 0.05) of smoking aromatized cigarettes compared to those who were unaware. Participants who perceived some kinds of cigarettes less harmful than others were also more likely to use flavoured cigarettes compared to subjects who were convinced that all cigarettes are equally harmful (OR = 1.4; 95% CI: 1.1-1.8; p ≤ 0.01). High educational attainment, living in large cities, being non-economically active was also associated with use of flavoured cigarettes.
Our results are consistent with majority of epidemiology studies on this topic to date and should be considered in the enactment of tobacco control legislation at the national as well as European levels. For combating tobacco epidemic, further efforts need to be made to prevent smoking uptake. Ban of flavoured cigarettes could considerably support achieving this goal.
如今，欧盟就禁止销售调味香烟展开了辩论。越来越多的证据表明，某些吸烟群体更容易使用调味香烟。然而，在一些欧洲国家，这些香烟的使用数据仍然很少。本研究的目的是评估波兰使用调味香烟的流行情况，并研究成年人对调味香烟的使用是否因社会人口特征而异。
使用全球成人烟草调查（GATS）的数据来评估烟草使用情况，包括调味香烟和其他特征。GATS 是 2009 年至 2010 年在波兰实施的一项横断面、家庭调查。GATS 提供了 7840 名代表性个体的数据，其中包括 2254 名当前吸烟者。使用 logistic 回归模型获得选定社会经济变量对使用调味香烟的优势比（OR）和 95%置信区间（CI）。
女性使用调味香烟的比例为 26.1%，而男性为 10.5%（OR=2.3；95%CI：1.62-3.2；p≤0.001）。与 60 岁或以上的受试者相比，20-29 岁的受访者使用调味香烟的可能性更高（OR=2.7；95%CI：1.1-6.5；p≤0.001）。意识到吸烟对健康有负面影响的受访者比那些没有意识到的人吸烟调味香烟的可能性高 1.4（95%CI：1.1-2.1；p≤0.05）。与认为所有香烟同样有害的人相比，认为某些香烟比其他香烟危害小的参与者也更有可能使用调味香烟（OR=1.4；95%CI：1.1-1.8；p≤0.01）。高教育程度、居住在大城市、非经济活动也与使用调味香烟有关。
我们的研究结果与迄今为止大多数关于这一主题的流行病学研究一致，应在国家和欧洲层面制定烟草控制立法时加以考虑。为了应对烟草流行，需要进一步努力防止吸烟。禁止调味香烟可以极大地支持实现这一目标。
