Institute for Public Health, National Institutes of Health, Ministry of Health, Kuala Lumpur, Malaysia
Institute for Public Health, National Institutes of Health, Ministry of Health, Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2014 Sep;26(5 Suppl):70S-80S. doi: 10.1177/1010539514540468. Epub 2014 Jun 25.
Cigarette smoking in adolescent is a significant public health problem, leading to the risk of addiction, morbidity, and mortality in the long term. This study determined the prevalence and correlates of current smoking among adolescent school children. A nationwide school-based survey among 25 507 students between Forms 1 to 5 (aged 12-17) was conducted using a 2-stage cluster sampling design. The prevalence of current smoking was 11.5%. Multivariable logistic regression analysis revealed that current smoking was significantly associated with males (adjusted odds ratio [aOR] = 3.25; 95% confidence interval [CI] = 1.87, 4.98), current drinking (aOR = 2.34; 95% CI = 1.46, 3.74), drug used (aOR = 2.97; 95% CI = 1.24, 7.11), and being bullied (aOR = 1.41; 95% CI = 1.00, 1.98) at least once in the past 12 months. Smoking is associated with several behaviors that pose risks to adolescents, such as social issues and smoking-related health problems. Thus, early and integrated prevention programs that address multiple risk behaviors simultaneously are required.
青少年吸烟是一个严重的公共卫生问题，长期来看会导致成瘾、发病和死亡的风险。本研究旨在确定青少年学生目前吸烟的流行率和相关因素。采用两阶段整群抽样设计，对 12-17 岁的 1 至 5 年级 25507 名学生进行了一项全国性的基于学校的调查。当前吸烟的流行率为 11.5%。多变量逻辑回归分析显示，当前吸烟与男性（调整后的优势比[aOR]=3.25；95%置信区间[CI]=1.87,4.98）、当前饮酒（aOR=2.34；95%CI=1.46,3.74）、使用药物（aOR=2.97；95%CI=1.24,7.11）和过去 12 个月至少被欺凌一次（aOR=1.41；95%CI=1.00,1.98）显著相关。吸烟与一些会给青少年带来风险的行为有关，如社会问题和与吸烟有关的健康问题。因此，需要同时针对多种风险行为的早期和综合预防计划。
