2012年哥伦比亚布卡拉曼加市大学生吸烟起始行为的社会文化决定因素

Sociocultural Determinants of Tobacco Smoking Initiation among University Students in Bucaramanga, Colombia, 2012.

作者信息

Afanador Laura Del Pilar Cadena, Radi Daniel Sebastián Salazar, Pinto Luis Enrique Vásquez, Pinzón Cristian Eduardo Pérez, Carreño Manuel Felipe Castro

机构信息

Faculty of Health Sciences, Universidad Autónoma de Bucaramanga., Bucaramanga, Colombia.

出版信息

Int J Prev Med. 2014 Sep;5(9):1106-12.

PMID:25317292

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4192771/

Abstract

BACKGROUND

Tobacco smoking is the leading cause of preventable mortality. The prevalence of smoking in adolescents in high schools ranges from 23.5% to 41%, respectively. In Colombia, these figures are similar and students entering the University are exposed to initiate smoking. The purpose of this study was to establish the determinants associated with the initiation of tobacco smoking among university students.

METHODS

A case-control paired by sex and age study design was used. The study population was the students of a private university of Bucaramanga, Santander, Colombia. The final sample consisted of 167 cases and 314 controls randomly select undergraduate university students. Data analysis was performed using a Logistic regression model adjusted by gender and age; using the initiation of tobacco smoking as the dependent variable, and as independent variables relationship with parents, history of parental smoking, university social environment, being away from hometown, steady girlfriend/boyfriend who smokes, alcohol consumption, physical activity, and Francis Score.

RESULTS

THE SOCIAL ENVIRONMENT (ODDS RATIO [OR]: 32.70, 7.40-144.55), being away from hometown (OR: 3.06, 1.55-6.07), history of steady girlfriend/boyfriend who smoke (OR: 2.87, 1.43-5.76), a bad relationship with the father (OR: 8.01, 2.01-31.83), history of tobacco consumption of the mother (OR: 2.66, 1.37-5.17) and alcohol consumption (OR: 4.79, 1.91-12.00) appeared as determinants of initiation of tobacco smoking. As protector factors we found media advertisement (OR: 0.19, 0.05-0.71), light physical activity 2-3 times a week (OR: 0.33, 0.12-0.88), and a high result in Francis score (OR: 0.95, 0.919-0.99).

CONCLUSIONS

University efforts for tobacco-free policies should focus on preventive advertisement, promoting physical activity and awareness among young students of social environmental factors that could influence their decision to start smoking tobacco.

摘要

背景

吸烟是可预防死亡的主要原因。高中青少年吸烟率分别在23.5%至41%之间。在哥伦比亚，这些数字相似，进入大学的学生面临开始吸烟的风险。本研究的目的是确定与大学生开始吸烟相关的决定因素。

方法

采用按性别和年龄配对的病例对照研究设计。研究人群为哥伦比亚桑坦德省布卡拉曼加一所私立大学的学生。最终样本包括167例病例和314例对照，随机选取本科大学生。使用经性别和年龄调整的逻辑回归模型进行数据分析；以开始吸烟作为因变量，与父母的关系、父母吸烟史、大学社会环境、远离家乡、吸烟的固定女友/男友、饮酒、体育活动和弗朗西斯评分作为自变量。

结果

社会环境（比值比[OR]：32.70，7.40 - 144.55）、远离家乡（OR：3.06，1.55 - 6.07）、有吸烟的固定女友/男友史（OR：2.87，1.43 - 5.76）、与父亲关系不好（OR：8.01，2.01 - 31.83）、母亲的吸烟史（OR：2.66，1.37 - 5.17）和饮酒（OR：4.79，1.91 - 12.00）被视为开始吸烟的决定因素。作为保护因素，我们发现媒体广告（OR：0.19，0.05 - 0.71）、每周进行2 - 3次轻度体育活动（OR：0.33，0.12 - 0.88）以及弗朗西斯评分高（OR：0.95，0.919 - 0.99）。