Peltzer Karl, Pengpid Supa
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand E-mail :
Asian Pac J Cancer Prev. 2014;15(22):10033-8. doi: 10.7314/apjcp.2014.15.22.10033.
The aim of this study was to determine the prevalence of tobacco use, beliefs and risk awareness and psychosocial correlates of tobacco use among university students in 24 low, middle and emerging economy countries. Using anonymous questionnaires, data were collected from 16953 undergraduate university students (mean age 20.9, SD=2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Results indicate that overall 13.3% of the university students were current tobacco users, 22.4% for men and 6.6% for women, ranging from 3.8% in Singapore to 32.5% in Cameroon. The risk awareness of the smoking lung cancer link was 83.6%, while the risk awareness of the smoking heart disease link was 46.5%. Multivariate logistic regression found that older age, male gender, having a wealthy family background, living in a low income country, residing off campus on their own, poor beliefs in the importance not to smoke, awareness of the smoking heart disease link, hit by a sexual partner, depressive symptoms, and substance use (binge drinking and illicit drug use) were associated with current tobacco use.
本研究旨在确定24个低收入、中等收入和新兴经济体国家大学生的烟草使用流行率、信念和风险意识以及烟草使用的社会心理相关因素。通过匿名问卷，从亚洲、非洲和美洲24个国家25所大学的16953名本科大学生（平均年龄20.9岁，标准差=2.9）中收集数据。结果表明，总体而言，13.3%的大学生为当前烟草使用者，男性为22.4%，女性为6.6%，范围从新加坡的3.8%到喀麦隆的32.5%。吸烟与肺癌关联的风险意识为83.6%，而吸烟与心脏病关联的风险意识为46.5%。多因素逻辑回归发现，年龄较大、男性、拥有富裕家庭背景、生活在低收入国家、独自住在校外、对不吸烟重要性的信念较差、知晓吸烟与心脏病的关联、被性伴侣抛弃、抑郁症状以及物质使用（暴饮和使用非法药物）与当前烟草使用相关。
