Lorand Ferencz Iozsef, Zoltan Abram, Lorand Schmidt, Peter Balazs, Foley Kristie L
Department of Hygiene, University of Medicine and Pharmacy Targu Mures, Targu Mures, Romania
Department of Hygiene, University of Medicine and Pharmacy Targu Mures, Targu Mures, Romania.
Eur J Public Health. 2016 Oct;26(5):822-826. doi: 10.1093/eurpub/ckw044. Epub 2016 Apr 15.
Children living in facilities under the supervision of child protection authorities are vulnerable to early smoking experimentation. This is the first study to report the prevalence and correlates of smoking behaviour among foster care home residents in Romania.
We conducted an in-person, cross-sectional survey of 914 resident children in 148 foster care homes of four Transylvanian counties. We included children <18 and those with complete tobacco use information in the analytical sample (n = 791). Sociodemographic, peer and foster family characteristics were evaluated for their influence on tobacco experimentation and past 30-day use.
Respondents included 50.7% girls of average age 13.6 years (range 8-17). Almost half reported ever experimenting with tobacco (44.6%) and approximately one in four reported past 30-day use (25.9%). Factors significantly associated with an increased odds of smoking experimentation and past 30-day use in the multivariable model included being 13-17 years old (vs. <12 years), having friends who are current smokers, and having a sibling who smokes. Living in a home with a foster mother or foster father who smokes was associated with increased odds of experimentation and past-30 day use, respectively. The longer time living in foster care was associated with decreased odds of experimentation and past 30-day use controlling for all covariates.
Anti-tobacco programmes that incorporate the role family and peers to reduce smoking are needed to address the high rates of use among Romanian foster care children.
生活在儿童保护机构监管下的儿童容易过早尝试吸烟。这是第一项报告罗马尼亚寄养家庭居民吸烟行为患病率及其相关因素的研究。
我们对特兰西瓦尼亚四个县148个寄养家庭中的914名常住儿童进行了面对面的横断面调查。分析样本纳入了18岁以下儿童以及拥有完整烟草使用信息的儿童（n = 791）。评估了社会人口统计学、同伴和寄养家庭特征对烟草尝试及过去30天吸烟情况的影响。
受访者中50.7%为女孩，平均年龄13.6岁（范围8 - 17岁）。近一半的人报告曾经尝试吸烟（44.6%），约四分之一的人报告过去30天有吸烟行为（25.9%）。在多变量模型中，与吸烟尝试及过去30天吸烟几率增加显著相关的因素包括年龄在13 - 17岁（对比<12岁）、有当前吸烟的朋友以及有吸烟的兄弟姐妹。寄养家庭中有吸烟的养母或养父分别与吸烟尝试几率增加及过去30天吸烟几率增加相关。在控制所有协变量的情况下，在寄养家庭生活的时间越长，吸烟尝试及过去30天吸烟的几率越低。
需要实施纳入家庭和同伴作用以减少吸烟的反烟草项目，来解决罗马尼亚寄养儿童中吸烟率高的问题。
