Shuja Mujtaba, Sarrafzadegan Nizal, Roohafza Hamid Reza, Sadeghi Masoumeh, Ghafari Mahin, Mohammadian Mahdi, Mohammadian Hafshejani Abdollah
Researcher, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. Email:
Asian Pac J Cancer Prev. 2017 Mar 1;18(3):647-653. doi: 10.22034/APJCP.2017.18.3.647.
Background: This study aims to assess factors associated with cigarette smoking in central parts of Iran. Materials and methods: We used the data of the post intervention phase of Isfahan Healthy Heart Program (IHHP) that was conducted in 2007. Logistic regression was used for calculating crude and adjusted Odds Ratios (OR). The group with the least prevalence of smoking was considered as the Reference Group (RG) and the OR for other parts of the variable was calculated based on the RG and reported with a confidence interval of 95%. Findings: Generally, 9513 individuals participated in the study, of which 13.5% were smokers (26.2% of men and 0.8% of women). The OR for cigarette smoking in men compared with women in (RG) was 13.89 (95% Confidence Interval (CI) 7.44–24.82). Among rural areas, compared with urban areas in (RG), the OR was 0.98 (95% CI 0.82–1.15); and among elementary education level compared to illiterate individuals the OR was 4.37 (95% CI 1.68–10.76). The OR in individuals in the age group 35–44, compared with the age group of 65 and older in (RG) was 2.49 (95% CI 1.81–3.45). The place most used for cigarette smoking was streets (72.1%); and the main reason for starting or continuing cigarette smoking, according to smokers’ opinions, was pleasure and fun. Conclusion: The highest number of smokers was in 35-44 years men, in rural areas, with elementary education level; so, they are the ones who need more attention through implementation of educational programs for awareness, improved attitudes and practices, and smoking cessation programs.
本研究旨在评估伊朗中部与吸烟相关的因素。材料与方法：我们使用了2007年开展的伊斯法罕健康心脏项目（IHHP）干预后阶段的数据。采用逻辑回归计算粗比值比（OR）和调整后的比值比。吸烟率最低的组被视为参考组（RG），变量其他部分的OR基于RG计算，并以95%置信区间报告。结果：总体而言，9513人参与了该研究，其中13.5%为吸烟者（男性占26.2%，女性占0.8%）。在参考组中，男性吸烟的OR与女性相比为13.89（95%置信区间[CI] 7.44 - 24.82）。在农村地区，与参考组中的城市地区相比，OR为0.98（95% CI 0.82 - 1.15）；在小学教育水平人群中，与文盲个体相比，OR为4.37（95% CI 1.68 - 10.76）。在参考组中，35 - 44岁年龄组个体的OR与65岁及以上年龄组相比为2.49（95% CI 1.81 - 3.45）。吸烟最常发生的地点是街道（72.1%）；根据吸烟者的意见，开始或继续吸烟的主要原因是愉悦和乐趣。结论：吸烟人数最多的是农村地区、小学教育水平、35 - 44岁的男性；因此，通过实施提高认识、改善态度和行为的教育项目以及戒烟项目，他们是最需要关注的人群。
