Rakesh P S, Lalu Jishnu Satheesh, Leelamoni K
Department of Community Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
J Pharm Bioallied Sci. 2017 Jan-Mar;9(1):44-47. doi: 10.4103/0975-7406.206220.
The association between secondhand smoke and health outcomes, such as frequent respiratory infections, ischemic heart disease, lung cancer, asthma, and stroke, has long been established. The study aimed to estimate the prevalence of secondhand smoking exposure among higher secondary school students in Ernakulam district, Kerala, Southern India.
A structured questionnaire was administered to all students from four randomly selected higher secondary schools in Ernakulam district. Descriptive statistics was done using frequencies and percentages. Univariate and multivariate analyses were done for factors associated with household exposure to tobacco smoke generating odds ratios (ORs) and 95% confidence intervals (CIs).
A total of 629 students participated in the study. The prevalence of ever smokers was 11.9% and of current smokers was 5.2%. Among the study participants, 23.2% were exposed to secondhand smoking from a family member and 18.8% from friends. Lower educational status of father was associated with the household exposure to secondhand smoke (adjusted OR 4.51 [95% CI 1.66-12.22]). More than half of the study participants (56.3%) reported that they were exposed to cigarette smoke in past 1 week in a public place and 10.2% in closed public places. Nearly one-third of the students reported that they have seen somebody smoking inside school campus in the past 30 days.
Exposure to secondhand smoke at home, schools, and public places was higher among the late adolescent higher secondary school students in Ernakulam district. The findings underscore the urgent need for increased efforts to implement the strategies to reduce secondhand smoke exposure among adolescents.
二手烟与健康后果之间的关联早已确立，这些健康后果包括频繁的呼吸道感染、缺血性心脏病、肺癌、哮喘和中风。本研究旨在估算印度南部喀拉拉邦埃尔讷古勒姆区高中生二手烟暴露的患病率。
对从埃尔讷古勒姆区随机选取的四所高中的所有学生进行了结构化问卷调查。使用频数和百分比进行描述性统计。对与家庭烟草烟雾暴露相关的因素进行单因素和多因素分析，得出比值比（OR）和95%置信区间（CI）。
共有629名学生参与了本研究。曾经吸烟者的患病率为11.9%，当前吸烟者的患病率为5.2%。在研究参与者中，23.2%的人暴露于来自家庭成员的二手烟，18.8%的人暴露于来自朋友的二手烟。父亲较低的教育水平与家庭二手烟暴露相关（调整后的OR为4.51 [95% CI 1.66 - 12.22]）。超过一半的研究参与者（56.3%）报告称他们在过去1周内在公共场所接触过香烟烟雾，10.2%的人在封闭公共场所接触过。近三分之一的学生报告称他们在过去30天内看到有人在校园内吸烟。
埃尔讷古勒姆区青少年高中生在家中、学校和公共场所接触二手烟的情况较为严重。这些发现强调了迫切需要加大力度实施减少青少年二手烟暴露的策略。
