Hossain Sahadat, Hossain Shakhaoat, Ahmed Fahad, Islam Rabiul, Sikder Tajuddin, Rahman Abdur
Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
Department of Environmental Sciences, Jahangirnagar University, Dhaka, Bangladesh.
Cent Asian J Glob Health. 2017 Jan 6;6(1):244. doi: 10.5195/cajgh.2017.244. eCollection 2017.
Tobacco smoking is considered to be the key preventable risk factor for morbidity and mortality at the global level. The aim of this study was to determine the prevalence of tobacco smoking and factors associated with the initiation of smoking among university students in Dhaka, Bangladesh.
A cross-sectional survey study was conducted with 264 students of Jahangirnagar University, Dhaka, Bangladesh in 2015. A standard, self-administered questionnaire consisting of questions on socio-demographic variables, tobacco smoking status, family and peer tobacco smoking history, attitudes and beliefs about tobacco smoking, as well as knowledge about the negative health consequences of tobacco smoking was administered to participants. Data were analyzed using logistic regression models, chi square, and Fisher exact tests.
The overall prevalence of tobacco smoking was 60.2%, where males smoked at higher rates than females (68.81% and 19.56%, respectively). The influence of friends was the most significant reason for initiating tobacco smoking (OR: 0.862; CI: 0.810-0.917). Perception regarding tobacco smoking was significantly related to continuing tobacco use. Logistic regression models identified that smoking-related attitudes, potential health problems, and family members dying from cardiovascular disease and cancer were significantly associated with tobacco smoking.
The current tobacco smoking prevalence among university students in Bangladesh is over 60%. We suggest adopting WHO Framework Convention on Tobacco Control (FCTC) policies, especially for university students.
吸烟被认为是全球范围内可预防的发病和死亡的关键危险因素。本研究的目的是确定孟加拉国达卡大学生的吸烟率以及与开始吸烟相关的因素。
2015年对孟加拉国达卡贾汗吉尔纳加尔大学的264名学生进行了一项横断面调查研究。向参与者发放了一份标准的自填问卷，问卷内容包括社会人口统计学变量、吸烟状况、家庭和同伴吸烟史、对吸烟的态度和信念以及对吸烟负面健康后果的了解等问题。使用逻辑回归模型、卡方检验和费舍尔精确检验对数据进行分析。
吸烟的总体患病率为60.2%，其中男性吸烟率高于女性（分别为68.81%和19.56%）。朋友的影响是开始吸烟的最主要原因（比值比：0.862；置信区间：0.810 - 0.917）。对吸烟的认知与持续吸烟显著相关。逻辑回归模型表明，与吸烟相关的态度、潜在健康问题以及家庭成员死于心血管疾病和癌症与吸烟显著相关。
孟加拉国大学生目前的吸烟率超过60%。我们建议采用世界卫生组织《烟草控制框架公约》（FCTC）政策，尤其是针对大学生。
