Kamimura Akiko, Ahmmad Zobayer, Pye Mu, Gull Bethany
Department of Sociology, University of Utah, Salt Lake City, UT, USA.
J Prev Med Public Health. 2018 Jan;51(1):51-58. doi: 10.3961/jpmph.17.146.
Smoking is a significant public health issue in Bangladesh. The purpose of this study was to examine peer smoking and smoking-related beliefs among college students in Bangladesh.
College students at two universities in Dhaka, Bangladesh participated in a self-administered survey in May and June 2017.
First, being a current or former smoker is associated with lower levels of beliefs among respondents that they would not smoke even with smoker friends or nervousness, and lower levels of intentions that they would not smoke, while current smokers and former smokers have different smoking-related beliefs. Second, having smoker friends is associated with lower levels of intentions that they would not smoke. Third, higher levels of normative beliefs that it is important not to smoke are associated with higher levels of beliefs that they would not smoke even with smoker friends or nervousness, higher levels of intentions that they would not smoke, and higher levels of avoidance of smoking.
Smoking-related beliefs and perceived norms in individuals' social networks are important components in promoting tobacco cessation in Bangladesh. But it is challenging to prevent or intervene in smoking because of the high rates of smoking in this country and the high prevalence of smokers in individuals' social networks. Future studies should examine the most effective interventions to combat smoking in high-smoking social networks, such as using mobile apps or social media, and evaluate the effectiveness of such interventions.
吸烟是孟加拉国一个重大的公共卫生问题。本研究的目的是调查孟加拉国大学生中的同伴吸烟情况及与吸烟相关的信念。
2017年5月和6月，孟加拉国达卡两所大学的大学生参与了一项自填式调查。
首先，当前吸烟者或曾经吸烟者的受访者中，即使有吸烟的朋友或感到紧张也不会吸烟的信念水平较低，以及不会吸烟的意愿水平较低，而当前吸烟者和曾经吸烟者有不同的与吸烟相关的信念。其次，有吸烟的朋友与不会吸烟的意愿水平较低相关。第三，认为不吸烟很重要的较高规范信念水平，与即使有吸烟的朋友或感到紧张也不会吸烟的较高信念水平、不会吸烟的较高意愿水平以及较高的避免吸烟水平相关。
个人社交网络中与吸烟相关的信念和感知规范是孟加拉国促进戒烟的重要组成部分。但由于该国吸烟率高且个人社交网络中吸烟者普遍，预防或干预吸烟具有挑战性。未来的研究应考察在高吸烟率社交网络中对抗吸烟的最有效干预措施，如使用移动应用程序或社交媒体，并评估此类干预措施的有效性。
