The Department of Health Systems Management, Ariel University, Ariel, 4076405, Israel.
School of Education, Bar Ilan University, Ramat Gan 5290002, Israel.
Int J Environ Res Public Health. 2020 Feb 20;17(4):1354. doi: 10.3390/ijerph17041354.
This study aims to measure trends in cigarette smoking among children and adolescents in Israel, focusing on school grade, sex, and ethnicity. We hypothesized that smoking would be higher among boys and Arab-Israelis, rates would grow with age, and there would be a decline over time.
Data were derived from the Health Behavior in School-aged Children study between 1998 and 2015 in Israel. The total sample included 56,513 students in grades 6, 8, and 10, with 29,411 girls and 27,102 boys. Descriptive analysis described trends of smoking behavior according to grade, sex, ethnicity, family affluence, and year of study. multivariate logistic regression analysis examined predicting variables.
Smoking was higher among boys in all grades, ethnic groups, and years of study, with the highest frequencies among Arab-Israelis. Trends over the years show a decline from 1998 to 2004, followed by an increase for both sexes. The increase was more prominent among girls. Logistic regression analysis revealed strong associations between smoking and grade, sex, ethnicity, and year of study.
The results of this study can significantly enhance the development and implementation of smoking prevention and control programs among students in Israel.
本研究旨在衡量以色列儿童和青少年的吸烟趋势，重点关注年级、性别和种族。我们假设吸烟率在男孩和阿拉伯裔以色列人中较高，随着年龄的增长而上升，并且随着时间的推移呈下降趋势。
数据来自以色列 1998 年至 2015 年期间的“儿童健康行为”研究。总样本包括 6、8 和 10 年级的 56513 名学生，其中女生 29411 人，男生 27102 人。描述性分析根据年级、性别、种族、家庭富裕程度和研究年份描述吸烟行为趋势。多变量逻辑回归分析检查了预测变量。
吸烟在所有年级、种族群体和研究年份中都在男孩中更为普遍，在阿拉伯裔以色列人中频率最高。多年来的趋势显示，从 1998 年到 2004 年呈下降趋势，之后男女吸烟率均有所上升。这种上升在女孩中更为明显。逻辑回归分析显示，吸烟与年级、性别、种族和研究年份之间存在很强的关联。
本研究的结果可以显著促进以色列学生中吸烟预防和控制计划的制定和实施。
