Institute of Medical Sciences, Department of Rasashastra and Bhaishajya Kalpana, Faculty of Ayurveda, Banaras Hindu University, Varanasi 221005, India.
Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal.
Int J Environ Res Public Health. 2020 Apr 21;17(8):2868. doi: 10.3390/ijerph17082868.
The initiation of tobacco addiction is complex, and several factors contribute to the onset of this behavior. It is presumed that the influence of family environment may pose a key factor in tobacco addiction. Tobacco-use has been highly observed in the Jamnagar district of Saurashtra region of Gujarat, India. No earlier study has focused on determining the pervasiveness of tobacco-use in families of tobacco users and non-users in this geographical area. Thus, this study aimed to assess the practice and pattern of tobacco-use (smoking and/or tobacco-chewing) in the families of tobacco-user patients. We studied the families of 65 tobacco-user patients (Group 1) who visited an outpatient clinic of an Ayurvedic post-graduate hospital with complaints of cough were studied and compared with age and gender-matched non-tobacco users (Group 2). The prevalence of tobacco use among the parents, siblings, and children of both groups was analyzed and compared. The findings revealed that tobacco use among parents, siblings, and children in Group 1 was higher than Group 2 ( < 0.001). This meant that the problems of tobacco addiction are not always related to the individual, and therefore, tobacco-prevention strategies should focus on the entire family. These findings offer further insight into the promotion of smoking prevention interventions. Nevertheless, further research is warranted.
烟草成瘾的形成过程较为复杂，多种因素共同促成了这一行为的发生。有研究认为，家庭环境的影响可能是导致烟草成瘾的关键因素之一。在印度古吉拉特邦萨拉斯瓦蒂地区的贾姆讷格尔区，人们对烟草的使用非常普遍。此前尚无研究聚焦于确定该地区烟草使用者和非使用者家庭中烟草使用的普遍程度。因此，本研究旨在评估烟草使用者患者家庭中烟草使用（吸烟和/或咀嚼烟草）的情况和模式。
我们研究了 65 名到一家印度传统医学研究生医院门诊就诊的有咳嗽症状的烟草使用者患者（第 1 组）的家庭，并与年龄和性别相匹配的非烟草使用者（第 2 组）进行了比较。分析并比较了两组中父母、兄弟姐妹和子女的烟草使用情况。
研究结果显示，第 1 组中父母、兄弟姐妹和子女的烟草使用情况均高于第 2 组（<0.001）。这意味着烟草成瘾问题并不总是与个人有关，因此，烟草预防策略应着眼于整个家庭。
这些发现为促进吸烟预防干预措施提供了进一步的见解。然而，还需要进一步的研究。
