Esmaeil Ali, Alshammasi Ahmed, Almutairi Waad, Alnajem Abdullah, Alroumi Dalal, Ali Mohamad, Redha Abdullah, Alhussaini Maram, Ziyab Ali H
Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.
Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.
Tob Induc Dis. 2020 Jul 7;18:59. doi: 10.18332/tid/123499. eCollection 2020.
Use of tobacco products among adolescents is a major global public health concern. Given the changing landscape of tobacco product use and the lack of epidemiologic data to inform tobacco prevention and control strategies in Kuwait, this study sought to estimate the prevalence and patterns of electronic cigarette (e-cigarette), conventional cigarette, and hookah use among adolescents in Kuwait. Moreover, exposure to secondhand smoke (SHS) and secondhand aerosol (SHA) from e-cigarettes was assessed.
This cross-sectional study enrolled high school students (n=1565; 16-19 years) across Kuwait. Current (past 30-day) use of e-cigarettes, conventional cigarettes, and hookah were assessed through self-reported data. Additionally, current (past 7-day) exposure to SHS and SHA in households and public places were ascertained. Associations were evaluated using Poisson regression, and adjusted prevalence ratios (APRs) and 95% confidence intervals (CIs) were estimated.
Overall, 26.4% (402/1525), 25.1% (383/1525), and 20.9% (318/1525) of the study participants were current e-cigarette users, conventional cigarette smokers, and hookah smokers, respectively. Current use of any tobacco product was reported by 35.1% (535/1525) of the total study participants. The prevalence of concurrent triple use of 'e-cigarettes, conventional cigarettes, and hookah' was estimated to be 12.8% (195/1525). Also, among the study participants, 41.9% (619/1479) were exposed to household SHS, 32.0% (469/1465) were exposed to household SHA, and 62.2% (916/1472) were exposed to SHS and/or SHA in public places. Male adolescents were more likely than females to be current e-cigarette users (APR=5.19; 95% CI: 4.09-6.57), conventional cigarette smokers (APR=5.42; 95% CI: 4.26-6.90), and hookah smokers (APR=3.43; 95% CI: 2.72- 4.32).
A substantial proportion of adolescents in Kuwait are currently using tobacco products and being exposed to SHS/SHA. The findings emphasize the need to continue monitoring all forms of tobacco product use among adolescents and to strengthen tobacco prevention and control programs.
青少年使用烟草制品是一个重大的全球公共卫生问题。鉴于烟草制品使用情况的不断变化，以及科威特缺乏用于为烟草预防和控制策略提供信息的流行病学数据，本研究旨在估计科威特青少年中电子烟、传统香烟和水烟的使用 prevalence 和模式。此外，还评估了来自电子烟的二手烟（SHS）和二手气溶胶（SHA）暴露情况。
这项横断面研究纳入了科威特各地的高中生（n = 1565；16 - 19岁）。通过自我报告数据评估当前（过去30天）电子烟、传统香烟和水烟的使用情况。此外，还确定了当前（过去7天）在家庭和公共场所接触SHS和SHA的情况。使用泊松回归评估关联，并估计调整后的患病率比（APR）和95%置信区间（CI）。
总体而言，分别有26.4%（402/1525）、25.1%（383/1525）和20.9%（318/1525）的研究参与者是当前电子烟使用者、传统香烟吸烟者和水烟吸烟者。共有35.1%（535/1525）的研究参与者报告当前使用任何烟草制品。估计同时使用“电子烟、传统香烟和水烟”的患病率为12.8%（195/1525）。此外，在研究参与者中，41.9%（619/1479）接触过家庭SHS，32.0%（469/1465）接触过家庭SHA，62.2%（916/1472）在公共场所接触过SHS和/或SHA。男性青少年比女性更有可能成为当前电子烟使用者（APR = 5.19；95% CI：4.09 - 6.57）、传统香烟吸烟者（APR = 5.42；95% CI：4.26 - 6.90）和水烟吸烟者（APR = 3.43；95% CI：2.72 - 4.32）。
科威特相当一部分青少年目前正在使用烟草制品并接触SHS/SHA。研究结果强调需要继续监测青少年中所有形式的烟草制品使用情况，并加强烟草预防和控制项目。
