Anand Kritika, Marwah Smridhi
Guru Gobind Singh Indraprastha University, New Delhi, India.
University of Nebraska Medical Center, Nebraska, USA.
Natl Med J India. 2019 Sep-Oct;32(5):277-281. doi: 10.4103/0970-258X.295963.
As governments across the world implement tobacco-control measures, the tobacco industry responds by coming up with new products such as hookah, which are more appealing and affordable for young people-especially women-their primary target group. We assessed the prevalence and determinants of tobacco use among undergraduate women students of the University of Delhi with special emphasis on hookah use.
Using an anonymous self-administered questionnaire, we conducted a survey among the undergraduate women students of four colleges of the University of Delhi during March 2016. The tool was adapted from standard global surveys and had specific sections on tobacco use and patterns-use of shisha (hookah), smokeless tobacco as well as cessation and exposure to media and awareness about the harmful health effects of tobacco use. Point estimates along with 95% confidence intervals were estimated. Multivariate logistic regression was done to identify the determinants of current tobacco use and hookah use.
Of the 780 respondents (mean [SD] age 19.3 [1.08] years), 22.9% (20.1-26.0) used tobacco in any form, with hookah being the most prevalent form (20.3%). One-third of the respondents believed that hookah smoking was less harmful than cigarette smoking. The major determinants of hookah use were-attending a private school (1.84; 1.11-3.01) or all-women college (2.79; 1.80-4.33); tobacco use by friends (2.47; 1.61-3.77); belief that smoking is a sign of women empowerment (2.09; 1.05-4.1 7) and the belief that hookah smoking is less harmful than cigarette smoking (2.81; 1.92-4.13).
High prevalence of hookah use among young girls and women calls for a comprehensive approach including legislative options as well as increasing awareness about tobacco-cessation programmes among them.
随着世界各国政府实施烟草控制措施，烟草行业通过推出水烟等新产品做出回应，这些产品对年轻人——尤其是女性，他们的主要目标群体——更具吸引力且价格更易承受。我们评估了德里大学本科女生中烟草使用的流行情况及其决定因素，特别关注水烟使用情况。
2016年3月，我们使用一份匿名自填式问卷，对德里大学四所学院的本科女生进行了一项调查。该工具改编自标准的全球调查，有关于烟草使用及模式（水烟使用、无烟烟草使用）以及戒烟、接触媒体和对烟草使用有害健康影响的认识等特定部分。估计了点估计值以及95%置信区间。进行多因素逻辑回归以确定当前烟草使用和水烟使用的决定因素。
在780名受访者（平均[标准差]年龄19.3[1.08]岁）中，22.9%（20.1 - 26.0）使用过任何形式的烟草，其中水烟是最普遍的形式（20.3%）。三分之一的受访者认为吸水烟比吸卷烟危害小。水烟使用的主要决定因素包括——上过私立学校（1.84；1.11 - 3.01）或女子学院（2.79；1.80 - 4.33）；朋友使用烟草（2.47；1.61 - 3.77）；认为吸烟是女性赋权的标志（2.09；1.05 - 4.17）以及认为吸水烟比吸卷烟危害小（2.81；1.92 - 4.13）。
年轻女孩和女性中水烟使用的高流行率要求采取综合方法，包括立法措施以及提高她们对戒烟计划的认识。
