Grover Shekhar, Anand Tanu, Kishore Jugal, Tripathy Jaya Prasad, Sinha Dhirendra N
National Health Mission, Maulana Azad Institute of Dental Sciences, New Delhi, New Delhi, India.
Indian Council of Medical Research, New Delhi, India.
Tob Use Insights. 2020 Sep 22;13:1179173X20927397. doi: 10.1177/1179173X20927397. eCollection 2020.
Worldwide, tobacco use is a serious public health concern affecting the youth. A vast majority of tobacco users start using tobacco well before the age of 18 years which has enormous psychosocial and health effects.
To estimate the prevalence of individual forms of tobacco usage among youth aged 15 to 24 years and to assess the association of sociodemographic factors with tobacco use.
The source of data was a cross-sectional GATS-2 survey in India (analysed using SPSSv17.0) which used a multistage, geographically stratified cluster sampling method. Bivariate analysis was done for evaluation of the possible association of tobacco use with sociodemographic factors. Multivariable logistic regression analysis was conducted to determine the relative strength of association between those factors and tobacco use.
There were 13 329 respondents (44.9% males and 55.1% females) aged 15 to 24 years. Overall, 11.9% of respondents were using tobacco. The prevalence of smoke and smokeless tobacco usage was 5% and 10.9%, respectively, whereas 2% of respondents reported dual usage. The odds of using any form of tobacco were significantly higher among respondents aged 20 to 24 years (odds ratio [OR]: 2 [1.76-2.77]) who were primarily residing in rural areas (adjusted odds ratio [aOR]: 1.36 [1.2-1.54]) and were unmarried (aOR: 1.56 [1.37-1.88]). The odds of using any form of tobacco were significantly lower among females (aOR: 0.21 [0.19-0.24]), literate individuals (aOR: 0.33 [0.29-0.37]), and those who were unemployed/students/homemakers (aOR: 0.44 [0.39-0.50]).
The overall tobacco usage of 11.9% among young people in the age group of 15 to 24 years is a matter of concern. The study identified several sociodemographic factors significantly associated with tobacco use, implying the need for designing interventions considering social vulnerabilities of youth.
在全球范围内，烟草使用是一个严重的公共卫生问题，影响着青少年。绝大多数烟草使用者在18岁之前就开始使用烟草，这会对心理社会和健康产生巨大影响。
估计15至24岁青少年中各种烟草使用形式的流行率，并评估社会人口学因素与烟草使用之间的关联。
数据来源是印度的一项横断面全球成人烟草调查（GATS-2）（使用SPSSv17.0进行分析），该调查采用多阶段、地理分层整群抽样方法。进行双变量分析以评估烟草使用与社会人口学因素之间可能的关联。进行多变量逻辑回归分析以确定这些因素与烟草使用之间关联的相对强度。
共有13329名年龄在15至24岁的受访者（男性占44.9%，女性占55.1%）。总体而言，11.9%的受访者使用烟草。吸烟和无烟烟草使用的流行率分别为5%和10.9%，而2%的受访者报告有双重使用情况。年龄在20至24岁的受访者（优势比[OR]：2[1.76 - 2.77]）、主要居住在农村地区的受访者（调整后的优势比[aOR]：1.36[1.2 - 1.54]）以及未婚受访者（aOR：1.56[1.37 - 1.88]）使用任何形式烟草的几率显著更高。女性（aOR：0.21[0.19 - 0.2]), 识字者（aOR：0.33[0.29 - 0.37]）以及失业/学生/家庭主妇（aOR：0.44[0.39 - 0.50]）使用任何形式烟草的几率显著更低。
15至24岁年龄组年轻人中11.9%的总体烟草使用率令人担忧。该研究确定了几个与烟草使用显著相关的社会人口学因素，这意味着需要考虑到青少年的社会脆弱性来设计干预措施。
