Jodalli Praveen, Panchmal Ganesh S
Department of Public Health Dentistry, Yenepoya Dental College, Yenepoya (Deemed to be University), Mangalore, India.
Tob Prev Cessat. 2020 Oct 23;6:58. doi: 10.18332/tpc/127375. eCollection 2020.
Tobacco use is a leading cause of death and disability worldwide, particularly in South-East Asia. The tobacco problem in India is probably more complex than in any other country, with a huge consequential burden of tobacco related diseases and deaths. The present study aimed at analyzing the pattern and predictors of tobacco use among college students aged 18-24 years, using the Global Tobacco Surveillance System (GTSS).
A cross-sectional study was conducted among 2063 students, from 30 colleges of Mangalore, South India, who were selected by multistage sampling with probability proportional to size. The tobacco questions used for this study were a validated, recommended subset of key questions from the Global Adult Tobacco Survey (GATS). Data analysis was performed using GATS manuals and SPSS version 24.0.
A total of 2063 students participated in the study (738 males, 1325 females). Prevalence of tobacco smoking was 4.8%, which included 9.9% males and 2.1% females. Manufactured cigarettes were the most commonly preferred tobacco product among daily smokers. The overall percentage of smokeless tobacco use was 4.8%, which included 7.4% males and 3.3% females. Logistic regression analysis showed that 71.4% of the participants who noticed anticigarette information on television made an attempt to quit smoking. The odds ratio (OR) of quitting was 4.4 times higher compared to those who did not notice any information on television (p=0.002). In addition, noticing health warnings on cigarette packs strongly influenced an individual to quit smoking (OR=30.09).
The study results showed low prevalence of the use of both smoked and smokeless forms of tobacco, current smoking, and chewing tobacco, among the study population. Generating data in this part of the country on tobacco use and developing tobacco control measures at regular intervals are essential to better understand and develop effective intervention programs.
吸烟是全球范围内导致死亡和残疾的主要原因，在东南亚地区尤为如此。印度的烟草问题可能比其他任何国家都更为复杂，烟草相关疾病和死亡带来了巨大的后果负担。本研究旨在利用全球烟草监测系统（GTSS）分析18 - 24岁大学生的烟草使用模式及预测因素。
对印度南部芒格洛尔30所学院的2063名学生进行了横断面研究，采用与规模成比例的概率多阶段抽样法进行选取。本研究使用的烟草问题是经过验证的、来自全球成人烟草调查（GATS）的关键问题推荐子集。使用GATS手册和SPSS 24.0版进行数据分析。
共有2063名学生参与了研究（男性738名，女性1325名）。吸烟率为4.8%，其中男性为9.9%，女性为2.1%。在每日吸烟者中，机制卷烟是最常选择的烟草产品。无烟烟草的总体使用率为4.8%，其中男性为7.4%，女性为3.3%。逻辑回归分析显示，71.4%在电视上看到反吸烟信息的参与者尝试戒烟。与未在电视上看到任何信息的参与者相比，戒烟的优势比（OR）高出4.4倍（p = 0.002）。此外，注意到香烟包装上的健康警告会强烈影响个人戒烟（OR = 30.09）。
研究结果表明，在研究人群中，吸烟和无烟烟草使用、当前吸烟及嚼烟的使用率较低。在该国这一地区定期生成烟草使用数据并制定烟草控制措施，对于更好地理解和制定有效的干预计划至关重要。
