Naghavi Mohammadreza, Khosropour Farshid
Department of Psychology, Zarand Branch, Islamic Azad University, Zarand, Iran.
Addict Health. 2020 Jul;12(3):196-204. doi: 10.22122/ahj.v12i3.270.
Explaining the risk and protective factors of waterpipe tobacco smoking (WTS) is the most important principle in designing preventive interventions. This study examined the relationship between self-reported childhood abuse and WTS among health science students in Iran.
This cross-sectional study was conducted among 776 health science students in Kerman City, located in southeast of Iran, who were selected by quota sampling approach. The study was performed using two valid short instruments for measuring WTS and child abuse including physical, emotional, and sexual abuse using a self-report method.
The prevalence of ever use and current use (last 30 days) of WTS among participants was 49.6% and 33.4%, respectively. The initiation age of WTS in 60% of students was < 18 years. Child sexual abuse (CSA) was [odds ratio (OR) = 3.05, 95% confidence interval (CI): 2.06-4.52, P < 0.001] the main predictor for WTS among students.
Protecting children during childhood to prevent them from becoming victims may be an essential primordial preventive strategy for WTS.
解释水烟吸食（WTS）的风险和保护因素是设计预防干预措施的最重要原则。本研究调查了伊朗健康科学专业学生中自我报告的童年期虐待与水烟吸食之间的关系。
本横断面研究在伊朗东南部克尔曼市的776名健康科学专业学生中进行，采用配额抽样方法选取。该研究使用两种有效的简短工具，通过自我报告法测量水烟吸食和儿童虐待情况，包括身体虐待、情感虐待和性虐待。
参与者中曾经吸食水烟和当前吸食水烟（过去30天内）的比例分别为49.6%和33.4%。60%的学生开始吸食水烟的年龄小于18岁。儿童性虐待（CSA）是学生中水烟吸食的主要预测因素[比值比（OR）=3.05，95%置信区间（CI）：2.06 - 4.52，P < 0.001]。
在儿童期保护儿童以防止他们成为受害者可能是预防水烟吸食的一项重要的初级预防策略。
