Abbasi-Ghahramanloo Abbas, Janani Leila, Malakouti Seyed Kazem, Rabetian Mahshid, Rimaz Shahnaz
Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute (PHRI) & Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2020 Nov 5;34:150. doi: 10.34171/mjiri.34.150. eCollection 2020.
Smoking is considered as the second leading risk factor of early death and disability throughout the world. Smoking is the second leading risk factor of early death and disability in the world. The workplace is an important setting for the implementation of cigarette smoking prevention and control interventions. This study aimed to determine the prevalence of cigarette smoking and related factors by focusing on ADHD and risk-taking behaviors among a sample of Iranian workers. This cross-sectional study was conducted on 2434 male workers of Kaveh Industrial City in Saveh. Random cluster sampling was used in the selection of workers. All workers completed five sets of anonymous and validated questionnaires. ADHD was measured by Conner's Adult ADHD Rating Scales. Data analysis was done using chi-square, independent t-test and logistic regression model in STATA 10. Also, P-value <0.05 was considered statistically significant. The mean age of the workers was 32.80±7.05 years. The prevalence of cigarette smoking in the lifetime, last year, last month, and daily or almost daily in the last month were 26.2%, 20.6% , 18.5%, and 13.1% respectively. After adjustment, age (OR=1.08), sensation seeking (OR=1.57), hookah smoking (OR=4.21), alcohol use (OR=2.51), sexual risk behaviors (OR=2.25), religiosity (OR=0.95) and self-esteem (OR=2.02) were associated with cigarette smoking. Our results showed that 13.1 % of workers were regular smokers (daily or almost daily). Specific programs in workplaces, including interventions to enhance self-steam and reduce anxiety, can be effective in lowering cigarette smoking prevalence. Also, comprehensive interventions to reduce or prevent different risk-taking behaviors can be considered as elements of preventive action plans.
吸烟被认为是全球过早死亡和残疾的第二大主要风险因素。吸烟是全球过早死亡和残疾的第二大主要风险因素。工作场所是实施吸烟预防和控制干预措施的重要场所。本研究旨在通过关注伊朗工人样本中的注意力缺陷多动障碍（ADHD）和冒险行为来确定吸烟率及相关因素。这项横断面研究针对萨韦赫市卡维工业城的2434名男性工人开展。采用随机整群抽样法选取工人。所有工人均完成了五套匿名且经过验证的问卷。使用康纳成人ADHD评定量表测量ADHD。在STATA 10中使用卡方检验、独立t检验和逻辑回归模型进行数据分析。此外，P值<0.05被认为具有统计学意义。工人的平均年龄为32.80±7.05岁。终生吸烟率、去年吸烟率、上个月吸烟率以及上个月每日或几乎每日吸烟率分别为26.2%、20.6%、18.5%和13.1%。调整后，年龄（OR=1.08）、寻求刺激（OR=1.57）、水烟吸食（OR=4.21）、饮酒（OR=2.51）、性风险行为（OR=2.25）、宗教信仰（OR=0.95）和自尊（OR=2.02）与吸烟有关。我们的结果显示，13.1%的工人为经常吸烟者（每日或几乎每日吸烟）。工作场所的特定项目，包括增强自尊和减轻焦虑方面的干预措施，可能对降低吸烟率有效。此外，减少或预防不同冒险行为的综合干预措施可被视为预防行动计划的组成部分。
