Dr Farzana Nusrat, Lecturer, Department of Community Medicine, Dhaka Medical College, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2021 Apr;30(2):493-502.
In Bangladesh, more than one-fifth (20.5 percent) of the total population, that is 30.68 million is adolescents. Most of the adult smokers initiate smoking in their adolescent period. This study aimed to investigate parental influencing factors for the initiation of tobacco smoking in adolescence period among 15-19 years old college students of Dhaka city, Bangladesh. This was an unmatched case-control study. The information was collected from 91 ever-smokers in the case group and 91 never-smokers in the control group. The respondents were 11th and 12th-grade male college students selected from two colleges of Dhaka city, Bangladesh. The results were analysed using univariate, bivariate and multivariate analysis. Parental control variable was categorized by using Likert Scale. Around 68.7 percent (n=57) respondents were 18-19 years old who were ever-smoker and about 44 percent (n=40) ever-smokers initiated smoking at or below the age of 16. Father's smoking status was found significant (p value <0.05) in bivariate analysis. In binary logistic regression, respondents who received intermediate to low control from their father compared to high control (OR 3.35, 95% CI 1.08-10.38, p value 0.035), respondents who received intermediate to low control from their mother compared to high control (OR 3.73, 95% CI 1.07-13.05, p value 0.039), and presence of any smoking member in their family compared to who did not have (OR 6.23, 95% CI 2.57-15.12, p value 0.001) found significantly higher odds of being ever-smoker. Respondents whose mother passed up to 8 hours in a day with them compared to mothers who gave limited time (less than 1 hour) in a day was found significantly lower odds (OR 0.07, 95% CI 0.01-0.65, p value 0.019) which was a protective factor of being ever-smoker. The result of the study concludes that parental influencing factors had a significant role in tobacco smoking of college-going male adolescents. Parent focused tobacco prevention program may be effective to reduce tobacco smoking prevalence. Further interventional studies are required.
在孟加拉国，超过五分之一（20.5%）的总人口，即 3068 万人是青少年。大多数成年吸烟者都是在青少年时期开始吸烟的。本研究旨在调查孟加拉国达卡市 15-19 岁大学生青春期开始吸烟的父母影响因素。这是一项不匹配的病例对照研究。信息是从病例组的 91 名曾吸烟者和对照组的 91 名从不吸烟者中收集的。调查对象是从孟加拉国达卡市的两所学院中挑选出来的 11 年级和 12 年级的男大学生。结果使用单变量、双变量和多变量分析进行分析。父母控制变量是通过使用李克特量表进行分类的。大约 68.7%（n=57）的受访者年龄在 18-19 岁，他们是曾吸烟者，大约 44%（n=40）的曾吸烟者在 16 岁或以下开始吸烟。父亲的吸烟状况在双变量分析中具有显著意义（p 值<0.05）。在二元逻辑回归中，与高控制相比，从父亲那里获得中等至低控制的受访者（OR 3.35，95%CI 1.08-10.38，p 值 0.035），与高控制相比，从母亲那里获得中等至低控制的受访者（OR 3.73，95%CI 1.07-13.05，p 值 0.039），以及家中有任何吸烟成员的受访者与没有吸烟成员的受访者相比（OR 6.23，95%CI 2.57-15.12，p 值 0.001），被发现有更高的曾吸烟几率。与母亲每天给予有限时间（少于 1 小时）相比，与母亲每天相处 8 小时以上的受访者（OR 0.07，95%CI 0.01-0.65，p 值 0.019）被发现有更低的曾吸烟几率，这是曾吸烟的保护因素。研究结果表明，父母的影响因素在大学生男性青少年吸烟中起着重要作用。以父母为重点的烟草预防计划可能有助于降低烟草吸烟率。需要进一步的干预研究。
