Department of Pathophysiology, University of Medicine, Pharmacy, Science and Technology Târgu Mureș, 540139 Târgu Mureș, Romania.
Department of Pneumology, University of Medicine and Pharmacy "Iuliu Hațieganu" Cluj Napoca, 400012 Cluj Napoca, Romania.
Medicina (Kaunas). 2021 May 12;57(5):484. doi: 10.3390/medicina57050484.
: The impact of smoking on the young population is an extremely important issue for the public health system. As the prevalence of smoking is considerably increasing amongst the pubescent and adolescent population, the prevention of smoking at this age should be considered of high priority. The primary aim of this observational study was to assess tobacco use in teenagers included in the social protection system. : 275 foster care teenagers (155 from the Professional Maternal Assistance System (AMP) and 120 from the residential system) from two different counties were enrolled. After a brief interactive session focused on the main consequences of smoking, a self-administered questionnaire was anonymously completed. : The mean age of the study group was 14 years, with a significant difference between the residential system and AMP ( = 0.001). Smoking status was significantly higher in participants from family-type houses (36.7%) than in those from the AMP (11.7%) ( < 0.001). The presence of smokers in the family (78.3%) and passive smoking (64.7%) were significantly higher in children from the residential system than in those from the AMP (32.9% and 31.8%, respectively) ( < 0.001). The number of cigarettes consumed daily was associated with the age of the participants ( = 0.01, rho 0.42). In total, 82.3% were cigarette users and 19.4% were e-cigarette users. Smokers bought the majority of their cigarettes from the store (63.2%) or asked a friend (19.3%) or an adult to buy them on their behalf (12.3%). : The null hypothesis, according to which children who are abandoned but raised and cared for by professional nursing assistants are predisposed to earlier tobacco activity compared to children raised in a normal familiar environment, is supported. Future education and prevention campaigns conveying the benefits of a healthy long-term lifestyle to this population category are needed.
: 吸烟对年轻人群的影响是公共卫生系统的一个极其重要的问题。由于青春期和青少年人群中的吸烟率显著增加，因此应该优先考虑在这个年龄段预防吸烟。本观察性研究的主要目的是评估纳入社会保护系统的青少年的烟草使用情况。 : 从两个不同的县招募了 275 名寄养青少年（155 名来自专业母婴援助系统（AMP），120 名来自住宿系统）。在一个简短的互动会议上，重点介绍了吸烟的主要后果后，他们匿名完成了一份自我管理的问卷。 : 研究组的平均年龄为 14 岁，住宿系统和 AMP 之间存在显著差异（ = 0.001）。来自家庭式住房的参与者（36.7%）的吸烟状况明显高于 AMP 参与者（11.7%）（ < 0.001）。家庭中吸烟者的存在（78.3%）和被动吸烟（64.7%）在住宿系统的儿童中明显高于 AMP 中的儿童（分别为 32.9%和 31.8%）（ < 0.001）。每天消耗的香烟数量与参与者的年龄相关（ = 0.01，rho 0.42）。总共，82.3%的参与者是香烟使用者，19.4%的参与者是电子烟使用者。吸烟者购买香烟的主要来源是商店（63.2%），或者请朋友（19.3%）或成年人代表他们购买（12.3%）。 : 支持这样的零假设，即被遗弃但由专业护理助理抚养和照顾的儿童与在正常家庭环境中长大的儿童相比，更容易较早地接触烟草。需要针对这个人群类别开展未来的教育和预防活动，向他们传达健康的长期生活方式的好处。
