Development Studies Discipline, Khulna University, Khulna, Bangladesh.
School of Public Health, Southeast University, Nanjing, People's Republic of China
BMJ Open. 2021 Dec 20;11(12):e057896. doi: 10.1136/bmjopen-2021-057896.
This study assessed the changes in prevalence and associated factors of tobacco smoking among Bangladeshi adults over time.
Nationally representative cross-sectional surveys.
Two most recent Global Adults Tobacco Survey (GATS) data from Bangladesh, carried out in 2009 and 2017.
Adult population aged 15 and above (n=9629 in 2009; n=12 783 in 2017).
Current use of tobacco smoke, including cigarettes, bidi, hukkah, cigars or pipes, which was dichotomised ('yes'/'no').
We analysed data from two recent rounds of GATS (2009 and 2017). Multivariate logistic regression analysis was used.
The overall prevalence of tobacco smoking among Bangladeshi adults was noted (23.00%, 95% CI 22.98 to 23.00 in 2009; 16.44%, 95% CI 16.43 to 16.45 in 2017). Being male (adjusted OR (AOR)=59.72, CI 40.56 to 87.93 for 2009; AOR=71.17, CI 41.08 to 123.32 for 2017), age between 25 and 64 years (all AORs >2 and p<0.05), smoking permissible at home (AOR=7.08, CI 5.88 to 8.52 for 2009; AOR=5.90, CI 5.34 to 6.95 for 2017), and watching tobacco smoking product use in movie/drama scenes (AOR=1.26, CI 1.11 to 1.44 for 2009; AOR=1.34, CI 1.17 to 1.54 for 2017) were found to be significantly associated with increased tobacco smoking among adults both in 2009 and in 2017. However, being offered free tobacco sample products (AOR=0.66, CI 0.57 to 0.77 for 2009; AOR=0.87, CI 0.76 to 0.99 for 2017) and having primary, secondary or higher education (all AORs <1 and p<0.05) as well as being a student (AOR=0.16, CI 0.09 to 0.29 for 2009; AOR=0.32, CI 0.19 to 0.53) were associated with lower odds of tobacco smoking in both surveys.
Although the prevalence of tobacco smoking has declined over the period, it is still high among those who were relatively older, men, less educated and exposed to a movie/drama where tobacco smoking is promoted. Therefore, appropriate interventions are required to stop tobacco smoking among the Bangladeshi population.
本研究评估了孟加拉国成年人吸烟流行率的变化及其相关因素随时间的变化。
全国代表性的横断面调查。
孟加拉国最近进行的两次全球成人烟草调查（GATS）数据，分别于 2009 年和 2017 年进行。
年龄在 15 岁及以上的成年人口（2009 年为 9629 人；2017 年为 12783 人）。
吸烟的当前使用率，包括香烟、比迪烟、水烟、雪茄或烟斗，采用二分法（“是”/“否”）。
我们分析了最近两轮 GATS（2009 年和 2017 年）的数据。采用多变量逻辑回归分析。
孟加拉国成年人吸烟的总体流行率为（2009 年为 23.00%，95%CI 22.98 至 23.00；2017 年为 16.44%，95%CI 16.43 至 16.45）。男性（2009 年调整后的比值比（AOR）=59.72，CI 40.56 至 87.93；2017 年 AOR=71.17，CI 41.08 至 123.32）、25 至 64 岁（所有 AOR>2 且 p<0.05）、家庭允许吸烟（2009 年 AOR=7.08，CI 5.88 至 8.52；2017 年 AOR=5.90，CI 5.34 至 6.95）以及观看电影/戏剧中吸烟产品的使用（2009 年 AOR=1.26，CI 1.11 至 1.44；2017 年 AOR=1.34，CI 1.17 至 1.54）均与成年吸烟者的吸烟率显著相关，无论是在 2009 年还是 2017 年。然而，提供免费烟草样品（2009 年 AOR=0.66，CI 0.57 至 0.77；2017 年 AOR=0.87，CI 0.76 至 0.99）、接受小学、中学或高等教育（所有 AOR<1 且 p<0.05）以及学生（2009 年 AOR=0.16，CI 0.09 至 0.29；2017 年 AOR=0.32，CI 0.19 至 0.53）与两次调查中较低的吸烟率相关。
尽管吸烟流行率在此期间有所下降，但在年龄较大、男性、受教育程度较低和接触到宣传吸烟的电影/戏剧的人群中，吸烟率仍然很高。因此，需要采取适当的干预措施来阻止孟加拉国人口吸烟。
