Sanayeh Elie Bou, Iskandar Katia, Fadous Khalife Marie-Claude, Obeid Sahar, Hallit Souheil
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Department of Mathématiques Informatique et Télécommunications, Université Toulouse III, Paul Sabatier, INSERM, UMR 1027, F-31000, Toulouse, France.
Arch Public Health. 2022 Mar 14;80(1):79. doi: 10.1186/s13690-022-00848-9.
Lebanon ranks first amongst Middle-Eastern countries in terms of cigarette and waterpipe smoking. Understanding the mediating factors for nicotine addiction in adolescents who have experienced parental divorce is vital to take effective measures that will help in lowering its prevalence in our community. The objective of this study was to investigate the association between the increasingly concerning parental divorce and nicotine addiction in Lebanese adolescents while taking into consideration the plausible mediating effect of abuse and bullying victimization.
This was a cross-sectional survey-based study that was conducted between January and May 2019. A total of 1810 adolescents aged between 14 and 17 years was enrolled from 16 Lebanese schools. Linear regressions taking the cigarette and waterpipe dependence scores as dependent variables were conducted respectively, using the SPSS software. PROCESS v3.4 model 4 was used for mediation analysis.
A total of 11.9% of the enrolled participants had divorced parents. Higher cigarette and waterpipe dependence were found in adolescents whose parents were divorced compared to those living together. More child psychological abuse, having divorced parents vs living together, and more child physical abuse were significantly associated with higher cigarette dependence. More child psychological and physical, and having divorced parents vs living together were significantly associated with more waterpipe dependence. In addition, all forms of abuse (except neglect) and bullying victimization had a partially mediating effect in the associations between parental divorce and nicotine dependence (cigarette and waterpipe) in adolescents.
This study results may serve as a first step towards enrolling separated parents and their children in special prevention programs to help them create a protective and supportive environment.
在中东国家中，黎巴嫩的卷烟和水烟吸食率位居首位。了解父母离异的青少年尼古丁成瘾的中介因素，对于采取有效措施降低其在我们社区的患病率至关重要。本研究的目的是调查黎巴嫩青少年中日益令人担忧的父母离异与尼古丁成瘾之间的关联，同时考虑虐待和受欺凌受害可能产生的中介作用。
这是一项基于横断面调查的研究，于2019年1月至5月进行。从黎巴嫩16所学校招募了总共1810名年龄在14至17岁之间的青少年。分别以卷烟和水烟依赖得分作为因变量进行线性回归分析，使用SPSS软件。采用PROCESS v3.4模型4进行中介分析。
共有11.9%的参与者父母离异。与父母未离异的青少年相比，父母离异的青少年对卷烟和水烟的依赖程度更高。父母离异的青少年遭受更多的儿童心理虐待以及更多的儿童身体虐待，与更高的卷烟依赖显著相关。父母离异的青少年遭受更多的儿童心理和身体虐待，与更多的水烟依赖显著相关。此外，所有形式的虐待（忽视除外）和受欺凌受害在青少年父母离异与尼古丁依赖（卷烟和水烟）之间的关联中具有部分中介作用。
本研究结果可能是让离异父母及其子女参加特殊预防项目的第一步，以帮助他们营造一个保护性和支持性的环境。
