Department of Psychiatry, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
Department of Psychiatry, Government Medical College, Ernakulam, Kerala, India.
Indian J Med Res. 2021 Mar;154(3):527-532. doi: 10.4103/ijmr.IJMR_1505_18.
BACKGROUND & OBJECTIVES: Despite tobacco use among college students being a major health concern, data remain sparse from India. It is in this background that this study aimed to report the prevalence of tobacco use and its psychosocial correlates among college students in the State of Kerala, India.
A total of 5784 students from 58 colleges from Ernakulam district, Kerala, selected by cluster random sampling and were provided with self-administered questionnaire. In addition to socio-demographic profile, the questionnaire incorporated alcohol, smoking, and substance involvement screening test (ASSIST, for assessing tobacco use and its severity, lifetime use of other substances); Kessler's scale (psychological distress) and Barkeley's scale (attention deficit hyperactivity disorder symptoms). Screening questions were used for assessing lifetime suicidality and sexual abuse.
The lifetime prevalence of tobacco use was 8.6 per cent (21.5% males and 1.4% female). Among users, hazardous and dependent use defined using ASSIST scores was 63.3 and 2.9 per cent, respectively. Tobacco use was associated with older age, being male, urban residence, having a part-time job, use of alcohol and illicit drugs and academic failures.
INTERPRETATION & CONCLUSIONS: Although the prevalence of tobacco use in our study was relatively low, the proportionately higher rates of hazardous use and its association with the negative correlates suggest that more needs to be done to prevent its deleterious consequences.
尽管大学生吸烟是一个主要的健康问题，但印度的数据仍然很少。正是在这种背景下，本研究旨在报告印度喀拉拉邦大学生吸烟的流行情况及其与社会心理的关系。
采用整群随机抽样方法，从喀拉拉邦埃尔纳库拉姆区的 58 所学院中抽取了 5784 名学生，并为他们提供了自我管理的问卷。除了社会人口统计学特征外，问卷还包括酒精、吸烟和物质使用筛查测试（ASSIST，用于评估烟草使用及其严重程度、终生使用其他物质）；凯斯勒量表（心理困扰）和巴克利量表（注意力缺陷多动障碍症状）。筛查问题用于评估终生自杀意念和性虐待。
终生吸烟率为 8.6%（男性 21.5%，女性 1.4%）。在使用者中，使用 ASSIST 评分定义的危险和依赖使用分别为 63.3%和 2.9%。吸烟与年龄较大、男性、城市居住、兼职工作、饮酒和使用非法药物以及学业失败有关。
尽管我们的研究中吸烟的流行率相对较低，但危险使用的比例较高，以及与负面关联的关联表明，需要做更多的工作来防止其有害后果。
