无烟烟草制品消费及其与西太平洋区域控烟因素的关联：2015-2019 年全球青年烟草调查结果。

Smokeless tobacco consumption and its association with tobacco control factors in the Western Pacific Region: results from the Global Youth Tobacco Survey 2015-2019.

机构信息

Department of Community Medicine, International Medical University, Kuala Lumpur, Malaysia.

Botanic Health Clinic, Ministry of Health, Selangor, Malaysia.

出版信息

Epidemiol Health. 2022;44:e2022103. doi: 10.4178/epih.e2022103. Epub 2022 Nov 8.

DOI:10.4178/epih.e2022103

PMID:36397245

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10185971/

Abstract

OBJECTIVES

We estimated the prevalence of smokeless tobacco (ST) consumption and its associations with tobacco control factors among school-going youth in 18 Western Pacific Region (WPR) countries.

METHODS

We analyzed school-based Global Youth Tobacco Survey (2014-2019) microdata from 18 WPR countries and estimated weighted prevalence rates of ST consumption, cigarette smoking, and dual use. We used multilevel binary logistic regression to examine the associations of ST consumption and dual use with demographic variables, exposure to pro-tobacco and anti-tobacco factors, national income, and MPOWER indicators.

RESULTS

Data from 58,263 school-going youth were analyzed. The prevalence of past 30-day ST consumption was highest in Kiribati (42.1%), the Marshall Islands (26.1%), Micronesia (21.3%), Palau (16.0%), and Papua New Guinea (15.2%). In adjusted multilevel models, ST consumption and dual use were significantly associated with sex, age, parental smoking, pro-tobacco factors, national income, and MPOWER score. For each unit increase in score for cessation programs, we observed approximately 1.4-fold increases in the odds of youth ST consumption (adjusted odds ratio [aOR], 1.38; 95% confidence interval [CI], 1.15 to 1.66) and dual use (aOR, 1.47; 95% CI, 1.16 to 1.86). Similarly, for each unit increase in score for health-related warnings, the odds of both ST consumption (aOR, 0.47; 95% CI, 0.42 to 0.53) and dual use (aOR, 0.35; 95% CI, 0.30 to 0.42) decreased by approximately 60%.

CONCLUSIONS

The prevalence of youth ST consumption was substantial in the Pacific Islands, exceeding that of cigarette smoking in some countries. Implementing MPOWER measures for ST products could help reduce ST consumption.

摘要

目的

我们估计了 18 个西太平洋地区（WPR）国家在校青少年中无烟烟草（ST）消费的流行情况及其与烟草控制因素的关联。

方法

我们分析了来自 18 个 WPR 国家的基于学校的全球青少年烟草调查（2014-2019 年）微观数据，并估计了 ST 消费、吸烟和双重使用的加权流行率。我们使用多级二项逻辑回归来检查 ST 消费和双重使用与人口统计学变量、接触促烟草和反烟草因素、国民收入和 MPOWER 指标的关联。

结果

对 58263 名在校青少年的数据进行了分析。过去 30 天 ST 消费的流行率在基里巴斯（42.1%）、马绍尔群岛（26.1%）、密克罗尼西亚（21.3%）、帕劳（16.0%）和巴布亚新几内亚（15.2%）最高。在调整后的多级模型中，ST 消费和双重使用与性别、年龄、父母吸烟、促烟草因素、国民收入和 MPOWER 评分显著相关。对于每个戒烟计划得分的增加单位，我们观察到青少年 ST 消费的几率增加了约 1.4 倍（调整后的优势比[aOR]，1.38；95%置信区间[CI]，1.15 至 1.66）和双重使用（aOR，1.47；95%CI，1.16 至 1.86）。同样，对于健康相关警告得分的每个增加单位，ST 消费（aOR，0.47；95%CI，0.42 至 0.53）和双重使用（aOR，0.35；95%CI，0.30 至 0.42）的几率都降低了约 60%。