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青少年烟草消费的患病率、模式及预测因素:一项来自拉贾斯坦邦农村地区的观察性研究

Prevalence, Patterns, and Predictors of Tobacco Consumption among Adolescents: An Observational Study from a Rural area of Rajasthan.

作者信息

Gupta Ajay, Grover Somya, Sakrawal Komal, Kumar Abhishek, Meena Sadhana, Rathore Monika, Kumawat Pragya

机构信息

Community Medicine and Family Medicine Department, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.

Department of Community Medicine, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

Indian J Community Med. 2023 Sep-Oct;48(5):748-754. doi: 10.4103/ijcm.ijcm_382_23. Epub 2023 Sep 7.

Abstract

BACKGROUND

The prevalence of smoking cigarettes among adolescents in India is nearly one in 10, and almost half of them initiate tobacco use before turning 10 years old. Our study objective was to assess the prevalence of tobacco consumption and the sociodemographic factors associated with tobacco consumption among adolescents in a rural area of Rajasthan.

MATERIALS AND METHODS

This community-based, cross-sectional study was conducted for a period of 1 year from April 2021 to March 2022 in village Naila, Jaipur. All 1083 adolescents of village Naila were contacted; however, 1049 were included in the study. Multivariate logistic regression (forward likelihood model) was used to assess the strength of the association of risk factors for the consumption of tobacco.

RESULTS

A considerable proportion, that is, 22.4% (235/1049), of adolescents were tobacco consumers. Out of 235 consumers, 104 were smokers, 65 were consuming smokeless tobacco, and 66 were consuming both forms of tobacco. In multivariate analysis, age, sex, grade of participants, pocket money, family history of tobacco and alcohol consumption, maternal education, and per capita income were found to be significant predictors of tobacco consumption ( < 0.05).

CONCLUSION

Tobacco consumption is highly common in Rajasthan's rural adolescent population, and it begins at a very young age. Hence, corrective measures need to be initiated in an early stage of life. To reduce the impact of social norms, peer pressure, and family members who consume tobacco, the behavioral change communication activities must be strengthened.

摘要

背景

在印度,青少年吸烟率接近十分之一,且几乎一半人在10岁之前就开始使用烟草。我们的研究目的是评估拉贾斯坦邦农村地区青少年烟草消费的流行情况以及与烟草消费相关的社会人口学因素。

材料与方法

这项基于社区的横断面研究于2021年4月至2022年3月在斋浦尔的奈拉村进行了1年。研究联系了奈拉村所有1083名青少年;然而,1049人被纳入研究。采用多变量逻辑回归(向前似然模型)来评估烟草消费风险因素的关联强度。

结果

相当一部分青少年,即22.4%(235/1049),是烟草消费者。在235名消费者中,104人吸烟,65人消费无烟烟草,66人同时消费两种形式的烟草。在多变量分析中,年龄、性别、参与者年级、零花钱、烟草和酒精消费家族史、母亲教育程度以及人均收入被发现是烟草消费的显著预测因素(<0.05)。

结论

烟草消费在拉贾斯坦邦农村青少年人群中非常普遍,且始于非常年幼的年龄。因此,需要在生命早期就采取纠正措施。为减少社会规范、同伴压力和吸烟家庭成员的影响,必须加强行为改变沟通活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8660/10637613/b33060782532/IJCM-48-748-g001.jpg

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