伊朗成年人水烟吸食的决定因素：IROPICAN研究结果

Determinants of waterpipe smoking in Iranian adults: results from the IROPICAN study.

作者信息

Seyyedsalehi Monireh Sadat, Shah Aneri, Rashidian Hamideh, Hadji Maryam, Marzban Maryam, Ansari-Moghaddam Alireza, Nejatizadeh Azim, Boffetta Paolo, Zendehdel Kazem

机构信息

Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Front Psychiatry. 2023 Dec 7;14:1292503. doi: 10.3389/fpsyt.2023.1292503. eCollection 2023.

DOI:10.3389/fpsyt.2023.1292503

PMID:38146282

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10749298/

Abstract

INTRODUCTION

Waterpipe smoking has become increasingly popular in Western countries, particularly among young individuals. This study aims to identify the factors influencing waterpipe smoking by focusing on consumption patterns.

METHODS

We utilized data from a multicenter case-control study (IROPICAN) conducted in Iran. Multivariate logistic regression estimated the adjusted odds ratio and 95% confidence intervals as a measure of association between waterpipe smoking and different factors.

RESULTS

Among 3,477 subjects were included, 11.8% were waterpipe smokers. Most of <50 years old smokers were occasional (80%), while daily smokers were often >50 years (85%). Around 59% of occasional users started it before 30 years old. Low education, low SES, alcohol consumption, cigarette smoking, secondhand smoke exposure, and opium use were associated with waterpipe smoking. Stratified analysis by frequency pattern showed an association between occasional smoking with age 0.97 (0.96-0.98), university degree 0.36 (0.17-0.76), urban dwellers 1.40 (1.06-1.86) and between high SES and daily smoking 0.34 (0.17-0.69).

CONCLUSION

Our results offer valuable information to policymakers for developing waterpipe smoking control measures. The occasional waterpipe smoking results may be generalized to the younger people in Western countries.

摘要

引言

水烟吸食在西方国家越来越流行，尤其是在年轻人中。本研究旨在通过关注消费模式来确定影响水烟吸食的因素。

方法

我们利用了在伊朗进行的一项多中心病例对照研究（IROPICAN）的数据。多变量逻辑回归估计了调整后的优势比和95%置信区间，作为水烟吸食与不同因素之间关联的一种度量。

结果

在纳入的3477名受试者中，11.8%是水烟吸食者。大多数年龄小于50岁的吸烟者是偶尔吸食者（80%），而每日吸烟者通常年龄大于50岁（85%）。大约59%的偶尔使用者在30岁之前开始吸食水烟。低教育水平、低社会经济地位、饮酒、吸烟、二手烟暴露和使用鸦片与水烟吸食有关。按频率模式进行的分层分析显示，偶尔吸烟与年龄0.97（0.96 - 0.98）、大学学历0.36（0.17 - 0.76）、城市居民1.40（1.06 - 1.86）之间存在关联，高社会经济地位与每日吸烟0.34（0.17 - 0.69）之间存在关联。