城市环境中青少年烟草使用情况及其相关因素的特征分析：以乌干达瓦基索区为例

Characterisation of Tobacco Use and its Associated Factors Among Older Youths in an Urban Setting: The Case of Wakiso, Uganda.

作者信息

Daama Alex, Kisaka Stevens, Mugamba Stephen, Kyasanku Emmanuel, Nalwoga Grace Kigozi, Kasango Asani, Bulamba Robert, Nkale James Menya, Nalugoda Fred, Nakigozi Gertrude, Kigozi Godfrey, Ndejjo Rawlance, Kagaayi Joseph

机构信息

Africa Medical & Behavioral Sciences Organization, Kampala, Uganda.

Makerere University College of Health Sciences, Kampala, Uganda.

出版信息

East Afr Health Res J. 2024;8(2):256-263. doi: 10.24248/eahrj.v8i2.788. Epub 2024 Jun 26.

DOI:10.24248/eahrj.v8i2.788

PMID:39296771

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407119/

Abstract

INTRODUCTION

Tobacco smoking increases the risk of death from many diseases, including ischemic heart disease, cancer, stroke, chronic obstructive pulmonary disease, diabetes, and other fatal and non-fatal diseases. Efforts have been invested towards cessation of tobacco smoking among youths aged 18-35 years. However, population-based data is limited on tobacco smoking in Wakiso district among youths. Therefore, this study aimed to determine the prevalence and factors associated with tobacco smoking among youths aged 18-35 years in Wakiso district Uganda.

METHODS

Data from a Population-based survey in Wakiso district collected between October 2019 and September 2020 were used to determine the prevalence of tobacco smoking and associated factors. A cross-sectional design was employed. This study used multivariable logistic regression to estimate odds ratios and 95% confidence intervals (CI) for the association between tobacco smoking and various factors among youths aged (18-35) years in Wakiso district Uganda.

RESULTS

A total of 1,092 participants were enrolled of whom 631(57.8%) were females. The mean age was 25.8 (SD=4.8) years. A total of 35 (3.2 %) reported current tobacco smoking while 64(5.9%) ever used tobacco. The mean age at smoking initiation was 20.6 (SD= 5.3) years. In the multivariable analysis, age groups 25-29 years (aOR= 3.66, [95% CI: 1.15, 11.65]) and 30-35 years (aOR= 4.26, [95% CI; 1.32, 13.72]) were more likely to smoke compared to those under 25 years). Other positively associated factors included alcohol users (aOR= 4.86, [95% CI: 2.01, 11.74]), HIV positive status (aOR= 5.43, [95% CI: 1.86, 15.86]), living with friends or relatives who smoke (aOR=9.93, [95% CI: 1.86, 15.86]), and being male (aOR=4.50 [95% CI; 1.82, 11.13]).

CONCLUSION

Overall tobacco smoking among youths aged 18-35 years is low compared to national prevalence of 9%. However, the focus should be on males, older youths, alcohol users, and HIV-positive youths including those living with friends or relatives who smoke.

摘要

引言

吸烟会增加许多疾病导致死亡的风险，包括缺血性心脏病、癌症、中风、慢性阻塞性肺疾病、糖尿病以及其他致命和非致命疾病。已投入努力促使18至35岁的年轻人戒烟。然而，关于乌干达瓦基索区年轻人吸烟情况的基于人群的数据有限。因此，本研究旨在确定乌干达瓦基索区18至35岁年轻人中吸烟的患病率及其相关因素。

方法

使用2019年10月至2020年9月期间在瓦基索区进行的一项基于人群的调查数据来确定吸烟的患病率及其相关因素。采用横断面设计。本研究使用多变量逻辑回归来估计乌干达瓦基索区18至35岁年轻人中吸烟与各种因素之间关联的比值比和95%置信区间（CI）。

结果

共招募了1092名参与者，其中631名（57.8%）为女性。平均年龄为25.8岁（标准差=4.8）。共有35人（3.2%）报告目前吸烟，64人（5.9%）曾使用过烟草。开始吸烟的平均年龄为20.6岁（标准差=5.3）。在多变量分析中，与25岁以下的人相比，25至29岁年龄组（调整后的比值比=3.66，[95%置信区间：1.15，11.65]）和30至35岁年龄组（调整后的比值比=4.26，[95%置信区间；1.32，13.72]）吸烟的可能性更大。其他正相关因素包括饮酒者（调整后的比值比=4.86，[95%置信区间：2.01，11.74]）、艾滋病毒呈阳性状态（调整后的比值比=5.43，[95%置信区间：1.86，15.86]）、与吸烟的朋友或亲戚同住（调整后的比值比=9.93，[95%置信区间：1.86，15.86]）以及男性（调整后的比值比=4.50 [95%置信区间；1.82，11.13]）。