de Andrés-Sánchez Jorge, Belzunegui-Eraso Angel, Pastor Gosálbez Inma, Sánchez-Aragón Anna
Social and Business Research Laboratory, Universitat Rovira i Virgili, Campus de Bellissens, 43204, Reus, Spain.
Social and Business Research Laboratory, Universitat Rovira i Virgili, Campus Catalunya, 43002, Tarragona, Spain.
Heliyon. 2024 Oct 5;10(19):e38976. doi: 10.1016/j.heliyon.2024.e38976. eCollection 2024 Oct 15.
Tobacco consumption is a relevant public health problem, with adolescence being a common period of initiation. One factor that has rarely been investigated is the information available to adolescents regarding the consequences of substance use. Therefore, the primary objective of this study was to assess the correlation between teenagers' self-reported information level about substance consumption and its sources and smoking prevalence. The study differentiates between sources monitored by state or supranational organizations (schools, parents, and mass media) and those that are not (peers, siblings, and the Internet). Three modes of tobacco consumption were examined: cigarette, e-cigarette, and hookah.
This study used a survey conducted in 2023 with teenagers residing in Tarragona (Spain). The survey received 1307 responses from a target demographic comprising approximately 8000 individuals. Hierarchical ordered logistic regression was employed to evaluate the significance of the variables pertaining to each modality of tobacco consumption. The assessed variables encompassed the perceived level of information concerning substance use and the quantity of monitored and unmonitored resources that provide that information. These variables were controlled for four individual and four environmental factors.
Logistic regressions indicated that although the extent of information regarding substance consumption consequences does not correlate with smoking in any form, the amount of monitored and unmonitored information resources was significantly associated with all consumption modalities. Information derived from monitored sources consistently exerts a protective effect. In the case of cigarette consumption, the 95 % confidence interval of the odds ratio (95%CI) was 0.43-0.91; for e-cigarrette, 95%CI = 0.45-0.86, and for hookah usage 95%CI = 0.42-0.86. The use of unmonitored resources appears to encourage consumption. In the case of cigarette, 95%CI = 1.08-2.34; for e-cigarette, 95%CI = 1.39-2.69; and for hookah use 95%CI = 1.39-2.68.
The results in this paper have significant implications for health literacy dissemination, underscoring the need for public authorities to consider both monitored and unmonitored information sources in relation to smoking prevalence in adolescents. These results imply that information emanating from monitored sources of information in the design and implementation of measures against adolescents' tobacco use.
烟草消费是一个重要的公共卫生问题，青少年时期是开始吸烟的常见阶段。一个很少被研究的因素是青少年可获得的关于物质使用后果的信息。因此，本研究的主要目的是评估青少年自我报告的关于物质消费的信息水平及其来源与吸烟率之间的相关性。该研究区分了由国家或超国家组织监测的信息来源（学校、家长和大众媒体）和未被监测的信息来源（同龄人、兄弟姐妹和互联网）。研究考察了三种烟草消费方式：香烟、电子烟和水烟。
本研究采用了2023年对居住在西班牙塔拉戈纳的青少年进行的一项调查。该调查从约8000人的目标人群中收到了1307份回复。采用分层有序逻辑回归来评估与每种烟草消费方式相关的变量的显著性。评估的变量包括对物质使用的感知信息水平以及提供该信息的受监测和未受监测资源的数量。这些变量控制了四个个体因素和四个环境因素。
逻辑回归表明，虽然关于物质消费后果的信息程度与任何形式的吸烟均无关联，但受监测和未受监测的信息资源数量与所有消费方式均显著相关。来自受监测来源的信息始终发挥着保护作用。对于香烟消费，优势比的95%置信区间（95%CI）为0.43 - 0.91；对于电子烟，95%CI = 0.45 - 0.86，对于水烟使用，95%CI = 0.42 - 0.86。使用未受监测的资源似乎会鼓励消费。对于香烟，95%CI = 1.08 - 2.34；对于电子烟，95%CI = 1.39 - 2.69；对于水烟使用，95%CI = 1.39 - 2.68。
本文的结果对健康素养传播具有重要意义，强调公共当局在考虑青少年吸烟率时需要兼顾受监测和未受监测的信息来源。这些结果意味着在设计和实施针对青少年烟草使用的措施时，应重视来自受监测信息来源的信息。
