Overweight and perception of overweight as predictors of smokeless tobacco use and of cigarette smoking in a cohort of Swedish adolescents
Overweight and perception of overweight as predictors of smokeless tobacco use and of cigarette smoking in a cohort of Swedish adolescents
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DOI：
10.1111/j.1360-0443.2009.02506.x
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发表时间：
2009-04-01
期刊：
影响因子：
6
通讯作者：
Galanti, Maria Rosaria
中科院分区：
文献类型：
--
作者：
Caria, Maria Paola;Bellocco, Rino;Galanti, Maria Rosaria
研究测量或感知的青春期超重与随后吸烟和瑞典无烟烟草“鼻烟”的摄入之间的关联（口吸湿鼻烟）。基于人群的前瞻性队列研究，随访7年。自填问卷和学校护士访视。招募时平均年龄11.6岁的2922名儿童，居住在斯德哥尔摩地区，瑞典：在基线和随后的六次调查中，烟草使用情况都是自我报告的。受试者的身高和体重在前4年由学校护士测量，此后自我报告。超重的感觉是在15岁时自我报告的。超重和超重的感觉与男性随后吸烟或鼻烟的摄入无关。在女性中，基线超重与吸烟相关[校正的风险比（HR）1.34，95%置信区间（CI）1.09-1.63]，但与鼻烟无关。在随访期间，超重状态也有类似的模式。在父母受教育程度低的女孩中，基线超重预示着鼻烟和吸烟的摄入。在从不吸烟的15岁女性中，认为超重与随后的吸烟有关（调整后的HR 1.71，95% CI 1.20-2.46），但不是鼻烟。在瑞典，实际或感觉超重的青春期女孩开始吸烟的风险增加，而有迹象表明，这种增加的风险适用于无烟烟草（snus），仅限于社会经济地位低的女孩。
To study the association between measured or perceived overweight in adolescence and subsequent uptake of cigarette smoking and of the Swedish smokeless tobacco 'snus' (oral moist snuff).Population-based prospective cohort study with 7 years' follow-up.Self-administered questionnaires and school nurses' visits.A total of 2922 children of both sexes and mean age 11.6 years at recruitment, resident in the Stockholm region, Sweden.Tobacco use was self-reported at baseline and on six subsequent surveys. Subjects' height and weight were measured by school nurses during the first 4 years, self-reported thereafter. Overweight perception was self-reported at the age of 15 years.Overweight and perception of overweight were not associated with subsequent uptake of either smoking or snus among males. Among females, overweight at baseline was associated with uptake of smoking [adjusted hazard ratio (HR) 1.34, 95% confidence interval (CI) 1.09-1.63], but not of snus. A similar pattern was found with overweight status during follow-up. Among girls with low-educated parents, overweight at baseline predicted the uptake of both snus and smoking. Among 15-year-old females who never used tobacco perceived overweight was associated with subsequent uptake of smoking (adjusted HR 1.71, 95% CI 1.20-2.46), but not of snus.In Sweden, adolescent girls with actual or perceived overweight are at increased risk to start smoking, while indications that this increased risk applies to smokeless tobacco (snus) are limited to girls of low socio-economic status.