Differences in tobacco use among young people in urban India by sex, socioeconomic status, age, and school grade: assessment of baseline survey data
Differences in tobacco use among young people in urban India by sex, socioeconomic status, age, and school grade: assessment of baseline survey data
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DOI：
10.1016/s0140-6736(06)68225-1
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发表时间：
2006-02-18
期刊：
影响因子：
168.9
通讯作者：
Arora, M
中科院分区：
文献类型：
--
作者：
Reddy, KS;Perry, CL;Arora, M
背景 烟草使用的流行正在从发达国家转移到包括印度在内的发展中国家，预计烟草使用量的增加将在未来造成巨大的疾病负担。监测青少年吸烟率的变化非常重要，因为年轻人吸烟率的增加可能是人口中吸烟率上升的先兆。方法对印度德里和金奈 32 所学校的 11642 名六年级和八年级学生进行了调查，了解他们的烟草使用情况以及与烟草使用开始相关的社会心理因素。学校代表了这些城市各类学校的类型。 结果 公立学校六年级的男学生比私立学校八年级的女学生更有可能使用烟草。总体而言，六年级学生使用烟草的可能性是八年级学生的两到四倍。 24.8%（6165 名中的 1529 名）的六年级学生和 9.3%（5477 名中的 509 名）八年级学生曾经使用过烟草；当前用户分别占 6.7%（6165 人中的 413 人）和 2.9%（5477 人中的 159 人）。六年级学生的心理社会风险因素比八年级学生更大。在公立学校中，各年级中按年龄划分的烟草使用量增幅在公立学校中六年级高于八年级，其中六年级学生的吸烟风险特别高。 讨论 六年级学生使用烟草明显多于八年级学生的发现是不寻常的，并且可能表明印度城市出现新一轮烟草使用增加浪潮，需要确认和早期干预。
Background The epidemic of tobacco use is shifting from developed to developing countries, including India, where increased use is expected to result in a large disease burden in the future. Changes in prevalence of tobacco use in adolescents are important to monitor, since increased use by young people might be a precursor to increased rates in the population.Methods 11642 students in the sixth and eighth grades in 32 schools in Delhi and Chennai, India, were surveyed about their tobacco use and psychosocial factors related to onset of tobacco use. Schools were representative of the range of types of school in these cities.Results Students who were in government schools, male, older, and in sixth grade were more likely to use tobacco than students who were in private schools, female, younger, and in eighth grade. Students in sixth grade were, overall, two to four times more likely to use tobacco than those in eighth grade. 24.8% (1529 of 6165) of sixth-grade students and 9.3% (509 of 5477) of eighth-grade students had ever used tobacco; 6.7% (413 of 6165) and 2.9% (159 of 5477), respectively, were current users. Psychosocial risk factors were greater in sixth-grade than in eighth-grade students. The increase in tobacco use by age within each grade was larger in sixth grade than in eighth grade in government schools, with older sixth-grade students at especially high risk.Discussion The finding that sixth-grade students use significantly more tobacco than eighth-grade students is unusual, and might indicate a new wave of increased tobacco use in urban India that warrants confirmation and early intervention.