Smoking behaviour among young adults: beyond youth prevention
Smoking behaviour among young adults: beyond youth prevention
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DOI：
10.1136/tc.2004.009621
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发表时间：
2005-06-01
期刊：
影响因子：
5.2
通讯作者：
Hammond, D
中科院分区：
文献类型：
--
作者：
Hammond, D
目的：有一种普遍的假设认为，吸烟行为在18岁时基本形成。因此，预防吸烟几乎完全集中在年轻人身上。然而，最近的趋势表明，在养成规律吸烟行为的过程中，青年时期可能是一个重要的--但在很大程度上被忽视--的时期。这项研究旨在调查18-29岁年轻人的烟草使用模式，并探讨其对烟草控制政策的影响。设计：数据来自2003年加拿大烟草使用监测调查，这是一项关于吸烟行为的全国性调查(n=10 559，应答率89%)。主要观察指标：吸烟行为、吸烟开始、吸烟易感性和职业状况。结果：加拿大目前共有140万年轻人吸烟，占所有年龄段的最高比例。年轻人的日常吸烟率从8%上升到年轻人的22%，大约五分之一的吸烟者在18岁后尝试第一次吸烟。年轻人的吸烟行为也不同于年长的吸烟者：年轻人更有可能是偶尔吸烟的人，据报道，他们每天的吸烟量较低。结论：吸烟比例和戒烟率在18岁以后显著增加。年轻人的吸烟行为有别于年轻人和老年人，应立即引起公共卫生界的关注。
Objective: There is a widespread assumption that smoking behaviour is largely established by the age of 18 years. As a result, smoking prevention has focused almost exclusively upon youth. However, recent trends suggest that young adulthood may be an important-and largely overlooked-period in the development of regular smoking behaviour. The current study sought to examine patterns of tobacco use among young adults ( aged 18-29 years) and to address the implications for tobacco control policy.Design: Data are presented from the 2003 Canadian Tobacco Use Monitoring Survey, a national survey of smoking behaviour ( n = 10 559, response rate 89%).Main outcome measures: Measures of smoking behaviour, smoking initiation, susceptibility to smoking, and occupational status.Results: A total of 1.4 million or 28% of young adults in Canada currently smoke, the highest proportion among all age groups. The prevalence of daily smoking rose from 8% among youth to 22% among young adults, and approximately one fifth of smokers tried their first cigarette after the age of 18 years. Smoking behaviour among young adults was also distinct from older smokers: young adults were more likely to be occasional smokers and reported lower daily consumption. Finally, smoking prevalence and cessation rates varied substantially within subgroups of young adults, as characterised by occupational setting.Conclusions: Dramatic increases in the proportion and intensity of smoking occurs after the age of 18 years. Smoking behaviour among young adults is distinct from both youth and older adults, and warrants immediate attention from the public health community.