Exposure to tobacco in video games and smoking among gamers in Argentina.

Exposure to tobacco in video games and smoking among gamers in Argentina.
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阿根廷游戏玩家在电子游戏中接触烟草和吸烟情况。

DOI:
10.1136/tobaccocontrol-2017-053973
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发表时间:
2019
期刊:
影响因子:
5.2
通讯作者:
Mejía,Raúl
Mejía,Raúl
中科院分区:
医学2区
文献类型:
--
作者:
Pérez,Adriana;Thrasher,James;Cabrera,Noelia;Forsyth,Susan;Peña,Lorena;Sargent,JamesD;Mejía,Raúl

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背景:我们的目的是评估阿根廷青少年游戏玩家在电子游戏中接触烟草是否与吸烟有关。方法对阿根廷公立和私立中学学生的横断面数据进行分析。电子游戏中的烟草含量是用以前验证过的方法来估计的,青少年的烟草暴露是通过将他们玩的前三款电子游戏中的烟草含量乘以每天玩的时间来评估的。主要结果是当前吸烟情况。在控制了年龄、性别、父母受教育程度、父母教养方式、父母对电子游戏使用的规定、叛逆、寻求感觉和“技术癖”等因素后,对学校内的聚类进行了调整,将当前吸烟情况与电子游戏中的烟草接触(即无、低、高)进行了回归。在参与调查的3114名学生中,92%的男生(1685/1802)和56%的女生(737/1312)玩电子游戏,并被纳入分析样本。男生吸烟率为13.8%,女生吸烟率为22.0%;74.5%的男孩每天玩电子游戏超过1小时,而女孩的这一比例为47.7%。在女孩中,与不接触电子游戏中的烟草内容相比,高接触电子游戏中的烟草内容与目前的吸烟状况独立相关(OR 1.78; 95% CI 1.02至3.09),但与男孩无关(OR 0.98; 95% CI 0.64至1.51)。结论:阿根廷女孩在玩电子游戏时,接触电子游戏中的烟草内容越多,吸烟的可能性就越大,这表明有必要制定限制这些接触的政策。
BackgroundOur objective was to assess whether exposure to tobacco in video games is associated with smoking among adolescent gamers from Argentina.MethodsCross-sectional data were analysed from students in public and private middle schools in Argentina. Tobacco content in video games was estimated using previously validated methods and adolescents’ tobacco exposure was assessed by multiplying tobacco content in the top three video games they play by the hours played per day. The primary outcome was current smoking. Multilevel logistic regression models adjusted for clustering within schools, regressing current smoking on tobacco exposure in video games (ie, none, low, high) after controlling for age, sex, parental education, parenting style, parental rules about the use of video games, rebelliousness, sensation seeking and ‘technophilia’.ResultsOf the 3114 students who participated, 92% of boys (1685/1802) and 56% of girls (737/1312) played video games and were included in the analytical sample. The prevalence of smoking was 13.8% among boys and 22.0% among girls; 74.5% of boys played video games more than 1 hour per day compared with 47.7% of girls. High exposure to tobacco content in video games compared with no exposure was independently associated with current smoking among girls (OR 1.78; 95% CI 1.02 to 3.09) but not among boys (OR 0.98; 95% CI 0.64 to 1.51).ConclusionsGreater exposure to tobacco content in video games was associated with higher likelihood of smoking among Argentine girls who play video games, suggesting the need for policies that limit these exposures.