Tobacco use related attitudes and behaviors in Indian Adolescents: association with school-based prevention education
Tobacco use related attitudes and behaviors in Indian Adolescents: association with school-based prevention education
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DOI：
10.15171/hpp.2017.24
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发表时间：
2017-01-01
影响因子：
4.4
通讯作者：
Tahiliani, Jay
中科院分区：
文献类型：
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作者：
Khubchandani, Jagdish;Sharma, Manoj;Tahiliani, Jay
背景：在过去几十年里，印度青少年烟草使用大幅增加。学校可以作为预防教育的重要途径，但人们对印度学校目前在预防烟草使用教育方面的做法知之甚少。方法：为了评估印度学校预防烟草使用教育的程度和影响，我们分析了印度的全球青少年烟草调查数据，这是一项基于人口的研究，随机抽样了来自180所私立和公立学校的10112名学生。分析考虑了学生人口统计资料、烟草使用行为、对烟草使用的认识以及接受以学校为基础的预防烟草使用教育等变量。结果：发现任何形式的烟草使用（14%）和当前吸烟（8%）的患病率因性别而异。四分之一的学生认为，与不吸烟的男孩相比，吸烟的男孩更有吸引力，或者有更多的朋友，几乎一半的学生报告说，在学校的课上从未讨论过吸烟和健康的问题。评估了以学校为基础的预防教育与烟草使用行为之间的关系（在调整了年龄、性别和父母吸烟情况后）。在学校接受过关于烟草使用及其影响的教育的学生对烟草使用持消极态度的可能性明显更高，报告使用烟草的可能性也更低。结论：以学校为基础的预防吸烟教育对印度青少年产生了有益的影响。鉴于开始使用烟草的年龄较早，印度的学校课程应强调预防烟草使用的教育。
Background: Adolescent tobacco use in India has increased substantially within the past few decades. Schools can serve as an important avenue for prevention education, but little is known about the current practices of Indian schools in relation to tobacco use prevention education.Methods: To assess the extent and influence tobacco use prevention education in Indian schools, we analyzed the Global Youth Tobacco Survey data for India, which was a population-based study of a national random sample of 10112 students from 180 private and public schools. Variables such as student demographic profile, tobacco use behavior, perceptions about tobacco use, and exposure to school-based tobacco use prevention education were considered for analyses.Results: Prevalence of any form of tobacco use (14%) and current smoking (8%) was found to differ by gender. A quarter of the students believed that boys who smoke are more attractive or have more friends compared to non-smokers, and almost half of the students reported that smoking and health were never discussed as a part of a lesson in school. The association between school-based prevention education and tobacco use behavior was assessed (after adjustment for age, gender, and parental smoking). Students who were educated in school about tobacco use and its effects were significantly more likely to have negative attitude toward tobacco use and less likely to report use of tobacco.Conclusion: School-based tobacco use prevention education has beneficial influence on adolescents in India. Given the early age of initiation of tobacco use, school curricula in India should emphasize on tobacco use prevention education.