Predictors of Cigarette Smoking, Smokeless Tobacco Consumption, and Use of both forms in Adolescents in South Asia: A Secondary Analysis of the Global Youth Tobacco Surveys
Predictors of Cigarette Smoking, Smokeless Tobacco Consumption, and Use of both forms in Adolescents in South Asia: A Secondary Analysis of the Global Youth Tobacco Surveys
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DOI：
10.1093/ntr/ntaa202
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发表时间：
2021-06-01
影响因子：
4.7
通讯作者：
Siddiqi, Kamran
中科院分区：
文献类型：
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作者：
Mishu, Masuma Pervin;Siddiqui, Faraz;Siddiqi, Kamran
简介：青少年的烟草摄入与一系列预测因素相关。我们研究了四个南亚国家青少年吸烟、无烟烟草（ST）消费以及ST和香烟使用的预测因素。方法：我们分析了孟加拉国（2013年）、印度（2009年）、巴基斯坦（2013年）和斯里兰卡（2015年）的全球青年烟草调查（GYTS）数据，结果：共分析了23681名青少年的数据。总体而言，82.8%的研究人群年龄在13至15岁之间，52.7%为女孩，2%为吸烟者，6.5%为ST使用者，1.1%在过去30天内同时使用ST和香烟。在公共场所吸烟与过去30天吸烟（相对风险比[RRR] 5.59，95%置信区间[CI] 4.28-7.28）、ST使用（RRR 2.07，95% CI 1.84-2.32）以及ST和香烟的使用（RRR 11.42，95% CI 7.44-17.54）相关。在电子媒体上接触烟草使用和获得免费烟草产品与所有形式的烟草使用有关。店主拒绝出售香烟保护青少年免受吸烟（RRR 0.47，95% CI 0.36-0.63）和ST使用（RRR 0.65，95% CI 0.45-0.95）。然而，接触反烟草的大众媒体信息对任何形式的烟草使用都没有保护作用。在学校教的青少年对烟草的有害影响不太可能使用ST;没有证据表明，这种关联被观察到为smoking.Conclusion：烟草的使用和protobacious因素之间的关联是强有力的，但与反烟草因素的关联缺乏强度和一致性，在这项研究中的人口。
Introduction: Tobacco uptake in adolescents is associated with a range of predictors. We examined the predictors of cigarette smoking, smokeless tobacco (ST) consumption, and use of both ST and cigarettes among adolescents in four South Asian countries.Methods: We analyzed the Global Youth Tobacco Surveys (GYTS) data for Bangladesh (2013), India (2009), Pakistan (2013), and Sri Lanka (2015), using multinomial regression to examine associations between several predictors and tobacco use.Results: Data from 23 681 adolescents were analyzed. Overall, 82.8% of the study population were between 13 and 15 years and 52.7% were girls, 2% were cigarette smokers, 6.5% were ST users, and 1.1% used both ST and cigarettes, in the past 30 days. Exposure to smoking in public places was associated with past 30-day smoking (relative risk ratio [RRR] 5.59, 95% confidence intervals [CI] 4.28-7.28), ST use (RRR 2.07, 95% CI 1.84-2.32), and use of both ST and cigarettes (RRR 11.42, 95% CI 7.44-17.54). Exposure to tobacco use in electronic media and being offered free tobacco products were associated with all forms of tobacco use. Shopkeepers' refusal to sell cigarettes protected adolescents from smoking (RRR 0.47, 95% CI 0.36-0.63) and ST use (RRR 0.65, 95% CI 0.45-0.95). However, exposure to antitobacco mass media messages was not protective for any form of tobacco use. Adolescents taught at school about harmful effects of tobacco were less likely to use ST; no evidence of this association was observed for smoking.Conclusion: The associations between tobacco use and protobacco factors were strong, but the associations with antitobacco factors lacked strength and consistency in this study population.