Smoking Behavior and Ethnicity in Jujuy, Argentina: Evidence from a Low-Income Youth Sample

Smoking Behavior and Ethnicity in Jujuy, Argentina: Evidence from a Low-Income Youth Sample
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DOI:
10.1080/10826080902809717
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发表时间:
2009-01-01
影响因子:
2
通讯作者:
Perez-Stable, Eliseo J.
Perez-Stable, Eliseo J.
中科院分区:
医学4区
文献类型:
--
作者:
Alderete, Ethel;Kaplan, Celia Patricia;Perez-Stable, Eliseo J.

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拉丁美洲是青年吸烟率最高、社会经济差距最大的世界区域,但没有关于该区域最大的弱势群体--土著人民吸烟的数据。2004年,阿根廷胡胡伊对随机抽样的27所城市和农村学校的3131名8年级青年进行了一项自我管理的调查。采用的是改编自全球调查的标准问题。与欧洲背景(11.4%;95%可信区间6.7-15.1)、土著背景(23.0%;95%可信区间21.0-25.0)和混合种族(23%;95%可信区间18.9-27.1)相比,青年当前吸烟率更高。在控制混杂因素后,土著青年(OR 1.9;95%CI=1.1-3.3)和混血青年(OR 2.0;95%CI 1.2-3.4)目前吸烟的几率仍然显著增加。与当前吸烟相关的其他风险因素包括:有任何吸烟的朋友,在学校重复一个年级,在前一年出现抑郁症状,在前一周饮酒,以及兴奋地寻找方向。这些结果强调了全球烟草流行的社会和文化多样性方面的重要性。
Latin America is the world region with the highest rates of youth tobacco use and widest socioeconomic gaps, yet no data are available on smoking among Indigenous people, the largest disadvantaged group in the region. A self-administered survey of 3,131 8th grade youth enrolled in a random sample of 27 urban and rural schools was administered in 2004 in Jujuy, Argentina. Standard questions adapted from global surveys were used. Compared with youth of European background (11.4%; 95% CI 6.7-15.1), Indigenous (23.0%; 95% CI 21.0-25.0), and Mixed ethnicity (23%; 95% CI 18.9-27.1) youth had higher prevalence of current smoking. The odds of current smoking remained significantly elevated for Indigenous (OR 1.9; 95% CI = 1.1-3.3) and Mixed youth (OR 2.0; 95% CI 1.2-3.4) after controlling for confounders. Other risk factors that were associated with current smoking included: having any friends who smoke, repeating a grade in school, depressive symptoms in previous year, drinking any alcohol in the previous week and thrill seeking orientation. These results underscore the importance of social and cultural diversity aspects of the global tobacco epidemic.