Main determinants of cigarette smoking in youth based on the 2006 Cyprus GYTS

Main determinants of cigarette smoking in youth based on the 2006 Cyprus GYTS
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DOI:
10.1016/j.ypmed.2009.01.003
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发表时间:
2009-03-01
影响因子:
5.1
通讯作者:
Connolly, Gregory N.
Connolly, Gregory N.
中科院分区:
医学2区
文献类型:
--
作者:
Christophi, Costas A.;Sawides, Elena Charis G.;Connolly, Gregory N.

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目标。本研究的目的是确定在学校、家庭和更广泛的社会环境中当前青少年吸烟的预测因素。采用两阶段整群样本设计,选取2005-2006年塞浦路斯所有初中和高中学生的代表性样本。采用标准化全球青少年烟草调查(GYTS)方法管理问卷和处理结果。采用logistic回归进行分析,结果变量为当前吸烟情况。在调整了模型中其他预测因素的影响后,青少年吸烟的最强预测因素是吸烟同伴。父母和祖父母吸烟,对体重的担忧,获得零用钱,购买香烟的便利性,拥有带有香烟标志的物品,认为吸烟者不那么有吸引力,以及错误共识效应,这些都是统计上重要的预测因素。在设计预防吸烟方案时,需要考虑与青少年的学校、社会和家庭圈子有关的因素,以及对吸烟与外表之间联系的误解。这些方案可以作为授权工具,补充法律措施,而法律措施需要得到坚决执行和不断修订才能有效。(C) 2009爱思唯尔公司版权所有。
Objective. The goal of the study is to identify predictors of current cigarette smoking in adolescents within the school, home, and broader social environment.Method. A two stage cluster sample design was used to select a representative sample of students from all middle and high schools in Cyprus in 2005-2006. Standardized Global Youth Tobacco Survey (GYTS) methodology was employed in administering the questionnaires and processing the results. Analyses were conducted using logistic regression with the outcome variable being current smoking.Results. After adjusting for the effect of other predictors in the model, the strongest predictor of adolescent smoking was smoking peers. Having parents and grandparents that smoke, concerns about weight, access to pocket money, ease of buying cigarettes, owning an item with a cigarette logo on it, the belief that smokers are less attractive, and the false consensus effect all remain statistically significant predictors.Conclusion. In designing smoking prevention programs, factors pertaining to the school, social and familial circle of adolescents as well as misconceptions on the link between smoking and physical appearance need to be considered. Such programs can act as empowering tools to complement legal measures which need to be firmly enforced and constantly revised to be effective. (C) 2009 Elsevier Inc. All rights reserved.