Smokeless tobacco consumption in the South Asian population of Sydney, Australia: prevalence, correlates and availability
Smokeless tobacco consumption in the South Asian population of Sydney, Australia: prevalence, correlates and availability
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DOI：
10.1111/dar.12074
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发表时间：
2014-01-01
影响因子：
3.8
通讯作者：
Milton, Abul Hasnat
中科院分区：
文献类型：
--
作者：
Hossain, Mohammad Shakhawat;Kypri, Kypros;Milton, Abul Hasnat
目的：本研究的目的是评估澳大利亚悉尼南亚居民中无烟烟草消费的流行率并确定其相关性。方法：采用预先测试的、自填的邮寄问卷，对悉尼印度、巴基斯坦和孟加拉社区协会的成员进行横断面调查。结果：在1600名受邀参加调查的个体中，419人（26%）做出了回应。曾消费、100次以上消费和目前消费的检出率分别为72.1%、65.9%和17.1%。男性（74.3%）比女性（67.6%）更有可能消费。超过96%的消费者表示在悉尼的少数民族商店购买无烟烟草产品。目前无烟烟草产品的消费与出生国有关：印度人（比值比5.7，95%置信区间2.3-14.5）和巴基斯坦人（比值比3.1，95%置信区间1.5-6.5）在调整社会人口变量后比孟加拉国人更有可能成为当前消费者。对于以往的消费，有一个积极的关联与年龄（P趋势=0.013）和男性性别（优势比2.1，95%置信区间1.5-3.1）。结论。鉴于无烟烟草的可用性和高流行率和潜在的不良健康后果的消费，无烟烟草消费可能会产生相当大的负担，在澳大利亚的非传染性疾病。需要采取有效的管制措施，特别是执行禁止销售这些产品的现行法律。
Aim.The aim of this study was to estimate the prevalence and identify correlates of smokeless tobacco consumption among the South Asian residents of Sydney, Australia.Methods.A cross-sectional survey was conducted using a pretested, self-administered mailed questionnaire among members of Indian, Pakistani and Bangladeshi community associations in Sydney.Results.Of 1600 individuals invited to participate, 419 responded (26%). Prevalence rates of ever consumption, more than 100 times consumption and current consumption were 72.1%, 65.9% and 17.1%, respectively. Men (74.3%) were more likely to ever consume than women (67.6%). Over 96% of consumers reported buying smokeless tobacco products from ethnic shops in Sydney. Current consumption of smokeless tobacco products was associated with country of birth: Indians (odds ratio 5.7, 95% confidence interval 2.3-14.5) and Pakistanis (odds ratio 3.1, 95% confidence interval 1.5-6.5) were more likely to be current consumers than Bangladeshis after adjusting for sociodemographic variables. For ever consumption, there was a positive association with age (P for trend=0.013) and male gender (odds ratio 2.1, 95% confidence interval 1.5-3.1).Conclusions.Given the availability of smokeless tobacco and the high prevalence and potential adverse health consequences of consumption, smokeless tobacco consumption may produce a considerable burden of non-communicable disease in Australia. Effective control measures are needed, in particular enforcement of existing laws prohibiting the sale of these products.