Cigarette and waterpipe smoking among Lebanese adolescents, a cross-sectional study, 2003-2004
Cigarette and waterpipe smoking among Lebanese adolescents, a cross-sectional study, 2003-2004
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DOI：
10.1080/14622200701825775
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发表时间：
2008-01-01
影响因子：
4.7
通讯作者：
Musharrafieh, Umayya
中科院分区：
文献类型：
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作者：
El-Roueiheb, Zana;Tamim, Hala;Musharrafieh, Umayya
水烟或“argileh”是除香烟之外的一种吸烟形式，目前在各个年龄段的人群中流行。本研究的目的是评估黎巴嫩贝鲁特公立和私立青少年学校学生的吸烟习惯（水烟和/或香烟）。从 10 所私立学校和 3 所设有初中/中学班级的公立学校中抽取的 2,443 名学生样本填写了一份自填式匿名调查问卷，询问社会人口特征以及吸烟行为。对仅吸香烟、仅吸水烟和同时吸香烟和水烟作为因变量，以性别、学校类型和班级作为自变量之间的关系进行二元分析和三个回归模型。目前吸烟率为11.4%，吸水烟率为29.6%。性别与吸烟显着相关（OR=3.2，95% CI 1.8-5.6），但与吸水烟无关。公立学校学生只吸香烟和只吸水烟的可能性分别高出 3.2 (95% CI 1.8-5.6) 和 1.7 (95% CI 1.4-2.1) 倍。阶层与只吸烟没有显着相关；然而，上中学的学生只吸水烟的可能性要高出 1.3 倍（95% CI 1.1-1.6）。介绍并讨论了两种类型吸烟高流行背后的原因。本研究呼吁实施以学校为基础的预防计划和其他类型的干预措施，例如增加税收和烟草销售的年龄限制。有必要采取更积极的干预措施，在家长和学生中传播教育和意识。
waterpipe or "argileh" is a form of smoking other than cigarettes that is currently spreading among people of all ages. The objective of the present study was to assess tobacco smoking practices (waterpipe and/or cigarette) among public and private adolescent school students in Beirut, Lebanon. A sample of 2,443 students selected from 10 private and 3 public schools with intermediate/secondary classes filled out a self-administered anonymous questionnaire that inquired about sociodemographic characteristics, and behavior about tobacco smoking. Binary analysis was performed as well as three regression models for the relationship between exclusive cigarettes smoking, exclusive waterpipe smoking and both cigarettes and waterpipe as the dependent variables and gender, type of school, and class as the independent variables. The current prevalence of cigarettes smoking was 11.4%, and that of waterpipe smoking was 29.6%. Gender was significantly associated with cigarettes (OR=3.2, 95% CI 1.8-5.6) but not waterpipe smoking. Public school students were, respectively, 3.2 (95% CI 1.8-5.6) and 1.7 (95% CI 1.4-2.1) times more likely to be exclusive cigarettes smokers, and exclusive waterpipe smokers. Class was not significantly associated with exclusive cigarette smoking; however, students attending secondary classes were 1.3 (95% CI 1.1-1.6) times more likely to be exclusive waterpipe smokers. The reasons behind the high prevalence of both types of smoking are presented and discussed. The present study calls for school-based prevention programs and other types of interventions such as tax increases, and age-restrictions on tobacco sales. More aggressive interventions to disseminate education and awareness among parents and students altogether are warranted.