Potential Risk Factors of Smokeless Tobacco Consumption Among Adolescents in South India.
Potential Risk Factors of Smokeless Tobacco Consumption Among Adolescents in South India.
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DOI：
10.1093/ntr/ntac003
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发表时间：
2022-06-15
期刊：
影响因子：
--
通讯作者：
Britton J
中科院分区：
文献类型：
--
作者：
Kulkarni MM;Kamath VG;Kamath A;Lewis S;Bogdanovica I;Bains M;Cranwell J;Fogarty A;Arora M;Nazar GP;Ballal K;Naik AK;Bhagawath R;Britton J
尽管国际上大部分疾病负担是由于吸烟造成的，但无烟烟草的使用在2017年造成了约76，000人死亡。我们研究了印度南部青少年吸毒的潜在危险因素。对卡纳塔克邦乌杜皮区学校6-8年级所有学生进行的横断面问卷调查确定了吸毒状况和吸毒的潜在决定因素。曾经滥用的定义是目前或过去任何时候报告的任何滥用产品的消费。使用多元logistic回归估计对既往使用状态的独立影响。在914所学校的46706名学生中，有39282名（84.1%）提供了足够的问卷资料以供分析。775名（2.0%）参与者报告了曾经使用过避孕药，在相互调整的模型中，与年龄、男性性别、家庭使用或朋友使用避孕药、社会经济地位低、高危险性和低自尊显著相关。在控制这些影响后，对烟草使用的有害影响认识最少的学生中，不断使用的几率显著较高（比值比3.7，95%置信区间[2.9，4.7]），而未接触烟草广告的学生中，不断使用的几率显著较低（比值比0.7，95%置信区间[0.5，0.8]）。与印度的其他研究相比，卡纳塔克邦儿童的吸毒流行率相对较低。吸烟的重要潜在风险因素包括对烟草和烟草控制政策的有害影响认识不足以及接触烟草广告。在印度南部，在校青少年的吸毒率相对较低。印度南部青少年吸烟的潜在风险因素与吸烟的风险因素相似。它包括年龄、男性性别、家人或朋友使用烟草、社会经济地位低、高吸烟率、低自尊、接触烟草广告以及对烟草有害影响和烟草控制政策的认识最低。本研究强调提高对烟草危害的认识，并制定控制政策，以进一步减少青少年的烟草使用。
Although most of the disease burden internationally is due to tobacco smoking, smokeless tobacco (SLT) use contributed to an estimated 76 000 deaths in 2017. We have studied the potential risk factors for SLT use among adolescents in South India. A cross-sectional questionnaire survey of all students in grades 6–8 in schools in the Udupi district of Karnataka State ascertained SLT use status and potential determinants of SLT uptake. Ever SLT use was defined as any reported consumption of any SLT products, currently or at any time in the past. Independent effects on ever SLT use status were estimated using multiple logistic regression. Of 46 706 students from 914 participating schools, 39 282 (84.1%) provided questionnaire responses sufficiently complete for analysis. Ever SLT use was reported by 775 (2.0%) participants and in a mutually adjusted model was significantly related to age, male sex, family use, or friend’s use of SLT, low socioeconomic status, high rebelliousness, and low self-esteem. After controlling for these effects, the odds of ever-SLT use were significantly higher among students who had least awareness of the harmful effects of tobacco use (odds ratio 3.7, 95% confidence interval [2.9, 4.7]) and significantly lower among those not exposed to tobacco advertising (odds ratio 0.7, 95% confidence interval [0.5, 0.8]). The prevalence of SLT use among children in Karnataka is relatively low when compared with other studies in India. The significant potential risk factors of SLT use include low awareness of the harmful effects of tobacco and tobacco control policies and exposure to tobacco advertising. The prevalence of SLT use among school going adolescents in South India is relatively low. The potential risk factors for SLT use among adolescents in southern India are similar to those for smoked tobacco. It includes age, male gender, family or friend’s use of SLT, low socioeconomic status, high rebelliousness, low self-esteem, exposure to tobacco advertisement and least awareness about the harmful effects of tobacco and of tobacco control policies. The present study lays emphasis regarding creating awareness about tobacco harms and control policies for further reducing tobacco use among adolescents.
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影响因子：
5
作者：
Molyneux, A;Lewis, S;Britton, J
通讯作者：
Britton, J
影响因子：
6
作者：
Bogdanovica, Ilze;Szatkowski, Lisa;Britton, John
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Britton, John
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4.7
作者：
Mishu, Masuma Pervin;Siddiqui, Faraz;Siddiqi, Kamran
通讯作者：
Siddiqi, Kamran
影响因子：
168.9
作者：
Reddy, KS;Perry, CL;Arora, M
通讯作者：
Arora, M
影响因子：
5.2
作者：
Kulkarni MM;Kamath VG;Kamath A;Lewis S;Bogdanovica I;Bains M;Cranwell J;Fogarty A;Arora M;Nazar GP;Ballal K;Bhagwath R;Britton J
通讯作者：
Britton J