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Ribera-Osca JA, Carrion-Valero F, Martin-Gorgojo V, Rando-Matos Y, Martin-Cantera C, Martin-Moreno JM. Characteristics of tobacco use among secondary school students: a cross-sectional study in a school in Valencia, Spain. Front Public Health 2023; 11:1069294. [PMID: 37206875 PMCID: PMC10189142 DOI: 10.3389/fpubh.2023.1069294] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 04/05/2023] [Indexed: 05/21/2023] Open
Abstract
Introduction Cigarette smoking is a significant public health problem, and it is essential to work actively with young people to limit the incorporation of this addiction. This study aimed to identify characteristics associated with tobacco use in adolescents in a real setting. Methods Epidemiologic, cross-sectional study including secondary school students aged 12-17 years in the 1st, 2nd, and 3rd grades of "Joan Fuster High School" in the city of Sueca, Valencia (Spain). An anonymous, self-administered questionnaire was used to collect data on demographics, cigarette smoking history, alcohol consumption, nicotine dependence, and exposure to parental cigarette smoking. Results The final sample of individuals surveyed included 306 students (50.6% females) with a median age of 13 years. The prevalence of cigarette smoking was 11.8% (13.5% in females and 9.9% in males). The mean age of cigarette smoking onset was 12.7 ± 1.6 years. Ninety-three students (30.4%) were repeaters, and 114 (37.3%) reported alcohol consumption. Significant factors associated with tobacco use were being a repeater (odds ratio [OR] 4.19, 95% confidence interval [CI] 1.75-10.55, p = 0.002), alcohol consumption (OR 4.06, 95% CI 1.75-10.15, p = 0.002) and parental cigarette smoking (OR 3.76, 95% CI 1.52-10.74, p = 0.007). Discussion An operational profile of features associated with tobacco consumption was identified in the presence of parental cigarette smoking, alcohol consumption, and poor academic performance. Consideration of these factors could be useful in the operational design of cigarette smoking cessation interventions for young people in a context where there is a great need for better prevention and control of cigarette smoking.
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Affiliation(s)
| | - Francisco Carrion-Valero
- Pneumology Department, Hospital Clínico Universitario, Valencia, Spain
- Medicine Department, Universitat de València, Valencia, Spain
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario, Valencia, Spain
| | - Victor Martin-Gorgojo
- Biomedical Research Institute INCLIVA, Hospital Clínico Universitario, Valencia, Spain
- Orthopaedic Surgery and Traumatology Department, Hospital Clínico Universitario, Valencia, Spain
| | - Yolanda Rando-Matos
- Primary Health Center Florida Nord, Direcció d'Atenció Primària Costa de Ponent, Catalan Health Institute, L’Hospitalet de Llobregat, Barcelona, Spain
| | - Carlos Martin-Cantera
- Research Support Unit, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Barcelona, Spain
| | - Jose M. Martin-Moreno
- Medicine Department, Universitat de València, Valencia, Spain
- Department of Preventive Medicine and Public Health, Universitat de València, Valencia, Spain
- *Correspondence: Jose M. Martin-Moreno,
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Jabbour N, Abi Rached V, Haddad C, Salameh P, Sacre H, Hallit R, Soufia M, Obeid S, Hallit S. Association between parental separation and addictions in adolescents: results of a National Lebanese Study. BMC Public Health 2020; 20:965. [PMID: 32560706 PMCID: PMC7304209 DOI: 10.1186/s12889-020-09108-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 06/12/2020] [Indexed: 12/02/2022] Open
Abstract
Background Since divorce rates are on the rise in Lebanon (an increase of 101% between 2006 and 2017) and since previous international studies have shown a relationship between divorced parents and adolescents’ addiction to smoking, alcohol, and the internet, assessing the background of the Lebanese situation was deemed necessary. The study objective was to investigate the association between the divorce of parents and smoking, alcohol, and internet addiction among a representative sample of Lebanese adolescents. Methods This study was a cross-sectional, conducted between January and May 2019 using a proportionate random sample of schools from all Lebanese Mohafazat. Out of 2000 questionnaires distributed; 1810 (90.5%) were completed and collected back. Results The mean age was 15.42 ± 1.14 years, with 53.3% females and 74.1% smokers. In addition, 11.9% [95% CI 0.104–0.134] of the adolescents had separated/divorced parents. Divorce in parents was significantly associated with higher alcohol use disorder (Beta = 8.035), higher cigarette dependence (Beta = 2.767) and a higher waterpipe dependence (Beta = 5.263) in adolescents. However, divorce in parents was not associated with internet addiction in adolescents. Conclusion Parental divorce is correlated to higher alcohol and smoking, but not internet addiction among adolescents. Children whose parents are divorced should be subject to continuous follow-up by their parents and by a psychiatrist/psychologist in order not to develop an addiction that could potentially harm them.
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Affiliation(s)
- Nour Jabbour
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Vanessa Abi Rached
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Chadia Haddad
- Research and Psychology Departments, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Université de Limoges, UMR 1094, Neuroépidémiologie Tropicale, Institut d'Epidémiologie et de Neurologie Tropicale, GEIST, 87000, Limoges, France
| | - Pascale Salameh
- INSPECT-LB. Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie - Liban, Beirut, Lebanon.,Faculty of Medicine, Lebanese University, Hadat, Lebanon.,Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
| | - Hala Sacre
- INSPECT-LB. Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie - Liban, Beirut, Lebanon
| | - Rabih Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Michel Soufia
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Medicine, Lebanese University, Hadat, Lebanon
| | - Sahar Obeid
- Research and Psychology Departments, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,INSPECT-LB. Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie - Liban, Beirut, Lebanon.,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon. .,INSPECT-LB. Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie - Liban, Beirut, Lebanon.
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Nur Atikah AH, Wee LH, Nur Zakiah MS, Chan CMH, Mohamed Haniki NM, Swinderjit JS, Siau CS. Factors associated with different smoking statuses among Malaysian adolescent smokers: a cross-sectional study. BMC Public Health 2019; 19:579. [PMID: 31196055 PMCID: PMC6565528 DOI: 10.1186/s12889-019-6857-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study focused on the associations between socioeconomic status (SES) and adolescent smoking among secondary school students (13 to 17 years) in the Federal Territory of Kuala Lumpur, Malaysia. Our objective was to evaluate the relationships between adolescent demographics, socioeconomic status and smoking status. METHODS The survey data were based on baseline findings from a cross-sectional study (N = 422 adolescents). Chi-square test was used to assess the relationship between demographic characteristics, socioeconomic status (household monthly income and daily allowance) and adolescent smoking status. Exhaled carbon monoxide (CO) reading and the Hooked on Nicotine Checklist (HONC) were used to evaluate adolescent smoking status. A Multivariate Multinomial Logistic Regression (MMLR) was employed to test selected demographic and socioeconomic predictors of smoking status. RESULTS Of the 422 adolescents (M age = 15.58, SD = 1.24), more than half of the participants initiated smoking between 13 to 17 years old (59.0%). A total of 308 (73.0%) were electronic cigarette users, with more than 50% comprising of single users. The mean CO reading was 2.14 ppm with 78.0% of adolescents scoring more than 0 on the Hooked on Nicotine Checklist (HONC). Males and participants aged 15 and 16 years were at increased risks of sole CC smoking. Meanwhile, males, those who are not hooked on smoking and with a non-smoker CO reading were at increased risks of sole EC smoking. Finally, Bumiputeras were at less risk of EC smoking. CONCLUSIONS Demographic variables such as age, gender and ethnicity predicted smoking status predicted smoking risk, but not socioeconomic factors. The findings allow policy makers to target specific high-risk demographic groups when designing smoking cessation programs for adolescents.
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Affiliation(s)
- A H Nur Atikah
- Health Education Program, Community Health Centre, Faculty of Health Sciences, The National University of Malaysia (UKM), Kuala Lumpur, Malaysia
| | - Lei Hum Wee
- Health Education Program, Community Health Centre, Faculty of Health Sciences, The National University of Malaysia (UKM), Kuala Lumpur, Malaysia.
| | - M S Nur Zakiah
- Health Education Program, Community Health Centre, Faculty of Health Sciences, The National University of Malaysia (UKM), Kuala Lumpur, Malaysia
| | - Caryn Mei Hsien Chan
- Health Education Program, Community Health Centre, Faculty of Health Sciences, The National University of Malaysia (UKM), Kuala Lumpur, Malaysia
| | - N M Mohamed Haniki
- Kulliyah of Pharmacy, International Islamic of Malaysia (UIA), Kuala Lumpur, Malaysia
| | - J S Swinderjit
- National Cancer Society Malaysia (NCSM), Kuala Lumpur, Malaysia
| | - Ching Sin Siau
- Health Education Program, Community Health Centre, Faculty of Health Sciences, The National University of Malaysia (UKM), Kuala Lumpur, Malaysia.,Faculty of Social Sciences and Liberal Arts, UCSI University, Kuala Lumpur, Malaysia
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Khooshabi K, Ameneh-Forouzan S, Ghassabian A, Assari S. Is there a gender difference in associates of adolescents' lifetime illicit drug use in Tehran, Iran? Arch Med Sci 2010; 6:399-406. [PMID: 22371778 PMCID: PMC3282519 DOI: 10.5114/aoms.2010.14263] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2009] [Revised: 04/25/2009] [Accepted: 05/04/2009] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION Information regarding gender differences in drug use of adolescents is essential for designing gender-specific drug prevention policies. This study was conducted in high school students in Tehran, Iran, in 2007. Here, we report the gender differences in lifetime prevalence as well as psychosocial associates of drug use. MATERIAL AND METHODS This was a gender analysis of the data collected in a drug use survey conducted in a random sample of high school adolescents (573 boys and 551 girls) in Tehran, Iran, 2007. Demographic characteristics, parental and peers' substance use, school performance, religious beliefs, attachment, self-esteem and emotional intelligence (EI) were entered in logistic regression analyses to predict the lifetime illicit drug use in boy and girls, separately. RESULTS Boys were more likely to report lifetime illicit drug use than girls (10.1% vs. 6.4%, p = 0.023). Differences in the risk profile associated with lifetime illicit drug use by gender included history of substance use in the family, higher score of attachment, and having an employed mother as predictors of substance use in boys, but not girls. CONCLUSIONS Understanding this gender difference in predictors of lifetime use of illicit drugs in high school adolescents facilitates the design of gender-sensitive drug use preventive programmes. It seems that family variables may have more value in prevention of illicit drug use in male adolescents.
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Affiliation(s)
- Katayoon Khooshabi
- Iranian Research Centre for Substance Abuse and Dependence (IRCSAD), University of Social Welfare and Rehabilitation Science, Tehran, Iran
| | - Setareh- Ameneh-Forouzan
- Iranian Research Centre for Substance Abuse and Dependence (IRCSAD), University of Social Welfare and Rehabilitation Science, Tehran, Iran
| | - Akhgar Ghassabian
- Department for Drug Abuse Research, Medicine and Health Promotion Institute, Tehran, Iran
| | - Shervin Assari
- Department for Drug Abuse Research, Medicine and Health Promotion Institute, Tehran, Iran
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