Adolescent Tobacco Use and Health in Southeast Asia

Al-Sadat, Nabilla; Misau, A.Y.; Zarihah, Z.; Dahlui, Maznah; Su, Tin Tin

doi:10.1177/1010539510372835

Cited by 42 publications

(43 citation statements)

References 17 publications

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“…In developing countries, documented factors implicated in the initiation of tobacco use among youth include experimentation, peer pressure and sense of feeling more matured. 16 Students in late adolescence were more likely to consume tobacco compared with those in middle adolescence. Similar results were seen in a study from Kerala where students aged 16 years and above were nearly three times more likely to be tobacco users compared with those who were 13-year olds (adjusted OR=2.9, CI 1.6 to 5.3).…”

Section: Discussionmentioning

confidence: 99%

Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey

et al. 2013

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IntroductionThe tobacco use among the youth, in both smoking and smokeless forms, is quite high in the South East Asian region. Tobacco use is a major proven risk factor and contributes substantially to the rising epidemic of non-communicable diseases.ObjectivesTo estimate the prevalence of tobacco use and determine associated factors among adolescent students of Dharan municipality.DesignCross-sectional study.SettingSecondary and higher secondary schools of Dharan municipality in Sunsari district of Nepal.ParticipantsStudents in middle (14–15 years) and late adolescence (16–19 years) from grades 9, 10, 11 and 12 were included.Primary outcome measureEver tobacco use which was defined as one who had not used any form of tobacco in the past 1 month but had tried in the past.MethodologySelf-administered questionnaire adapted from Global Youth Tobacco Survey was used to assess tobacco use among the representative sample of 1312 adolescent students selected by stratified random sampling from July 2011 to July 2012.ResultsOut of 1454 students, 1312 students completed the questionnaires with a response rate of 90.23%. Prevalence of ever use of any tobacco product was 19.7% (95% CI 17.7 to 21.6). More than half of the tobacco users (51.9%) consumed tobacco in public places whereas almost a third (75.6%) of the consumers purchased tobacco from shops. Multivariate analysis showed that tobacco use was associated with late adolescence (OR: 1.64; 95% CI 1.17 to 2.28), male gender (OR: 12.20; 95% CI 7.78 to 19.14), type of school (OR=1.72; 95% CI 1.01 to 2.94), Janajati ethnicity (OR: 2.05; 95% CI 1.39 to 3.01) and receiving pocket money ≥Nepalese rupees 500/month (OR: 1.45; 95% CI 1.04 to 2.03).ConclusionsTobacco-focused interventions are required for school/college going students to promote cessation among users and prevent initiation, focussing on late adolescence, male gender, government schools, Janajati ethnicity and higher amount of pocket money.

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Section: Discussionmentioning

confidence: 99%

Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey

et al. 2013

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“…Furthermore, the independent variables in this analysis were only those available in the 2013 RISKESDAS dataset; these were designed to measure a wider range of health indicators, and not smoking alone. Thus, other possible key determinants of adolescent smoking such as parental disapproval, affordability/availability of cigarettes, the smoking behavior of peers and older brothers (for boys), and peers’ attitudes towards smoking (for boys) [19–21,32] could not be included in the analysis. Further, we did not analyse parent–child correlations in smoking (an unpublished report of RISKESDAS data has shown an association between smoking among those aged 10–19 years and smoking among their parents [33]).…”

Section: Discussionmentioning

confidence: 99%

Socio-economic, demographic and geographic correlates of cigarette smoking among Indonesian adolescents: results from the 2013 Indonesian Basic Health Research (RISKESDAS) survey

Kusumawardani

Tarigan

Suparmi

et al. 2018

Global Health Action

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Background: The prevalence of adolescent tobacco use in Indonesia is among the highest in the world. Monitoring the extent and distribution of adolescent cigarette smoking is crucial to being able to target prevention and reduction strategies and evaluate the effectiveness of interventions. Objectives: To quantify the prevalence of adolescent cigarette smoking in Indonesia and assess the association with key socio-economic, demographic and geographic factors. Methods: We used data from the 2013 Indonesian Basic Health Research (RISKESDAS) national household survey to quantify the prevalence of cigarette smoking in adolescents aged 10–18 years by sex, age, education, economic status, place of residence and province. We used logistic regression to assess the adjusted association between adolescent smoking and these factors. Results: The overall smoking prevalence among Indonesian adolescents was 7.2% (95% Confidence Interval/CI: 7.1–7.4). The prevalence was substantially higher among males (14.0%; 95% CI: 13.6–14.4) compared with females (0.2%; 95% CI: 0.1–0.4). After controlling for socio-economic, demographic and geographic characteristics, higher odds of smoking were observed among males (OR = 118.1; 95% CI: 91.2–153.0) as compared to female and among adolescents aged 13–15 and 16–18 years as compared to those aged 10–12 years (OR = 13.2; 95% CI: 10.8–16.2 and OR = 72.7; 95% CI: 59.1–89.4, respectively). The odds of smoking were greater among adolescents with higher education as compared to those with lower education (OR = 1.3; 95% CI: 1.1–1.4) and adolescents in the poorest quintile had more than twice the odds of smoking compared with adolescents from the richest quintile (OR = 2.5; 95% CI: 2.2–2.8). Conclusion: Smoking prevention and cessation interventions in Indonesia need to be specific considering the sex, age, socioeconomic status and geographic location of adolescents. Ongoing monitoring of adolescent smoking is important for targeting interventions at higher-risk groups and assessing the effectiveness of current tobacco control strategies.

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“…There are 1.2 billion smokers globally, of which more than 50% are young people. There are nearly 600 million tobacco users within the Southeast Asian countries, with the region contributing to about 50% of the global burden of tobacco users [1]. It is estimated that tobacco-related deaths will be the most important cause of deaths in developing countries by 2020 [2].…”

Section: Introductionmentioning

confidence: 99%

Effects of Cigarettes Smoking on Pulmonary Function among University Students

Hariri

Mansor

2016

MATEC Web Conf.

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Abstract. Pulmonary function testing is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. Smoking is greatly associated with reduction of pulmonary function. This research is aimed to estimate the values of peak expiratory flow (PEF), forced expiratory volume in first second (FEV1), forced vital capacity (FVC) and ratio between FEV1/FVC among smoking and non-smoking students in Universiti Tun Hussein Onn Malaysia. Smoking is often related to obstructive disorder with low value of FVC, FEV1 and FEV1/FVC. These pulmonary functions were analyzed based on several variables such as; the number of cigarette smoked per day, duration of smoking, age, and body mass index (BMI) values. 70 healthy volunteers consist of smoking and non-smoking students was selected through several sessions. Students were interviewed to answer questionnaire on demographic, lifestyles and their smoking habit. The pulmonary function tests were conducted according to American Thoracic Society (ATS) standards. The results of the pulmonary functions were analyzed by using SPSS software to compare the pulmonary functions between the smoker and the non-smoker students. The results of the studies showed that the number of cigarettes smoked by respondent and the BMI values were the significant predictors of the decrease in FEV1/FVC values among university students

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Adolescent Tobacco Use and Health in Southeast Asia

Cited by 42 publications

References 17 publications

Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey

Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey

Socio-economic, demographic and geographic correlates of cigarette smoking among Indonesian adolescents: results from the 2013 Indonesian Basic Health Research (RISKESDAS) survey

Effects of Cigarettes Smoking on Pulmonary Function among University Students

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