Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Gorini, Giuseppe; Gallus, Silvano; Carreras, Giulia; Mei, Barbara De; Masocco, Maria; Faggiano, Fabrizio; Charrier, Lorena; Cavallo, Franco; Spizzichino, Lorenzo; Galeone, Daniela; Minardi, Valentina; Lana, Susanna; Lachi, Alessio; Pacifici, Roberta; Cortini, Barbara; Mastrobattista, Luisa; Mortali, Claudia; Pirchio, Rosilde Di; Ferrante, Gianluigi; Barone-Adesi, Francesco

doi:10.1016/j.ypmed.2019.105903

Cited by 32 publications

(28 citation statements)

References 15 publications

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“…The latest prevalence of 14.8% was similar to the GYTS survey in the Philippines in 2015 21 . However, it is double the rate of 6.7% reported in Bangladesh 22 as well as 10%, 12.5% and 13.6% from surveys in Thailand 23 , Indonesia 24 , and 68 lower-income and middle-income countries 25 , respectively, although it is 5 percentage points lower than the study reported among youths in Italy 20 . Our study also found that current smoking was significantly higher among males compared to females (ratio 10:1).…”

Section: Discussioncontrasting

confidence: 53%

“…Similar findings were reported by Miguel-Baquilod et al 18 among school-going adolescents in their surveys in 2000 and 2003. However, no similar pattern was observed in two waves of Global Youth Tobacco Survey (GYTS) among school-going adolescents in India 19 and in Italy 20 . The latest prevalence of 14.8% was similar to the GYTS survey in the Philippines in 2015 21 .…”

Section: Discussionmentioning

confidence: 94%

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Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Lim¹,

Ghazali²,

Lim³

et al. 2020

Tob. Induc. Dis.

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disease having been a major contributor to mortality since 1980 3 , with a third of diseases due to smoking 4. Several nationwide studies have reported that more than 70% of smokers started to smoke before the age of 18 years; this is in line with other studies conducted ABSTRACT INTRODUCTION Periodic surveys on tobacco use patterns and other aspects of tobacco use among school-going adolescents in Malaysia provide information on the effectiveness of anti-smoking measures implemented. However, such information is limited in Malaysia. We investigated the prevalence of smoking and other related aspects among middle-secondary school students in Malaysia from the years 2003-2016 to fill this gap. METHODS We analyzed data from the Global Youth Tobacco Survey (GYTS) 2003, GYTS 2009, and the Tobacco and Electronic Cigarette Survey among Malaysia Adolescents (TECMA) 2016. The surveys employed multistage sampling to select representative samples of adolescents attending secondary school in Malaysia. Data were collected using a pre-validated self-administered anonymous questionnaire adopted from the GYTS. RESULTS Between 2003 and 2016, major changes occurred in which there were reductions in the prevalence of ever smoking, current smoking, and susceptibility to smoking. Reductions were also observed in exposure to SHS in public places and in the home. The proportion of school-going adolescents who support a ban on smoking in public places increased between 2013 to 2016, and there was a significant reduction in the proportion of respondents that were offered 'free' cigarettes by tobacco company representatives. However, there was no difference in the proportion of adolescents who initiated smoking before the age of 10 years and current smokers seeking advice to quit smoking across the time period. CONCLUSIONS Our study indicates that the smoking policies and measures have been effective in reducing smoking prevalence, secondhand smoke exposure, and access to cigarettes, among school-going adolescents in Malaysia. However, measures to reduce smoking initiation and increase smoking cessation need to be strengthened to reduce the burden of smoking-related diseases in Malaysia in the long-term.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 94%

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Lim¹,

Ghazali²,

Lim³

et al. 2020

Tob. Induc. Dis.

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“…Although most of the participants consider cancer a serious disease, and one third are considered to be at high risk of developing cancer, the results of our study confirmed a wide diffusion of an unhealthy lifestyle among adolescents, that once consolidated during adolescence, may have substantial consequences in adulthood, including the risk of developing cancer. The consistently widespread smoking habit and alcohol consumption is worrying, although it is similar in respect to analogous surveys conducted in the adolescent populations [29] or those of higher ages [30][31][32][33]. Equally, or even more, concerning is the result on the poor physical activity and insufficient consumption of fruits or vegetables, although analogous to other reported frequencies in similar studies [31,33,34].…”

Section: Lifestyle Behaviors Related To Cancermentioning

confidence: 54%

Cancer Prevention: Knowledge, Attitudes and Lifestyle Cancer-Related Behaviors among Adolescents in Italy

Giuseppe

Pelullo

Mitidieri

et al. 2020

IJERPH

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This study explores knowledge, attitudes and lifestyle behaviors related to cancer in a sample of adolescents. Data were collected through a self-administered questionnaire. 871 adolescents agreed to participate, with a response rate of 96.8%. Only 26.1% had a good level of knowledge on most risk factors for cancer. Adolescents with both parents employed, with a personal, familiar or friend history of cancer or having received information about cancer prevention from a physician, were more likely to have good knowledge about the risk factors for cancer. In total, 41% of participants declared that they consumed alcohol and 25.3% declared they were current smokers, 19.2% consumed fruits or vegetables more than once a day and 75.2% reported poor physical activity. Older adolescents, with a personal, familiar or friend history of cancer, not having one parent in the healthcare sector or not physically active were significantly more likely to be current smokers, whereas physical activity was significantly more likely in adolescents who had been informed by physicians on cancer prevention, and had one parent in the healthcare sector. This study highlights a need for improved education of adolescents about cancer prevention and lifestyle cancer-related behaviors.

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“…Thus, it has been trying to reinvent itself by introducing a new portfolio of products, presenting itself as part of the solution to combat the tobacco epidemic, which it created in the first place. The strong marketing and promotional strategy of the tobacco industry has led to an increase in nicotine and tobacco product use among youth globally [ [4] , [5] , [6] , [7] , [8] , [9] , [10] ].…”

mentioning

confidence: 99%

The World Health Organization's World No Tobacco Day 2020 Campaign Exposes Tobacco and Related Industry Tactics to Manipulate Children and Young People and Hook a New Generation of Users

Claire

Fayokun

Commar

et al. 2020

Journal of Adolescent Health

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There are 1.3 billion tobacco users worldwide. That number might be even larger if tobacco did not kill half of its users [1]. Every 4 seconds, tobacco is responsible for another premature death [2]. For decades, the tobacco industry has deliberately used aggressive, duplicitous, and well-resourced tactics to hook generations of users to nicotine and tobacco, driving the global tobacco epidemic. This is primarily achieved through engineering and manipulating of products to sustain addiction, with young people being the main target. The strategy is to replace smokers and ensure market sustainability by making the products appealing and attractive to new and existing users, especially youth. In 1984, R.J. Reynolds stated, "younger adult smokers are the only source of replacement smokers. If younger adults turn away from smoking, the industry must decline" [3]. Such strategies to engage children and adolescents before they are fully aware of the ramifications of their actions have been successfully used by the industry since the 1970s and are still in use today.Over the last decade, as the awareness of the harms of tobacco use has grown and global tobacco control efforts have intensified, the social acceptability of tobacco use has declined, directly impacting the sale of the most popular productdthe cigarette. To maintain its profitability, the multi-billion-dollar industry has aggressively started to look for newer markets in low-and middle-income countries and also come up with

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Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018

Cited by 32 publications

References 15 publications

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Cancer Prevention: Knowledge, Attitudes and Lifestyle Cancer-Related Behaviors among Adolescents in Italy

The World Health Organization's World No Tobacco Day 2020 Campaign Exposes Tobacco and Related Industry Tactics to Manipulate Children and Young People and Hook a New Generation of Users

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