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Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006

BACKGROUND: Smoking is a major single cause of preventable morbidity and premature mortality. Tobacco use among adolescents is a significant public health problem as smoking behaviour is undeniably established in adolescence. While cigarette smoking among adolescents has been a significant public he...

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Autores principales: Pärna, Kersti, Usin, Janika, Ringmets, Inge
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613150/
https://www.ncbi.nlm.nih.gov/pubmed/19032756
http://dx.doi.org/10.1186/1471-2458-8-392
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author Pärna, Kersti
Usin, Janika
Ringmets, Inge
author_facet Pärna, Kersti
Usin, Janika
Ringmets, Inge
author_sort Pärna, Kersti
collection PubMed
description BACKGROUND: Smoking is a major single cause of preventable morbidity and premature mortality. Tobacco use among adolescents is a significant public health problem as smoking behaviour is undeniably established in adolescence. While cigarette smoking among adolescents has been a significant public health problem for years, waterpipe smoking is considered to be a new global public health threat. The objectives of this study were to describe trends of cigarette smoking and the prevalence of waterpipe smoking and to study the association between cigarette and waterpipe smoking among adolescents in Estonia. METHODS: This study was based on a four-yearly HBSC survey of health behaviour among school-aged children conducted in 1994–2006 in Estonia. It was a school-based survey of a nationally representative sample using standardized methodology. The target group of the survey were 11-, 13-, and 15-year-old schoolchildren (N = 13826), 6656 boys and 7170 girls. Cigarette and waterpipe smoking was determined on a 4-stage scale: every day, at least once a week, less than once a week, not smoking. Logistic regression analysis was applied to examine gender- and age-specific smoking trends and to study the association between cigarette and waterpipe smoking. RESULTS: Prevalence of smoking was higher among boys than girls in all age groups during the whole study period. The prevalence of cigarette smoking increased in 1994–2002 and then slightly decreased in both genders. The increase in smoking was larger among girls. Among girls, daily smoking increased during the whole study period. Among 15-year-old schoolchildren one-third of the boys and one quarter of the girls were cigarette smokers, 21% of the boys and 12% of the girls were daily smokers in 2006. One fourth of the boys and one sixth of the girls were waterpipe smokers. A logistic regression analysis revealed a strong association between cigarette and waterpipe smoking among schoolchildren. CONCLUSION: The results of this study can significantly enhance the capacity to develop and implement tobacco prevention and control programmes among the youth in Estonia.
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spelling pubmed-26131502009-01-01 Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006 Pärna, Kersti Usin, Janika Ringmets, Inge BMC Public Health Research Article BACKGROUND: Smoking is a major single cause of preventable morbidity and premature mortality. Tobacco use among adolescents is a significant public health problem as smoking behaviour is undeniably established in adolescence. While cigarette smoking among adolescents has been a significant public health problem for years, waterpipe smoking is considered to be a new global public health threat. The objectives of this study were to describe trends of cigarette smoking and the prevalence of waterpipe smoking and to study the association between cigarette and waterpipe smoking among adolescents in Estonia. METHODS: This study was based on a four-yearly HBSC survey of health behaviour among school-aged children conducted in 1994–2006 in Estonia. It was a school-based survey of a nationally representative sample using standardized methodology. The target group of the survey were 11-, 13-, and 15-year-old schoolchildren (N = 13826), 6656 boys and 7170 girls. Cigarette and waterpipe smoking was determined on a 4-stage scale: every day, at least once a week, less than once a week, not smoking. Logistic regression analysis was applied to examine gender- and age-specific smoking trends and to study the association between cigarette and waterpipe smoking. RESULTS: Prevalence of smoking was higher among boys than girls in all age groups during the whole study period. The prevalence of cigarette smoking increased in 1994–2002 and then slightly decreased in both genders. The increase in smoking was larger among girls. Among girls, daily smoking increased during the whole study period. Among 15-year-old schoolchildren one-third of the boys and one quarter of the girls were cigarette smokers, 21% of the boys and 12% of the girls were daily smokers in 2006. One fourth of the boys and one sixth of the girls were waterpipe smokers. A logistic regression analysis revealed a strong association between cigarette and waterpipe smoking among schoolchildren. CONCLUSION: The results of this study can significantly enhance the capacity to develop and implement tobacco prevention and control programmes among the youth in Estonia. BioMed Central 2008-11-25 /pmc/articles/PMC2613150/ /pubmed/19032756 http://dx.doi.org/10.1186/1471-2458-8-392 Text en Copyright © 2008 Pärna et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Pärna, Kersti
Usin, Janika
Ringmets, Inge
Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title_full Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title_fullStr Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title_full_unstemmed Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title_short Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006
title_sort cigarette and waterpipe smoking among adolescents in estonia: hbsc survey results, 1994–2006
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613150/
https://www.ncbi.nlm.nih.gov/pubmed/19032756
http://dx.doi.org/10.1186/1471-2458-8-392
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