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Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study
OBJECTIVE: To assess the joint association of passive and active smoking with self-rated health and life satisfaction among Iranian children and adolescents. METHODS: Using a multistage random cluster sampling method, a representative sample of 14 880 school students were selected from urban and rur...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318555/ https://www.ncbi.nlm.nih.gov/pubmed/28196944 http://dx.doi.org/10.1136/bmjopen-2016-012694 |
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author | Heshmat, Ramin Qorbani, Mostafa Safiri, Saeid Eslami-Shahr Babaki, Amir Matin, Nassim Motamed-Gorji, Nazgol Motlagh, Mohammad-Esmaeil Djalalinia, Shirin Ardalan, Gelayol Mansourian, Morteza Asayesh, Hamid Kelishadi, Roya |
author_facet | Heshmat, Ramin Qorbani, Mostafa Safiri, Saeid Eslami-Shahr Babaki, Amir Matin, Nassim Motamed-Gorji, Nazgol Motlagh, Mohammad-Esmaeil Djalalinia, Shirin Ardalan, Gelayol Mansourian, Morteza Asayesh, Hamid Kelishadi, Roya |
author_sort | Heshmat, Ramin |
collection | PubMed |
description | OBJECTIVE: To assess the joint association of passive and active smoking with self-rated health and life satisfaction among Iranian children and adolescents. METHODS: Using a multistage random cluster sampling method, a representative sample of 14 880 school students were selected from urban and rural areas of 30 provinces of Iran. Data were gathered using a questionnaire, a weight scale and metre. Participants were classified into four groups based on their smoking patterns: ‘non-smoker’, ‘only active smoker’, ‘only passive smoker’ and ‘active and passive smoker’. Life satisfaction (LS) and self-rated health (SRH) were assessed by self-administered validated questionnaires based on the WHO-Global School-based student Health Survey (WHO-GSHS). Data were analysed using a t-test, χ(2) test and multiple logistic regression. RESULTS: A total of 13 486 individuals (6640 girls and 6846 boys) out of 14 880 invited participated in the study (response rate 90.6%). LS and good SRH showed linearly negative associations with smoking status in both sexes. The proportions of LS and SRH categories were significantly different among all subsets of smoking status. Those classified as ‘non-smokers’ had the highest proportions of LS and good SRH, followed by ‘only passive smokers’ and ‘only active smokers’, while those with ‘active and passive smoking’ had the lowest proportions of LS and good SRH. In a multivariate model, students in the ‘active and passive smoking’ group had lower odds of LS (OR 0.43; 95% CI 0.32 to 0.57) and good SRH (OR 0.51; 95% CI 0.38 to 0.68) than those in the ‘non-smoker’ group. Students in the ‘only passive smoker’ group also had lower odds of LS (OR 0.75; 95% CI 0.67 to 0.83) and good SRH (OR 0.72; 95% CI 0.66 to 0.80) compared with the ‘non-smoker’ group. CONCLUSIONS: Adolescents with different smoking habits and exposure patterns have poorer SRH and LS than non-smokers. Both active and passive smoking status could affect LS and SRH in adolescents. Therefore, smoking prevention strategies should be considered as a health priority in school health services for promoting psychological well-being in children and adolescents. |
format | Online Article Text |
id | pubmed-5318555 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-53185552017-02-27 Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study Heshmat, Ramin Qorbani, Mostafa Safiri, Saeid Eslami-Shahr Babaki, Amir Matin, Nassim Motamed-Gorji, Nazgol Motlagh, Mohammad-Esmaeil Djalalinia, Shirin Ardalan, Gelayol Mansourian, Morteza Asayesh, Hamid Kelishadi, Roya BMJ Open Epidemiology OBJECTIVE: To assess the joint association of passive and active smoking with self-rated health and life satisfaction among Iranian children and adolescents. METHODS: Using a multistage random cluster sampling method, a representative sample of 14 880 school students were selected from urban and rural areas of 30 provinces of Iran. Data were gathered using a questionnaire, a weight scale and metre. Participants were classified into four groups based on their smoking patterns: ‘non-smoker’, ‘only active smoker’, ‘only passive smoker’ and ‘active and passive smoker’. Life satisfaction (LS) and self-rated health (SRH) were assessed by self-administered validated questionnaires based on the WHO-Global School-based student Health Survey (WHO-GSHS). Data were analysed using a t-test, χ(2) test and multiple logistic regression. RESULTS: A total of 13 486 individuals (6640 girls and 6846 boys) out of 14 880 invited participated in the study (response rate 90.6%). LS and good SRH showed linearly negative associations with smoking status in both sexes. The proportions of LS and SRH categories were significantly different among all subsets of smoking status. Those classified as ‘non-smokers’ had the highest proportions of LS and good SRH, followed by ‘only passive smokers’ and ‘only active smokers’, while those with ‘active and passive smoking’ had the lowest proportions of LS and good SRH. In a multivariate model, students in the ‘active and passive smoking’ group had lower odds of LS (OR 0.43; 95% CI 0.32 to 0.57) and good SRH (OR 0.51; 95% CI 0.38 to 0.68) than those in the ‘non-smoker’ group. Students in the ‘only passive smoker’ group also had lower odds of LS (OR 0.75; 95% CI 0.67 to 0.83) and good SRH (OR 0.72; 95% CI 0.66 to 0.80) compared with the ‘non-smoker’ group. CONCLUSIONS: Adolescents with different smoking habits and exposure patterns have poorer SRH and LS than non-smokers. Both active and passive smoking status could affect LS and SRH in adolescents. Therefore, smoking prevention strategies should be considered as a health priority in school health services for promoting psychological well-being in children and adolescents. BMJ Publishing Group 2017-02-14 /pmc/articles/PMC5318555/ /pubmed/28196944 http://dx.doi.org/10.1136/bmjopen-2016-012694 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Epidemiology Heshmat, Ramin Qorbani, Mostafa Safiri, Saeid Eslami-Shahr Babaki, Amir Matin, Nassim Motamed-Gorji, Nazgol Motlagh, Mohammad-Esmaeil Djalalinia, Shirin Ardalan, Gelayol Mansourian, Morteza Asayesh, Hamid Kelishadi, Roya Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title | Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title_full | Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title_fullStr | Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title_full_unstemmed | Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title_short | Association of passive and active smoking with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN IV study |
title_sort | association of passive and active smoking with self-rated health and life satisfaction in iranian children and adolescents: the caspian iv study |
topic | Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318555/ https://www.ncbi.nlm.nih.gov/pubmed/28196944 http://dx.doi.org/10.1136/bmjopen-2016-012694 |
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