Prevalence and correlates of concurrent use of cigarettes, electronic cigarettes, and waterpipes among Serbian youth
| Autor: | Dejana Vukovic, Srmena Krstev, Biljana Kilibarda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Health (social science)
Psychological intervention Medicine (miscellaneous) Cigarette use lcsh:RC254-282 Nicotine 03 medical and health sciences 0302 clinical medicine Cigarette smoking Environmental health medicine Waterpipe Tobacco waterpipes 030212 general & internal medicine Nicotine dependence lcsh:RC705-779 youth 030505 public health Tobacco control Public Health Environmental and Occupational Health lcsh:Diseases of the respiratory system e-cigarettes lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease 3. Good health concurrent tobacco use 0305 other medical science Psychosocial Serbia medicine.drug Research Paper |
| Zdroj: | Tobacco Induced Diseases Tobacco Induced Diseases, Vol 17, Iss September (2019) |
| ISSN: | 1617-9625 2070-7266 |
| Popis: | Introduction Concurrent use of tobacco products is associated with an increased risk of nicotine dependence and smoking-related health complications. Growing popularity of concurrent use of cigarettes and electronic cigarettes and/or waterpipe tobacco is of concern, especially due to the adolescents' exposure to nicotine and call for the better understanding of patterns and predictors of multiple product use. Methods This is a secondary analysis of cross-sectional data obtained through the 2017 Global Youth Tobacco Survey conducted in Serbia on a nationally representative sample of 3362 students aged 13-15 years. Students were categorized into eight groups based on their experience with cigarette, e-cigarette and waterpipe use. To explore differences in sociodemographic and psychosocial characteristics, students were further placed in four groups: non-users; exclusive cigarette users; users of e-cigarette and/or waterpipe who do not smoke cigarettes; cigarette and other product users. Results We show that among the 13-15 years old students, the most common pattern of tobacco/nicotine use is waterpipe and/or e-cigarette use with no cigarette smoking (7.5%, 95% CI: 6.6-8.4) followed by exclusive cigarette use (5.8 %, 95% CI: 5.0-6.6). Among cigarette smokers, 52.8% were exclusive cigarette smokers. Having the majority of their friends smoking is a mutual predictor for exclusive cigarette (AOR=33.2, 95% CI: 14.52-75.90) waterpipe and/or e-cigarette (AOR=2.57, 95% CI: 1.56-4.25) and cigarette and other products use (AOR=52.3, 95% CI:12.28-223.22) compared to no use of any product, and the same in the case of exposure at the point-of-sale marketing: exclusive cigarette vs not any product users (AOR=1.82, 95% CI: 1.22-2.73); waterpipe and or/e-cigarette vs not any product users (AOR=1.64, 95% CI:1.18-2.28); and cigarette and other products vs not any product users (AOR=3.40, 95% CI: 1.99-5.80). Conclusions Tobacco control interventions should address dual- and poly-tobacco use with special focus on inter-personal factors and protection from exposure to advertising of e-cigarettes and waterpipes. |
| Databáze: | OpenAIRE |
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