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Tobacco consumption among adolescents in rural Wardha: Where and how tobacco control should focus its attention?  [cached]
Dongre A,Deshmukh P,Murali N,Garg B
Indian Journal of Cancer , 2008,
Abstract: Objectives: The objectives of the present study were to study the pattern of tobacco use among rural adolescents (15-19 years) and to find out reasons for use and non use of tobacco products. Materials and Methods : In the present community-based research, triangulation of qualitative (free list, focus group discussions) and quantitative methods (survey) was undertaken. The study was carried out in surrounding 11 villages of the Kasturba Rural Health Training Centre, Anji during January 2008 where 385 adolescents were selected by simple random sampling and interviewed by house to house visits. After survey, six focus group discussions were undertaken with adolescent boys. Results: About 68.3% boys and 12.4% girls had consumed any tobacco products in last 30 days. Out of boys who had consumed tobacco, 79.2% consumed kharra, and 46.4% consumed gutka. Among boys, 51.2% consumed it due to peer pressure, 35.2% consumed tobacco as they felt better, and five percent consumed tobacco to ease abdominal complaints and dental problem. Among girls, 72% used dry snuff for teeth cleaning, 32% and 20% consumed tobacco in the form of gutka and tobacco & lime respectively. The reasons for non use of tobacco among girls were fear of cancer (59%), poor oral health (37.9%). Among non consuming boys it was fear of cancer (58.6%), poor oral health (44.8%) and fear of getting addiction (29.3%). According to FGD respondents, few adolescent boys taste tobacco by 8-10 years of age, while girls do it by 12-13 years. Peer pressure acts as a pro tobacco influence among boys who are outgoing and spend more time with their friends. They prefer to consume freshly prepared kharra which was supposed to be less strong (tej) than gutka. Tobacco is being used in treatment of some health problems. Tobacco is chewed after meals for better digestion, given to ease toothache, pain in abdomen and to induce vomiting in suicidal insecticide poisoning. Conclusion: The current consumption of any tobacco products among rural adolescents was found very high. Hence, the multi-pronged intervention strategy is needed to tackle the problem.
Analysis of the alcohol consumption phenomenon among adolescents: study carried out with adolescents in intermediate public education
Barroso, Teresa;Mendes, Aida;Barbosa, António;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000300011
Abstract: this study aimed to evaluate the alcohol consumption phenomenon in public schools in coimbra, portugal (7th, 8th and 9th grades) for the implementation of a preventive program of alcohol use/abuse. this is a quantitative, descriptive and correlational study. the sample included 654 students (51.5% female) between 12 and 18 years of age. the alcohol expectancy questionnaire - adolescent form (aeq-a) and the questionnaire of knowledge on alcohol were used for data collection. results show that positive expectancy on alcohol is discriminative of consumption and occurrence of intoxication. positive expectancy exists even before adolescents have significant experiences with alcohol consumption and increases with age, which reinforces the need for early preventive effort. these results permitted to improve the prevention program included in the school curriculum of the 7th grade students.
The association of family and peer factors with tobacco, alcohol, and marijuana use among Chilean adolescents in neighborhood context
Horner P,Grogan-Kaylor A,Delva J,Bares CB
Substance Abuse and Rehabilitation , 2011,
Abstract: Pilar Horner1, Andy Grogan-Kaylor2, Jorge Delva2, Cristina B Bares3, Fernando Andrade4, Marcela Castillo51School of Social Work, Michigan State University, East Lansing, MI, USA; 2School of Social Work, University of Michigan, Ann Arbor, MI, USA; 3School of Social Work, Virginia Commonwealth University, Richmond, VA, USA; 4School of Education, University of Michigan, Ann Arbor, MI, USA; 5Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Santiago, ChileAbstract: Research on adolescent use of substances has long sought to understand the family factors that may be associated with use of different substances such as alcohol, tobacco, and marijuana. However, scant attention has been focused on these questions in Latin American contexts, despite growing concerns about substance use among Latin American youth. Using data from a sample of 866 Chilean youth, we examined the relationship of family and neighborhood factors with youth substance abuse. We found that in a Latin American context, access to substances is an important predictor of use, but that neighborhood effects differ for marijuana use as opposed to cigarettes or alcohol. Age of youth, family and peer relationships, and gender all play significant roles in substance use. The study findings provide additional evidence that the use of substances is complex, whereby individual, family, and community influences must be considered jointly to prevent or reduce substance use among adolescents.Keywords: substance use, adolescence, international, peers
Self-esteem, perceived self-efficacy, consumption of tobacco and alcohol in secondary students from urban and rural areas of Monterrey, Nuevo León, México
Martínez Maldonado, Raúl;Pedr?o, Luiz Jorge;Alonso Castillo, María Magdalena;López García, Karla Selene;Oliva Rodríguez, Nora Nely;
Revista Latino-Americana de Enfermagem , 2008, DOI: 10.1590/S0104-11692008000700018
Abstract: this study aimed to know the differences, if any, in the consumption of tobacco and alcohol among adolescents from urban and rural areas, and if self-esteem and self-efficacy are related to the consumption in these two groups of adolescents from secondary schools in urban and rural areas of nuevo león méxico, from january to june in 2006. the study was based on the theoretical concepts of self-esteem, perceived self-efficacy and consumption of alcohol and tobacco. the design was descriptive and correlational with a sample of 359 students. a substantial difference was found in the consumption of tobacco among secondary students from urban and rural areas (u= 7513.50, p = .03). the average consumption in urban area was higher (average c = .35) than in the rural area (average c = .14). a negative and significant relation was found between the quantity of drinks consumed on a typical day and self-esteem (rs = - .23, p <.001), as well as for the quantity of cigarettes consumed on a typical day (rs = - .20, p <.001).
Prevalencia de consumo riesgoso y da?ino de alcohol en adolescentes de una escuela preuniversitaria urbana de Morelia
Sánchez Cortés,Iván A; Roa Sánchez,Valentín; Carlos,Gómez Alonso; Rodríguez-Orozco,Alain R;
Revista Cubana de Pediatr?-a , 2008,
Abstract: introduction. the adolescence is a stage of physical and psychological changes, which are frequently accompanied with addictions to tobacco and alcohol. this paper was aimed at determining the prevalence of risky and harmful alcohol consumption in adolescents from an urban preuniversity institute in mexico. methods. the alcohol use disorder identification test (audit) was applied to know the prevalence of risky and harmful alcohol consumption. the history of alcohol ingestion and intoxication in the parents of 315 adolescents of an urban preuniversity institute was investigated. results. 65.4 % of the total of adolescents were females. the most frequent age to begin drinking alcoholic beverages was 12 years old (46 of 315 adolescents; 14.6 %). beer was the alcoholic beverage most commonly drunk by these adolescents (86.4 %). the consumption level categories showed a safe consumption in 255 adolescents (81 %), risky consumption in 54 (17.1 %) and harmful consumption in 6 (1.9 %). 85 adolescents referred that some of their parents frequently drank alcoholic beverages (27 %) and 65 of them (20.6 %) commented that they got drunk. conclusions. the prevalence of alcohol consumption among young people is a regional health problem. it is necessary to develop health specific policies and programs to reduce its incidence and impact.
Families with increased risk of alcohol and tobacco use by adolescents
Prosol, Valeria,Iakunchykova, Olena,Kozlova, Julia,Andreeva, Tatiana
Tobacco Control and Public Health in Eastern Europe , 2011,
Abstract: BACKGROUND. Increasing number of incomplete families is considered a negative trend in the society because it results in deterioration of the family’s educative function, due to which children in such families are more likely to start and practice antisocial behaviors. Many sociological studies showed that children from single-parent and reconstructed families are at increased risk of early use of alcohol, drugs, and smoking. According to the State Statistics Committee of Ukraine, 27,5% of families with children younger than 18 years in Ukraine are single-parent families, which is a substantial portion. Therefore, we aimed to identify levels of alcohol consumption by adolescents, based on the type of family in which they have been brought up.METHODS. The study group consisted of 28 000 Ukrainian youth aged 14-27 who were participants of the European School Survey Project on Alcohol and Other Drugs conducted in different types of secondary schools in 1995, 1999, 2003, and 2007. The outcome variable was alcohol consumption. Independent variables included accessibility of alcohol, economic status, parental control, smoking status, relationship with parents, and the type of family.RESULTS. The multivariate analysis revealed that higher alcohol consumption was associated with unsatisfactory relationship with a father, with being brought up in a single-parent family, with insufficient control by parents, and with smoking of an adolescent.CONCLUSIONS. The study documents the existence of social phenomenon which is related to families characterized by problematic relationship both between spouses and between generations, and alcohol and tobacco use by adolescents and possibly by their parents. The data do not give grounds to ascribe these families to a particular socio-economic stratum, but they definitely deserve public attention and care.
The Main Results of the National Survey on Tobacco, Alcohol and Drugs Consumption – Romania 2007
Silvia FLORESCU,Mihaela G?L?ON
Management in Health , 2009,
Abstract: The ESPAD study - composed by many national surveys targeting the European adolescents - provides the participating nations with a realistic perspective about the important problem of illegal drug, alcohol, tobacco use. For nearly 2 decades, the study brought a clearer understanding of the temporal trend of the consumption patterns, and a better understanding of some of their consequences. It has also given policymakers important evidence for intervention.
Determinants of alcohol usage among youth in Kotor  [PDF]
Stijep?evi? Aleksandar,Ljaljevi? Agima,?abarkapa Dragan,?ati? Sabina
SANAMED , 2012,
Abstract: Introduction: A significant number of alcohol users is being recorded among young people while the limit when young people resorting to alcohol is approaching younger age groups. The aim of this study was to determine the general prevalence and structure of young consumers, as well as risk factors for alcohol use among adolescents. Method: The study included 200 respondents. The sample is defined out of classes of all secondary schools at the territory, where one class per school out all four high school grades entered the sample by random choice. The survey instrument was a specifically designed questionnaire and response rate of the classes was 100%. Results: The survey showed that almost half of high school Kotor confirmed to have consumed alcohol. Among children who consume alcohol, almost one half indicated that their parents also use alcoholic beverages and the data show a statistically significant association between alcohol use among parents and their children. Respondents, who do not consume alcoholic beverages, consider the presence of smoking among their friends more often. Students who do not consume alcohol, more frequently point to the harmful effects of using these substances on health and a statistically significant difference between the attitudes of students who do not consume alcohol and those who do was demonstrated in relation to the harmful effects of alcohol on health. Conclusions: Alcohol use is widespread among young people and at the same time there is a significant association between alcohol consumption in parents and their children. The use of alcohol among young people in correlation with the use of tobacco, and the young who consume alcohol are more often found in the company of peers who smoke, compared to their friends who do not use alcohol. Children who do not use alcohol more frequently emphasize the harmful effects of its using on health.
Correlates of tobacco-use pattern amongst adolescents in two schools of New Delhi, India  [cached]
Kotwal A,Thakur R,Seth T
Indian Journal of Medical Sciences , 2005,
Abstract: BACKGROUND: As adolescent tobacco use has been found to be a major predictor of future use, preventive efforts need to be focused on this section of population. OBJECTIVES: To assess the role of knowledge regarding tobacco, risk-taking attitude, peers, and other influencers on tobacco and areca nut use, amongst adolescents. SETTINGS AND DESIGN: A school-based cross-sectional study covering two schools. Students of classes IX and XI, of selected schools, participated in the study (n = 596). METHODS: A pretested and validated, close ended, self-administered questionnaire was used. Sociodemographic factors, awareness regarding tobacco, risk-taking attitudes, role of peers and other influencers, and tobacco, areca nut and alcohol use, were studied. Statistical analysis: 0 Point estimates, 98% Confidence Intervals, tests of significance, bivariate and multivariate analysis (multiple logistic regression). RESULTS: Almost 42% of tobacco users started before the age of 12 years. Peer pressure, general stress, and media were important influencers. Logistic regression analysis showed that students in public school were using more tobacco [Odds ratio (OR) = 1.85, P = 0.174] and tobacco/areca nut (OR = 1.14, P = 0.02). The difference in use between the genders and class in which studying was statistically not significant. Lesser proportion of those possessing adequate knowledge regarding tobacco used it as compared to those without adequate knowledge (OR = 0.13, P < 0.001) however, possession of adequate knowledge was not a good predictor of areca nut consumption (OR = 0.86, P = 0.585). The most important correlate for tobacco use (OR = 6.41, P < 0.001) and areca nut use (OR = 11.17, P < 0.001) was risk-taking attitude. CONCLUSION: Multipronged and concerted efforts targeting children at an early age are required to prevent tobacco and areca nut use among adolescents.
Key points in preventing tobacco use among adolescents
Constantine Vardavas
Tobacco Induced Diseases , 2010, DOI: 10.1186/1617-9625-8-1
Abstract: Substantial research by health professionals, and public health policy advocates have indicated different avenues through which adolescent smoking can be prevented at a population based level, key points which are depicted in the Tobacco Control Funnel in Figure 1.One of the most discussed ways of reducing tobacco use among adolescents is by increasing the price of tobacco products, through a regulated rise in taxation [4]. Adolescents are very price sensitive, with the price of the cigarette pack shown to significantly influence the decision to start and quit smoking [5-8]. As a significant share of pocket money among teen age smokers is allocated towards tobacco products a price increase also reduces also the spending capacity of the adolescent. It must be stated though that price increases can be rather unpredictable as youth smoking behaviors are not as intense or consistent as adult smoking, while social sources are also a common way that adolescents obtain cigarettes.Restricting smoking areas also play a key role in promoting the populations health, not only by reducing the negative ramifications of exposure to second hand smoke but also by reducing cigarette consumption by restricting the smoker's ability to smoke under certain situations. Furthermore, smoke free legislations are also associated with a increased rate of smoking cessation [7]. This environment that prohibits smoking has an important impact on the perception of the acceptance of smoking at a population based level by reducing the visibility of role models who smoke [8]. Smoking bans in other areas, such as the household or schools also have this desired effect on adolescent smoking experimentation, a fact which should be acknowledged [9].Industry advertising and brand imagery are also associated with smoking susceptibility among adolescents, with the implementation of advertising bans a core element of comprehensive tobacco control measures and a central part of the Framework Convention on Toba
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