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Swiss Med Wkly. 2002 Aug 10;132(31-32):449-54.

Smoking among adolescents: relation to school success, socioeconomic status nutrition and self-esteem.

Author information

1
Trakya University Medical Faculty Department of Public Health, Edirne, Turkey.

Abstract

OBJECTIVE:

Smoking is a worldwide health problem. This study was designed to evaluate the current status and to examine some potential factors affecting smoking among adolescents.

DESIGN:

Descriptive, cross-sectional study.

SETTING:

Community based study.

SUBJECTS:

Of all middle and high school students in Edirne, Turkey, 883 (6.83%) were randomly sampled. Mean age of the subjects was 15.0 +/- 1.8 years.

METHOD:

A self-applied questionnaire was used to collect demographic data, smoking status, school success, nutritional behaviour and self-esteem. The influence of different factors on smoking was evaluated with a logistic regression model.

RESULTS:

There were 89 active smokers (11.1%) with the critical age of 15 years for smoking commitment. 609 students (71.9%) were exposed to environmental tobacco smoke. Nutritional behaviour rich in vegetables (OR = 0.813), high school success (OR = 0.807), longer time reserved for homework (OR = 0.718) and eating breakfast (OR= 0.353) were significantly associated with a lower smoking rate. Having a mother, who smoked (OR = 2.155), increasing age (OR = 1.704), increasing number of siblings (OR = 1.351) and eating fast food (OR = 1.150) were associated with significantly higher smoking rates.

CONCLUSION:

An educational programme aimed at changing behaviour and attitude to tobacco smoking and including nutritional counselling with high emphasis on the transition age from early to late adolescence may be a successful primary prevention. In addition projects designed to improve school performance may lead to a reduction in smoking rates while providing an investment in the future of the teenagers.

PMID:
12457303
DOI:
2002/31/smw-10011
[Indexed for MEDLINE]

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