Predictors of smoking initiation among schoolchildren in Tunisia: a 4 years cohort study.
Identifieur interne : 001954 ( Main/Exploration ); précédent : 001953; suivant : 001955Predictors of smoking initiation among schoolchildren in Tunisia: a 4 years cohort study.
Auteurs : I. Harrabi [Tunisie] ; H. Chahed ; J. Maatoug ; J. Gaha ; S. Essoussi ; H. GhannemSource :
- African health sciences [ 1729-0503 ] ; 2009.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Arrêter de fumer (méthodes), Comportement de l'adolescent (psychologie), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Fumer (psychologie), Fumer (épidémiologie), Groupe de pairs (MeSH), Humains (MeSH), Mass-médias (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Prévalence (MeSH), Prévention du fait de fumer (MeSH), Tabac (MeSH), Tunisie (épidémiologie), Établissements scolaires (MeSH), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- méthodes : Arrêter de fumer.
- psychologie : Comportement de l'adolescent, Fumer.
- épidémiologie : Fumer, Tunisie.
- Adolescent, Facteurs de risque, Facteurs âges, Femelle, Groupe de pairs, Humains, Mass-médias, Modèles logistiques, Mâle, Prévalence, Prévention du fait de fumer, Tabac, Établissements scolaires, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adolescent Behavior (psychology), Age Factors (MeSH), Cohort Studies (MeSH), Female (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Mass Media (MeSH), Peer Group (MeSH), Prevalence (MeSH), Prospective Studies (MeSH), Risk Factors (MeSH), Schools (MeSH), Smoking (epidemiology), Smoking (psychology), Smoking Cessation (methods), Smoking Prevention (MeSH), Tobacco (MeSH), Tunisia (epidemiology).
- MESH :
- epidemiology : Smoking, Tunisia.
- methods : Smoking Cessation.
- psychology : Adolescent Behavior, Smoking.
- Adolescent, Age Factors, Cohort Studies, Female, Humans, Logistic Models, Male, Mass Media, Peer Group, Prevalence, Prospective Studies, Risk Factors, Schools, Smoking Prevention, Tobacco.
Abstract
OBJECTIVE
To identify predictors of smoking initiation among non smoking Tunisian school children; and to propose efficient antismoking strategies in order to prevent smoking initiation.
METHODS
It was a cohort study surveying prospectively for four years pupils attending schools in Sousse city in Tunisia. 441 non smoking pupils aged 13-15 years attending secondary schools in Sousse. Data were collected by a self administered questionnaire during class session. Two ways cross tabulation, univariate and multivariate logistic regression analyses were the main analytical methods.
RESULTS
57.1% of the surveyed population were girls, 42.9 % were boys. 63% had at least one of their peers who smoked. Before 1999, 16.6% had already tried to smoke, 29.5% had already experienced alcohol. In 2003, smoking prevalence was 17%. 4.8% were girls; 33.3% of boys; p<0,001). 69.9 % of these smokers declared that they would carry on smoking during the following five years. Predictors which were highly associated with smoking initiation were previous experimentation with alcohol and tobacco, having a smoking best friend, lack of sensitization from the part of the school, believing that smoking makes one feel cool and that tobacco shouldn't be forbidden in public places.
CONCLUSION
Intervention programs should target young children to avoid experiencing the first cigarette. Multidisciplinary management including community and school based intervention highlighted by mass media campaigns may provide schoolchildren with skills to resist smoking peers prompts to adopt unhealthy habits such as smoking.
PubMed: 20589142
PubMed Central: PMC2887029
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Maatoug</name></author><author><name sortKey="Gaha, J" sort="Gaha, J" uniqKey="Gaha J" first="J" last="Gaha">J. Gaha</name></author><author><name sortKey="Essoussi, S" sort="Essoussi, S" uniqKey="Essoussi S" first="S" last="Essoussi">S. Essoussi</name></author><author><name sortKey="Ghannem, H" sort="Ghannem, H" uniqKey="Ghannem H" first="H" last="Ghannem">H. Ghannem</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:20589142</idno><idno type="pmid">20589142</idno><idno type="pmc">PMC2887029</idno><idno type="wicri:Area/Main/Corpus">001817</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001817</idno><idno type="wicri:Area/Main/Curation">001817</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001817</idno><idno type="wicri:Area/Main/Exploration">001817</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Predictors of smoking initiation among schoolchildren in Tunisia: a 4 years cohort study.</title><author><name sortKey="Harrabi, I" sort="Harrabi, I" uniqKey="Harrabi I" first="I" last="Harrabi">I. Harrabi</name><affiliation wicri:level="1"><nlm:affiliation>Service of Epidemiology and Biostatistics University Hospital Farhat Hached, Sousse, Tunisia. imed_harrabi@yahoo.fr</nlm:affiliation><country xml:lang="fr">Tunisie</country><wicri:regionArea>Service of Epidemiology and Biostatistics University Hospital Farhat Hached, Sousse</wicri:regionArea><wicri:noRegion>Sousse</wicri:noRegion></affiliation></author><author><name sortKey="Chahed, H" sort="Chahed, H" uniqKey="Chahed H" first="H" last="Chahed">H. Chahed</name></author><author><name sortKey="Maatoug, J" sort="Maatoug, J" uniqKey="Maatoug J" first="J" last="Maatoug">J. Maatoug</name></author><author><name sortKey="Gaha, J" sort="Gaha, J" uniqKey="Gaha J" first="J" last="Gaha">J. Gaha</name></author><author><name sortKey="Essoussi, S" sort="Essoussi, S" uniqKey="Essoussi S" first="S" last="Essoussi">S. Essoussi</name></author><author><name sortKey="Ghannem, H" sort="Ghannem, H" uniqKey="Ghannem H" first="H" last="Ghannem">H. Ghannem</name></author></analytic><series><title level="j">African health sciences</title><idno type="eISSN">1729-0503</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adolescent Behavior (psychology)</term><term>Age Factors (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Mass Media (MeSH)</term><term>Peer Group (MeSH)</term><term>Prevalence (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Schools (MeSH)</term><term>Smoking (epidemiology)</term><term>Smoking (psychology)</term><term>Smoking Cessation (methods)</term><term>Smoking Prevention (MeSH)</term><term>Tobacco (MeSH)</term><term>Tunisia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Arrêter de fumer (méthodes)</term><term>Comportement de l'adolescent (psychologie)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Fumer (psychologie)</term><term>Fumer (épidémiologie)</term><term>Groupe de pairs (MeSH)</term><term>Humains (MeSH)</term><term>Mass-médias (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Prévention du fait de fumer (MeSH)</term><term>Tabac (MeSH)</term><term>Tunisie (épidémiologie)</term><term>Établissements scolaires (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Smoking</term><term>Tunisia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Smoking Cessation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Arrêter de fumer</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement de l'adolescent</term><term>Fumer</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Adolescent Behavior</term><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fumer</term><term>Tunisie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Age Factors</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Mass Media</term><term>Peer Group</term><term>Prevalence</term><term>Prospective Studies</term><term>Risk Factors</term><term>Schools</term><term>Smoking Prevention</term><term>Tobacco</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Femelle</term><term>Groupe de pairs</term><term>Humains</term><term>Mass-médias</term><term>Modèles logistiques</term><term>Mâle</term><term>Prévalence</term><term>Prévention du fait de fumer</term><term>Tabac</term><term>Établissements scolaires</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify predictors of smoking initiation among non smoking Tunisian school children; and to propose efficient antismoking strategies in order to prevent smoking initiation.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>It was a cohort study surveying prospectively for four years pupils attending schools in Sousse city in Tunisia. 441 non smoking pupils aged 13-15 years attending secondary schools in Sousse. Data were collected by a self administered questionnaire during class session. Two ways cross tabulation, univariate and multivariate logistic regression analyses were the main analytical methods.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>57.1% of the surveyed population were girls, 42.9 % were boys. 63% had at least one of their peers who smoked. Before 1999, 16.6% had already tried to smoke, 29.5% had already experienced alcohol. In 2003, smoking prevalence was 17%. 4.8% were girls; 33.3% of boys; p<0,001). 69.9 % of these smokers declared that they would carry on smoking during the following five years. Predictors which were highly associated with smoking initiation were previous experimentation with alcohol and tobacco, having a smoking best friend, lack of sensitization from the part of the school, believing that smoking makes one feel cool and that tobacco shouldn't be forbidden in public places.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Intervention programs should target young children to avoid experiencing the first cigarette. Multidisciplinary management including community and school based intervention highlighted by mass media campaigns may provide schoolchildren with skills to resist smoking peers prompts to adopt unhealthy habits such as smoking.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20589142</PMID><DateCompleted><Year>2010</Year><Month>08</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1729-0503</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>3</Issue><PubDate><Year>2009</Year><Month>Sep</Month></PubDate></JournalIssue><Title>African health sciences</Title><ISOAbbreviation>Afr Health Sci</ISOAbbreviation></Journal><ArticleTitle>Predictors of smoking initiation among schoolchildren in Tunisia: a 4 years cohort study.</ArticleTitle><Pagination><MedlinePgn>147-52</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify predictors of smoking initiation among non smoking Tunisian school children; and to propose efficient antismoking strategies in order to prevent smoking initiation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">It was a cohort study surveying prospectively for four years pupils attending schools in Sousse city in Tunisia. 441 non smoking pupils aged 13-15 years attending secondary schools in Sousse. Data were collected by a self administered questionnaire during class session. Two ways cross tabulation, univariate and multivariate logistic regression analyses were the main analytical methods.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">57.1% of the surveyed population were girls, 42.9 % were boys. 63% had at least one of their peers who smoked. Before 1999, 16.6% had already tried to smoke, 29.5% had already experienced alcohol. In 2003, smoking prevalence was 17%. 4.8% were girls; 33.3% of boys; p<0,001). 69.9 % of these smokers declared that they would carry on smoking during the following five years. Predictors which were highly associated with smoking initiation were previous experimentation with alcohol and tobacco, having a smoking best friend, lack of sensitization from the part of the school, believing that smoking makes one feel cool and that tobacco shouldn't be forbidden in public places.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Intervention programs should target young children to avoid experiencing the first cigarette. Multidisciplinary management including community and school based intervention highlighted by mass media campaigns may provide schoolchildren with skills to resist smoking peers prompts to adopt unhealthy habits such as smoking.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harrabi</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Service of Epidemiology and Biostatistics University Hospital Farhat Hached, Sousse, Tunisia. imed_harrabi@yahoo.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chahed</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Maatoug</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Gaha</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Essoussi</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Ghannem</LastName><ForeName>H</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Uganda</Country><MedlineTA>Afr Health Sci</MedlineTA><NlmUniqueID>101149451</NlmUniqueID><ISSNLinking>1680-6905</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000294" MajorTopicYN="N">Adolescent Behavior</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008402" MajorTopicYN="N">Mass Media</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010379" MajorTopicYN="Y">Peer Group</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012574" MajorTopicYN="N">Schools</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016540" MajorTopicYN="N">Smoking Cessation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000074606" MajorTopicYN="N">Smoking Prevention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014026" MajorTopicYN="Y">Tobacco</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014416" MajorTopicYN="N">Tunisia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epidemiology</Keyword><Keyword MajorTopicYN="N">adolescent</Keyword><Keyword MajorTopicYN="N">follow-up study</Keyword><Keyword MajorTopicYN="N">smoking initiation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20589142</ArticleId><ArticleId IdType="pmc">PMC2887029</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>BMJ. 2004 Jan 31;328(7434):277-9</Citation><ArticleIdList><ArticleId IdType="pubmed">14751901</ArticleId></ArticleIdList></Reference><Reference><Citation>Tob Control. 2002 Sep;11(3):246-51</Citation><ArticleIdList><ArticleId IdType="pubmed">12198278</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Addict. 1992 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Chahed</name><name sortKey="Essoussi, S" sort="Essoussi, S" uniqKey="Essoussi S" first="S" last="Essoussi">S. Essoussi</name><name sortKey="Gaha, J" sort="Gaha, J" uniqKey="Gaha J" first="J" last="Gaha">J. Gaha</name><name sortKey="Ghannem, H" sort="Ghannem, H" uniqKey="Ghannem H" first="H" last="Ghannem">H. Ghannem</name><name sortKey="Maatoug, J" sort="Maatoug, J" uniqKey="Maatoug J" first="J" last="Maatoug">J. Maatoug</name></noCountry><country name="Tunisie"><noRegion><name sortKey="Harrabi, I" sort="Harrabi, I" uniqKey="Harrabi I" first="I" last="Harrabi">I. Harrabi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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