Adolescents’ smoking experiences, family structure, parental smoking and socio-economic status in Ciudad Juárez, Mexico

International Journal for Equity in Health

Research

Hugo Staines-Orozco¹  Yelena Bird²  John Moraros² 

[1] Division of Biomedical Sciences, Universidad Autónoma de Ciudad Juárez, Juárez, Mexico;School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Room 3322, S7N 5E5, Saskatoon, SK, Canada;

关键词: Adolescents;    Smoking;    Secondhand smoke exposure;    Family structure;    Parental smoking;    Socioeconomic status;    Mexico;   

DOI  :  10.1186/s12939-016-0323-y

 received in 2015-10-20, accepted in 2016-02-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundCigarette smoking is the leading cause of preventable death worldwide. Tobacco use and secondhand-tobacco smoke (SHS) exposure are classified as a pediatric disease. In Mexico, the prevalence of smoking has decreased among adults but paradoxically increased among adolescents, particularly among young females. This study was designed to determine the association between adolescents’ smoking experiences (smoking behaviors and second hand smoke [SHS] exposure), family structure, parental smoking and socio-economic status (SES) in Ciudad Juárez, Mexico.MethodsThis is a cross-sectional, population-based study. Data was collected from sixth-grade students (N = 506) attending school in Ciudad Juárez, Mexico. Descriptive analyses were conducted. The relationship between key outcome variables (adolescents smoking and SHS exposure) and independent variables (family structure, parental smoking, and SES level) were examined. Adjusted odds ratios were calculated. Multiple logistic regression analysis was performed while controlling for possible confounders (i.e. gender and age).ResultsThe overall prevalence of ever/lifetime smoking and SHS exposure at home was 29.6 and 41.1 %, respectively. Results of the logistic regression analysis show that being a member of a non-intact family [(OR = 2.20; 95 % CI = 1.21–3.90) and (OR = 2.45; 95 % CI = 1.19-4.10) respectively], having parents who smoke [(OR = 4.41; 95 % CI = 2.15–5.46) and (OR = 4.95; 95 % CI = 2.25-7.12) respectively], and living in low SES setting [(OR = 1.73; 95 % CI = 1.43–3.30) and (OR = 1.99; 95 % CI = 1.16-4.00) respectively] are significantly associated with ever smoking and SHS exposure at home among sixth grade students.ConclusionsThe findings of our study show that tobacco use and SHS exposure are strongly associated with adolescents living in low SES, non-intact households that have parents that smoke. To be effective, tobacco strategies specifically tailored for this particularly vulnerable group of adolescents would require a comprehensive, multi-faceted approach centered on prevention, cessation and protection.

【 授权许可】

CC BY   
© Bird et al. 2016