背景:通过审查全球青年烟草调查(GYTS)的结果,评估乌干达2007年至2011年烟草使用流行率和烟草相关指标的变化。
方法:2007年(n=2,251)和2011年(n=2,026)乌干达GYTS均在小七学生中进行,次要的,两个,还有三个.使用两阶段聚类样本设计来生成具有代表性的学生样本进行调查。Stata12软件用于提供加权患病率估计,并开发了逻辑回归模型来检查影响烟草使用的因素与当前烟草使用之间的关系。
结果:曾经吸烟的学生百分比,哪怕只有一两口,从2007年的15.6%下降到2011年的10.9%(p=0.03)。从2007年到2011年,目前使用任何烟草的百分比(16.6%到17.3%,p=0.75),目前(过去30天)吸烟的百分比(5.5%至4.8%,p=0.59)变化显著。调整后,父母[调整后的赔率比(AOR):1.9,95%置信区间(CI):1.3-2.8]和朋友[AOR2.5,95%CI:1.5-4.0)]吸烟,并在印刷媒体上看过烟草广告[AOR1.8(1.3-2.4)],与2007年学生目前使用烟草的可能性更大有关。父母吸烟[AOR;1.8,95%CI:1.1-3.0]与2011年学生中当前吸烟的可能性更大有关。
结论:从2007年到2011年,乌干达青年中目前的烟草使用或吸烟的流行率没有显著变化。这些发现强调了实施有效的人口层面公共卫生干预措施的重要性,正如世界卫生组织《烟草控制框架公约》的条款所概述的那样,防止和减少乌干达年轻人使用烟草。
BACKGROUND: To assess changes from 2007 to 2011 in the prevalence of tobacco use and tobacco-related indicators in Uganda by examining results from the Global Youth Tobacco Survey (
GYTS).
METHODS: Both the 2007 (n=2,251) and 2011 (n=2,026) Uganda
GYTS were conducted among students in primary seven, secondary one, two, and three. A two-stage cluster sample design was used to generate a representative sample of students for the surveys. Stata 12 software was used to provide weighted prevalence estimates and logistic regression models were developed to examine the relationship between factors that influence tobacco use and current tobacco use.
RESULTS: The percentage of students who had ever smoked a cigarette, even just one or two puffs, declined from 15.6% in 2007 to 10.9% in 2011 (p=0.03). From 2007 to 2011, neither the percentage of current use of any tobacco (16.6% to 17.3%, p=0.75), nor the percentage of current (past 30 day) cigarette smoking (5.5% to 4.8%,p=0.59) changed significantly. Following adjustment, having parents [Adjusted Odds Ratio (AOR):1.9, 95% Confidence Interval (CI):1.3-2.8] and friends [AOR 2.5, 95% CI: 1.5-4.0)] who smoke, and having seen tobacco advertisements in print media [AOR 1.8(1.3-2.4)], were associated with greater odds of current tobacco use among students in 2007.Having parents who smoke [AOR;1.8, 95% CI: 1.1-3.0] was associated with greater odds of current tobacco use among students in 2011.
CONCLUSIONS: From 2007 to 2011, no significant change occurred in the prevalence of current tobacco use or cigarette smoking among youth in Uganda. These findings underscore the importance of implementing effective population-level public health interventions, as outlined in the articles of the World Health Organization\'s Framework Convention on Tobacco Control, to prevent and reduce the use of tobacco among youth in Uganda.