Prevalence and factors associated with smoking among Tunisian secondary school-adolescents

Author:

Ben Ayed Houda1,Yaich Sourour1,Ben Hmida Mariem1,Ben Jemaa Maissa1,Trigui Maroua1,Karray Raouf1,Jedidi Jihene1,Mejdoub Yosra1,Kassis Mondher1,Feki Habib1,Damak Jamel1

Affiliation:

1. Community Health and Epidemiology Department , Hedi Chaker University Hospital , University of Sfax , Sfax , Tunisia

Abstract

Abstract Objectives This study aimed to estimate the extent of smoking experience among high and middle school adolescents in Southern Tunisia and to delineate its potential associated factors. Methods We conducted a cross-sectional study among middle and high school-adolescents in the governorate of Sfax, South of Tunisia in the 2017–2018 school-years. A questionnaire was anonymously administered to a representative sample of 1,210 school-adolescents randomly drawn. Results The mean age of the school-adolescents was 15.6 ± 4.2 years. The prevalence of lifetime smoking was 16.7% (95% CI=[14.7–18.8%]) (boys 32.6%; girls 5.9%;p<0.001). Among the respondents, 13.9% (95% CI=[11.9–15.8%]) were current smokers. In multivariate logistic regression analysis, independent associated factors of current smoking were male gender (Adjusted (AOR)=10.2; p<0.001), 16–17 and 18–19-year age-groups (AOR=2; p=0.005 and AOR=2.6; p=0.001, respectively), below average academic performance (AOR=5.2; p=0.012), divorced parents (AOR=3.9; p=0.007), family monthly income ≥800 dollars (AOR=2.1; p=0.001), having a part time job (AOR=3.9; p<0.001) and a perceived high stress level (AOR=1.98; p=0.008). Secondhand smoke (AOR=1.8; p=0.011) and concomitant alcohol drink (AOR=14.56; p<0.001) were independent predictors of current smoking, while high education level of the father was independently associated with lower prevalence of current smoking (AOR=0.17; p<0.001). Conclusion The prevalence of lifetime and current smoking were relatively high in Southern Tunisian middle and high schools. Multilevel influences on youth smoking behavior had been identified, which reflected the need to conceive appropriate school interventions and effective antismoking education program.

Publisher

Walter de Gruyter GmbH

Subject

Public Health, Environmental and Occupational Health,Pediatrics, Perinatology and Child Health

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