Afifa Abdelkafi Koubaa
Moncef Chibani
Najet Bel Abed
Hayet Dahmen
Nabil Ouerfelli
Mohamed Taher Maabouj
Khadija Hasni
Moncef Askri
Lotfi Sellami


The aim of this study is to evaluate the rate of smoker adolescents in Zaghouan, to seek for the smoking reasons, the used arguments, recording to them, to stop, and show their knowledge about prevention.
Methods: A prospective study included 266 teenagers scolarised: 194 boys and 72 girls (aged from 12 to 16 years) from 3 colleges located in Zaghouan during 2006. A questionnaire was drawn up on these adolescents. It contains three parts: tabagic habits of smoking teenagers, the reasons of smoking and information about prevention.
Results : Twenty six percents of students are smokers, this percentage increases with the scholar level. They have parents’ authorization in 18% of cases and have at least one smoker in their environment in 74% of cases. From whose who have tried tobacco, 65% became smokers. The most invoked causes are  calming character of cigarettes and the pleasure to smoke. The first cigarette is smoked just for curiosity. The middle age of smoking initiation is 12 years. Twenty three percents of smoking students have tried to stop. The reasons are the dangerous character for health and the cost of tobacco. Adolescents prefer to use  shocking pictures to selfsensitize (66%). Some pupils suggest calling smoker persons who are victims of tobacco to talk about their experiences.
Conclusion: Adolescents’ smoking is a Public Health priority in Tunisia. The rate of smoking, its cost and its bad health risks encourage us to make preventions, especially the education and information for children and help adolescents to stop smoking.


adolescents, smoking, prevention, withdrawal aid



  1. Kerjean J, Delbarre AS. Les adolescents et le tabac. Journal de pédiatrie et de puériculture 2005; 18: 389-393.
  2. Ministère de la Santé Publique. Santé des adolescents scolarisés : Résultats d'une enquête nationale. Direction de la médecine scolaire et universitaire 2002.
  3. Souai S. Epidémiologie du tabagisme en Tunisie : situation actuelle et perspectives. Thèse Méd Tunis 2005.
  4. Global Youth Tabacco Survey Collaboratrice Group. Tunisia Global Youth Tabacco Survey-FACT SHEET. Centers for disease control and prevention 2002.
  5. P. Dupont, M. Reynaud. Adolescents et tabac. EMC 37- 213-B-35.
  6. Hill KG, Hawkins JD, Catalano RF, Abbott RD, Guo J. Family influences on the risk of daily smoking initiation. Journal of Adolescent Health 2005; 37: 202-210.
  7. Hedman L, Backlund AB, Perzanowski M, Sundberg S, Ronmark E. Factors related to tobacco use among teenagers. Respiratory Medicine 2007; 101: 496-502.
  8. Batte S, Martzel A. Lutte contre le tabagisme. Information et contre information. Rev Ped 2004 ; 17 : 1911-1918.
  9. Fakhfakh R, Hsairi M, Maalej M, Achour N, Nacef T. Tabagisme en Tunisie : comportements et connaissances. Bulletin of the World Health Organization 2002; 80:350-356.
  10. Maciel BM, Meijueiro MMB, Ocampo AAN. Individual and family household smoking habits as risk factors for wheezing among adolescents. Preventive Medicine 2006; 43: 98-100.
  11. Courtois R, Caudrelier N, Legay E, Lalande G, Halimi A,Jonas C. Influence parentale (dépendance tabagique et styles éducatifs) sur la consommation et la dépendance tabagique de leur adolescent. La Presse Médicale 2007; 36: 1341-1349.
  12. Grizeau D, Baudier F, Allemand H.Opinions et comportements des adolescents français face au tabac en 1995. Arch ped 1997; 4: 1079-1086.
  13. Le Faoua AL, Plard C, Rodon N, Lagrue G. Caractéristiques des adolescents fumeurs s'adressant aux consultations de tabacologie. Arch péd 2007; 14:1062-1068.
  14. Kerjean J. Le t abac chez les adolescents. Comment les convaincre de ne pas fumer ? Comment les aider à arrêter de fumer? Revue française d'allergologie et d'immunologie clinique 2005;45: 561-564.
  15. Abdennbi K. Le tabagisme des jeunes : un enjeu prioritaire. Rev Ped 2004; 17: 1897-1901.
  16. Mohsin M. Anti-smoking campaign in Multan, Pakistan. La Revue de santé de la méditerranée orientale 2005; 11: 1110- 1114.
  17. Fakhfakh R, Hsairi M, Gharbi L et al. Traitement de la dépendance tabagique: conseil minimal et prise en charge organisée. Tun Méd 2004; 82: 1-111.