Smoking and associated factors among school teenagers in the city of Sousse (Smoking and school teenagers)

##plugins.themes.academic_pro.article.main##

Manel Limam
Maryem Marzouki
Mariem El Ghardallou
Jihène Sahli
Thouraya Ajmi
Chekib Zedini

Abstract

Background: Tobacco use among teenagers in an increasing concern for the international community, especially with the fact that early experimentation is now identified as a risk factor for durable consumption and addiction.
Aim:To study Tobacco use and its determinants amongteenagers in the city of Sousse.
Methods: A descriptive cross-sectionalstudy was carried out among a sample of teenagers enrolled in the city of Sousse (Tunisia) in 2016-2017. A two-stage sampling was conducted for the selection of adolescents.
Data were collected using a self-administered questionnaire in Arabic language.
Results: The sample consisted of 330 students. The prevalence of smoking was 9.7%(95% CI6,7% ;13%), with a male predominance (14.4% vs 6.3%). The mean age of onset of tobacco was 14.65 ± 1.38 years. 44.8% of parents ignore their children’s smoking. The mean dependence score was 4.77 ± 3.6 (HONC test).
 Factors significantly associated with smoking were gender, age, educational level, repeating school years, relationship with parents and teachers, presence of smokers in the environment, knowledge about the health risks of tobacco.
Conclusion:Sensitizationactions should be strengthened within schools, starting even in primary schools, in collaboration with teachers, family and health professionals. In addition, more effective and rigorous enforcement of legislation is essential.

Keywords:

Tobacco - School Teenagers - Sousse - Tunisia

##plugins.themes.academic_pro.article.details##

References

  1. OMS | Tabagisme [Internet]. WHO. [cité 21 févr 2017]. Disponible sur: http://www.who.int/mediacentre/factsheets/fs339/fr/
  2. Pierce JP. International comparisons of trends in cigarette smoking prevalence. Am J Public Health. févr 1989;79(2):152‑7.
  3. Mackay J, Crofton J. Tobacco and the developing world. Br Med Bull. janv 1996;52(1):206‑21.
  4. Orlando M, Tucker JS, Ellickson PL, Klein DJ. Developmental Trajectories of Cigarette Smoking and Their Correlates From Early Adolescence to Young Adulthood. J Consult Clin Psychol. 2004;72(3):400‑10.
  5. Marshall L, Schooley M, Ryan H, Cox P, Easton A, Healton C, et al. Youth tobacco surveillance--United States, 2001-2002. Morb Mortal Wkly Rep Surveill Summ Wash DC 2002. 19 mai 2006;55(3):1‑56.
  6. Moolchan ET, Ernst M, Henningfield JE. A Review of Tobacco Smoking in Adolescents: Treatment Implications. J Am Acad Child Adolesc Psychiatry. juin 2000;39(6):682‑93.
  7. The report of the Surgeon General: preventing tobacco use among young people. - PubMed - NCBI [Internet]. [cité 21 févr 2017]. Disponible sur: https://www.ncbi.nlm.nih.gov/pubmed/8154552 8. Khuder SA, Dayal HH, Mutgi AB. Age at smoking onset and its effect on smoking cessation. Addict Behav. oct 1999;24(5):673‑7.
  8. Khuder SA, Dayal HH, Mutgi AB. Age at smoking onset and its effect on smoking cessation. Addict Behav. oct 1999;24(5):673‑7.
  9. Maatoug J, Harrabi I, Gaha R, Bouyahia O, Gaha M, Kebaili R, et al. Étude d'intervention sur le tabagisme chez les adolescents dans la région de Sousse, Tunisie. Rev Pneumol Clin. juin 2010;66(3):179‑86.
  10. Minary L, Martini H, Wirth N, Thouvenot F, Acouetey S, Maire C, et al. Caractéristiques du tabagisme chez les adolescents en Centre de formation des apprentis. Rev DÉpidémiologie Santé Publique. août 2011;59(4):270‑6.
  11. Koueta F, Dao L, Yé D, Koura M, Sawadogo A. Facteurs favorisant le tabagisme des élèves à Ouagadougou (Burkina Faso). Rev Mal Respir. mars 2009;26(3):291‑7.
  12. OMS | Développement des adolescents [Internet]. WHO. [cité 11 déc 2017]. Disponible sur: http://www.who.int/maternal_child_adolescent/topics/adolescence/dev/fr/
  13. DiFranza JR, Savageau JA, Fletcher K, Ockene JK, Rigotti NA, McNeill AD, et al. Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study. Arch Pediatr Adolesc Med. avr 2002;156(4):397‑403.
  14. Harrabi I, Ghannem H, Ben Abdelaziz A, Gaha R, Trabelsi L, Lazreg F, et al. Le tabagisme en milieu scolaire à Sousse, Tunisie. Rev Mal Resp. 2002;19:311‑4.
  15. Hamrouni M, Mokdad M. Le rapport de l'enquête nationa le sur le tabagisme des jeunes scolarisés dans les écoles publiques «â€¯Global Youth Tobacco Survey » (GYTS) [Internet]. Tunisie: OMS; 2007 mai. Disponible sur: http://www.who.int/tobacco/surveillance/Tunisia%20-%20RAPPORT%20DE%20LA%20GYTS%20&%20GSPS%202007%20-%20Fr.pdf?ua=1
  16. Kaoutar K, Hilali M, Loukid M. Tabagisme et facteurs associés des adolescents de la ville de Marrakech (Maroc). Antropo. 2012;28:97‑104.
  17. Acat M, Memis ÇÖ, Turan MK, Benli AR, Taskin E, Yasar Z, et al. Smoking prevalence, associated attitudes and comparison of negative automatic thoughts among high school students in Turkey. Eur Respir J. sept 2015;46(suppl 59):PA5121.
  18. Urrutia-Pereira M, Oliano VJ, Aranda CS, Mallol J, Solé D. Prevalence and factors associated with smoking among adolescents. J Pediatr (Rio J). mai 2017;93(3):230‑7.
  19. Maziak W, Mzayek F. Characterization of the smoking habit among high school students in Syria. Eur J Epidemiol. 1 déc 2000;16(12):1169‑76.
  20. Luis Borderías, Duarte R, Escario JJ, Molina JA. Addiction and Other Reasons Adolescent Smokers Give to Justify Smoking. Subst Use Misuse. 15 oct 2015;50(12):1552‑9.
  21. Wayzani M, Dia Kane Y, Thiam K, Touré NO, Mbaye FBR, Ndiaye EHM, et al. Prévalence du tabagisme dans l'enseignement moyen et secondaire dans le Département de Dakar, Sénégal. Rev Mal Respir. mars 2015;32(3):262‑70.
  22. Kouassi BA, Horo K, Nigue L, Kassi O, Ahui BJM, Koffi N, et al. Tabagisme en milieu scolaire dans la commune de Cocody à Abidjan. Rev Pneumol Clin. janv 2007;63(1):35‑9.
  23. Tunisie : projet de loi visant l'interdiction de la vente de tabac aux mineurs - Les Droits des Non-Fumeurs [Internet]. [cité 22 avr 2017]. Disponible sur: http://dnf.asso.fr/Tunisie-projet-de-loi-visant-l.html
  24. Hedman L, Bjerg-Bäcklund A, Perzanowski M, Sundberg S, Rönmark E. Factors related to tobacco use among teenagers. Respir Med. mars 2007;101(3):496‑502.
  25. 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. Presse Médicale. oct 2007;36(10):1341‑9.
  26. Li X, Mao R, Stanton B, Zhao Q. Parental, Behavioral, and Psychological Factors Associated with Cigarette Smoking among Secondary School Students in Nanjing, China. J Child Fam Stud. juin 2010;19(3):308‑17.
  27. Levitt EE, Edwards JA. A multivariate study of correlative factors in youthful cigarette smoking. Dev Psychol. 1970;2(1):5‑11.
  28. Poulsen LH. Exposure to teachers smoking and adolescent smoking behaviour: analysis of cross sectional data from Denmark. Tob Control. 1 sept 2002;11(3):246‑51.
  29. Liozidou A, Dimou N, Lioupa A, Behrakis P. Prevalence and predictors of cigarette smoking among Greek urban adolescents: A cross-sectional study. Tob Prev Cessat [Internet]. 2015 [cité 10 mai 2017];1(October). Disponible sur: http://www.tobaccopreventioncessation.com/PREVALENCE-AND-PREDICTORS-OF-CIGARETTE-SMOKING-AMONG-GREEK-URBAN-ADOLESCENTS-A-CROSS-SECTIONAL-STUDY,59483,0,2.html
  30. Kerjean J. Le tabac chez les adolescents. Comment les convaincre de ne pas fumer ? Comment les aider à arrêter de fumer ? Rev Fr Allergol Immunol Clin. nov 2005;45(7):561‑4.
  31. Guignard R, Beck F. Évolution du tabagisme chez les jeunes et politiques de lutte antitabac. Agora Débatsjeunesses. 2013;63(1):61.
  32. Beck F, Legleye S, Spilka S, Peretti-Watel P. Le tabagisme des adolescents : baisse du niveau d'usage et représentations spécifiques. Psychotropes. 2006;12(1):75.