Abstract
The aim of this paper is to report the rate of current and ever cigarette smoking and explore correlates of current cigarette smoking among adolescents aged 13-15 in Viet Nam. This analysis was derived from GYTS survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam. We calculated the weighted rates of current and ever cigarette smoking and reported patterns of smoking behavior. We also performed logistic regression to explore correlates of current cigarette smoking behavior. The weighted rate of ever cigarette smoking was 9.5% (95% confidence interval (CI): 8.5 %-10.5%), in which the weighted rate among males (15.4%; 95% CI: 13.6%-17.0%) was higher than that among females (4.2%; 95% CI: 3.3%-5.1%). The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%- 3.0%) with higher weighted rate among males (4.9%; 95% CI: 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%). Current cigarette smoking was significantly higher among males than females, in students aged 15 versus 13 years old, and in students who had several or all close friends smoking and students with daily observation of smoking at school. For greater smoking reduction outcomes, we recommend that tobacco interventions for adolescents should consider targeting more male students at older ages, establish stricter adherence to school-based banning of cigarette smoking, engage both smoking and nonsmoking adolescents and empower adolescents to resist peer smoking influence as well as changing their norms or beliefs towards smoking benefits.
Highlights
Tobacco smoking has been considered as one of the biggest global public health issues in recent years
This analysis was derived from Global Youth Tobacco Survey (GYTS) survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam
The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%3.0%) with higher weighted rate among males (4.9%; 95% Confidence Interval (95% CI): 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%)
Summary
Tobacco smoking has been considered as one of the biggest global public health issues in recent years. Smoking of tobacco products was found associated with higher risk of various acute and chronic respiratory conditions (Bates et al, 2007; Lin et al, 2007; Forey et al, 2011; Ilmarinen et al, 2015; Torres et al, 2015). Tobacco smoking was confirmed to lead to different cancers (Giovannucci, 2001; Sasco et al, 2004). There were evidences of tobacco smoking associated with other noncommunicable diseases such as cerebrovascular disease (Shiue, 2015) and coronary heart diseases (Grundy et al, 1987). World Health Organization (WHO) estimated that smoking kills approximately 6 million annually, in which 600.000 deaths were caused by passive smoking; 5% of communicable disease-related deaths and 14% of non-communicable disease-related deaths among people from 30 years of age were attributable to tobacco smoking (World Health Organization, 2012). Smoking tobacco products among adolescents has been of great concerns. In other parts of Asia, smoking rate was found to be 5.4% (Rao et al, 2014) in South Asia countries and ranged from 5% to 20% in South East Asian countries (Sirichotiratana et al, 2008)
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