Pınar BOSTAN PAZARLI, O. Kenan KAHYAOĞLU, Doğan ERDOĞDU, Osman ELBEK

Beden Eğitimi ve Spor Yüksekokulu’na kayıt için başvuran gençlerin sigara içme alışkanlığının cinsiyet farkına göre değerlendirilmesi

AMAÇ: Sigara içme deneyimi öncelikle adolesan çağda gerçekleşmektedir ve adolesanlar arasında sigaraya başlamayı önlemek, tütün kontrolünde önemli bir halk sağlığı sorunu haline gelmiştir. Bu çalışma Sakarya Üniversitesi Beden Eğitimi ve Spor Yüksekokuluna kaydolmak için başvuran gençler arasında, sigara içme alışkanlığında cinsiyetle ilişkili farklılık olup olmadığını değerlendirmek amacıyla gerçekleştirilmiştir. YÖNTEM: Beden Eğitimi ve Spor Yüksekokuluna kaydolmak için başvuran tüm gençlere demografik bilgileri, sigara içime alışkanlıkları ve aile üyelerinin sigara içme durumu soruldu. Anket 3 ardışık yıl boyunca tekrarlandı (2006, 2007, 2008). Sigara içme durumunda cinsiyet farklılıkları, SPSS for Windows 16.0 bilgisayar programı ile kikare testi, t testi ve one way ANOVA kullanılarak değerlendirildi. BULGULAR: Çalışmamızda yer alan toplam 2.552 gencin; % 77,6’sı (n=1.980) erkek, %22,4’ü (n=572) kız öğrenci idi. Yaş ortalamaları 19,7±1,9 (16-27). 2006 ve 2007 yıllarında kız ve erkek öğrencilerin sigara içme sıklıkları arasında görülen anlamlı fark 2008 yılında mevcut değildi (sırasıyla; p=0.004, p=0.001 ve p=0.08). 2006 yılında erkekler arasındaki sigara içme prevelansı %32,3 idi ve 2008 yılındaki prevelans %19,6 idi. 2006 yılında kızlar arasında sigara içme prevelansı %20,1 idi ve 2008 yılındaki prevelans %12,8 idi. Kızlarda görülen aktif içici ve düzenli içici prevelanslarındaki düşme eğilimi, erkeklerde olduğu kadar fazla değildi. Düzenli içicilik oranları 2006 yılında iki cinsiyet arasında farklılık gösterirken, 2007 ve 2008 yıllarında bu fark ortadan kalmış gibi görünüyordu (sırasıyla; p=0.01, p=0.1 ve p=0.9) Kızlar ve erkekler arasında sigaraya başlama yaşı açısından fark saptanmadı (p=0.5). Erkeklerin sigara içme alışkanlığı yalnızca kardeşlerinin içiciliği ile ilişkili bulunurken (p=0.001); kız öğrencilerin içiciliği hem kardeşlerin hem de ebeveynlerin içiciliği ile ilişkili bulundu (p=0.006 ve p=0.01). SONUÇ: Bu çalışma, kızlar arasındaki sigara içme trendi hakkında ek bilgi sağlayarak, tütün kontrolü politikalarının sigara içme davranışındaki cinsiyet farklılıklarını dikkate alması gerekliliğini desteklemektedir.

Evaluating gender differences in smoking prevalence among young adults applying for registration to physical training and Sports High School

AIM: Experimentation with smoking occurs primarily during adolescence. Preventing smoking initiation among adolescents has become a significant global public health concern in tobacco control. This study aimed to evaluate whether there are differences in smoking habit within gender, among young adults applying for registration to Physical Training and Sports (PTS) High School in Sakarya University, Turkey. METHOD: Young adults applying for registration to PTS High School were asked demographic information and about their smoking habits and smoking status of family members for three consequent years (2006, 2007, 2008). Gender differences in smoking status were assessed by chi-square and one-way anova by year, with using SPSS for Windows 16.0 RESULTS: Of total 2,552 individuals responded, 77.6% (n=1,980) were boys and 22.4% (n=572) were girls; mean age was 19.7±1.9 (16-27).Smoking prevelances differed significantly between girls and boys in 2006 and 2007, but not in 2008 (respectively p=0.004, p=0.001, p=0.08). The prevelance of smoking among boys seen in 2006 was 32.3% and it was 19.6% in 2008.The prevelance of smoking among girls seen in 2006 was 20.1% and it was 12.8% in 2008. The decreasing trend in the prevelance of current smokers and daily smokers among girls was not as much as among boys. The prevalence of daily smoking differed by gender only in 2006; the difference by gender was seemed to dissapeared in 2007 and 2008 (respectively; p=0.01, p=0.1, and p=0.9) There was no difference between girls and boys in the age of initiation (p=0.5). Boys’ smoking habits were only related with the smoking habit of the brother/sisters (p=0.001). Whereas smoking habit among girls were related both with parents (p=0.006 and p=0.01) and brothers/sisters (p=0.0001). CONCLUSION: This study provides additional information about the trend in smoking among girls; supporting the idea that tobacco control policies maintained in 21st century should take into account gender differences in smoking.

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1. US Department of Health and Human Services. Preventing tobacco use among young people.A report of the Surgeon General, 1994. Atlanta, Georgia: Public Health Service, Centers for Disease Control and Prevention,Office on Smoking and Health, 1994. (US Government Printing Office Publication No S/N 017-001-00491- 0.)
2. Bilir N, Dogan BG, Yildiz AN. Smoking behavior and attitudes—Turkey. Contract No: 94- 0200/02882. Sponsored by Research for International Tobacco Control, International Development Research Centre, Ottawa. Ankara: Hacettepe University, 1997.
3. Emri S, Bagci T, Karakoca Y, Bar E. Recognition of cigarette brand names and logos by primary school children. Tob Control 1998;7:386–92.
4. Ministery of Health: Smoking Behavior and Effects of the Antismoking Campaign: Survey of PIAR [Sigara Aliskanhklari ve Sigarayla Mucadele Kampanyasi: Kamuoyu Arastirmasi PIAR]. Ankara, Turkey, Ministry of Health, January 1988.
5. Global Adult Tobacco Survey (GATS), Fact Sheet Turkey 2008: http://www.cdc.gov/tobacco/global/gats/countries/e ur/fact_sheets/turkey/2009/pdfs/turkey_2009.pdf
6. Erguder T et al Tobacco use among youth and related characteristics,Turkey. Soz Präventivmed 2006; 51(2): 91- 98.
7. Erguder T et al.Evaluation of the use of Global Youth Tobacco Survey (GYTS) data for developing evidence-based tobacco control policies in Turkey. BMJ Public Health, 2008, Suppl 1:S4.
8. Flay BR. Youth tobacco use: risks, patterns, and control. In: Orleans CT, Slade J., eds. Nicotine addiction: principles and management. New York: Oxford University Press,1993:365–84.
9. Mowery P.D., Farelly M.C.,Haviland M.L., Gable J.M.,Wells H.E. Progression to established smoking among US youths. Am J Public Health, 2004; 94: 331-337.
10. Bilir N, Guciz B, Yıldız AN. Smoking behaviours and attitude. Ankara, Hacettepe Public Health Foundation and International Development Research Center, 1997.
11. Bilir N, Guciz B, Yıldız AN. Assesing tobacco control strategies in Turkey. Ankara, Hacettepe Public Health Foundation and International Development Research Center, 2003.
12. Alikasifoglu M, Erginoz E, Ercan O, et al. Cigarette smoking among Turkish high school students (letter). J Adolesc Health 2002;30:7–8.
13. Erbaydar T, Lawrence S, Dagli S, Hayran O, Collishaw NE. Influence of social environment in smoking among adolescents in Turkey. Eur J Public Health 2005, Vol. 15, No. 4, 404–410
14. Ceylan E, Yanık M, Gencer M. Harran üniversitesine kayıt yaptıran öğrencilerin sigaraya karşı tutumlarını etkileyen faktörler (Factors effecting the attitude about smoking among the students attending Harran University) Toraks Dergisi 2005; 6(2): 144-150
15. Telli Gunduz C, Solak Z, Ozol D, Sayıner A. Üniversiteye başlayan öğrencilerin sigara içme alışkanlıkları (Smoking behaviour among the new attending university students). Solunum 2004; 6(3):101-6.
16. Erguder T, Cakir B, Babalioglu N, Dogusan H, Turkoral E, Warren CW. Tobacco use among institutionalized adolescents in Turkey: does social environment affect the risk? Int J Public Health 2009; 54(6):379-89
17. Mackay J. The global tobacco epidemic. Public Health Rep 1998;113:14–21.
18. Anderson CM, Burns DM. Pattern of adolescent initiation rates over time: national and California data. National Cancer Institute. Changing adolescent smoking prevalence. Smoking and tobacco control monograph No. 14 (NIH publication No. 02-5086). Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Cancer Institute,2001:157–70.
19. Molarius A, Parsons RW, Dobson AJ, et al. Trends in cigarette smoking in 36 populations from the early 1980s to the mid-1990s: findings from WHO MONICA project. Am J Public Health 2001;91:206–12.
20. Pederson LL, Lefcoe NM. Change in smoking status among a cohort of late adolescents: prediction and explanation of initiation, maintenance and cessation. Int J Epidemiol 1986;15:519–26.
21. Koval JJ, Pederson LL. Stress-coping and other psychosocial risk factors: a model for smoking in Grade 6 students. Working Papers Series No 19. Toronto, Canada: Ontario Tobacco Research Unit, 1996.
22. Nichter M, Nichter M, Vuckovic N, Quintero G, Ritenbugh C. Smoking experimentation and initiation among adolescent girls: qualitive and quantitative findings. Tobacco Control 1997; 6: 285-295.
23. Aung AT, Hickman NJ 3rd, Moolchan ET. Health and performance related reasons for wanting to quit: gender difference among teen smokers. Subst Use Misuse 2003 Jun; 38(8):1095-107
24. World Health Oganization, World No Tobacco Day 2010. Gender and tobacco with an emphasis on marketing to women, http://www.who.int/tobacco/wntd/2010/announcem ent/en/index.html, Accessed on June 3, 2011).
25. Bilir N, Cakir B, Dagli E, Erguder T, Onder Z. Tobacco control in Turkey. http://www.eouro.who.int/pubrequest
26. Hu MC, Griesler P, Schaffran C, Kandel D. Risk and protective factors for nicotine dependence in adolescence. J Child Psychol Psychiatry. 2011 Jan 21. doi: 10.1111/j.1469-7610.2010.02362.x. [Epub ahead of print]
27. Schepis TS, Rao U. Epidemiology and etiology of adolescent smoking. Curr Opin Pediatr. 2005; 17: 607-12.
28. Gilman SE, Rende R, Boergers J, Abrams DB, Buka SL, Clark MA, Colby SM, Hitsman B, Kazura AN, Lipsitt LP, Lloyd-Richardson EE, Rogers ML, Stanton CA, Stroud LR, Niaura RS. Parental smoking and adolescent smoking initiation: an intergenerational perspective on tobacco control. Pediatrics. 2009; 123: e274-81.