Günay SAKA, Çetin Abdullah TANRIKULU, Yılmaz PALANCI, Hamit ACEMOĞLU

Cigarette use frequency and the affecting factors in primary and high school students in Diyarbakir

Sigara, alkol ve madde kullanımı özellikle gençleri etkileyen dünya çapında bir tehlikedir ve bu önlenebilir bir halk sağlığı sorunudur. Bu çalışmanın amacı; Diyarbakır il merkezindeki ilköğretim okulları 6, 7, 8. sınıflar ile lise öğrencileri arasında madde kullanımı yaygınlığını ve etkileyen faktörleri incelemektir. Öğrencilerin %62’si erkek, %38’i kadındı. Yaş aralığı 11-20 olup, yaş ortalaması 15.2 + 2.0 idi. Sigara içme prevalansı toplam olarak %14.8 (kadınlarda %6.0, erkeklerde %20.2), ilköğretim öğrencilerinde 5.8, lise öğrencilerinde %23.7 idi. Ortalama ilk sigarayı içme yaşı 12.6 + 2.3 yıl bulundu. Sigara içimi erkek öğrencilerde kadın öğrencilerden daha yüksek bulundu. Sigara içiminde taklit edilen kişiler yakın arkadaş ve öğretmenlerdi. Diğer ilişkili faktörler ebeveyne dükkandan sigara almak ve diğer bağımlılık yapıcı maddeleri kullanmak olarak belirlendi. Diyarbakır’da öğrenim görmekte olan gençlerde sigara kullanımı önemli boyutlardır ve önleyici müdahaleler acilen uygulanmalıdır. Bu konuda yapılacak müdahaleler sadece gençleri değil toplumun tümünü kapsamalıdır. Aileler, öğretmenler ve ilköğretim çağındaki öğrenciler müdahale için öncelikli gruplardır. Sigara ile ilgili yasalar tam olarak uygulanmalıdır.

Diyarbakır il merkezindeki ilköğretim ve lise öğrencilerinde sigara kullanımı ve etkileyen faktörler

Cigarette, alcohol and substance use is a worldwide threat which especially affects young people and a preventable public health problem. Aim of the study is to investigate the prevalence of substance use and the factors affecting this prevalence among the students of primary and high school students in Diyarbakır. 62 % of the students were males, and 38 % were females. The age range was from 11 to 20 and the mean age was 15.2+2.0. The smoking prevalence was a total of 14.8 % (6.0 % in females and 20.2 % in males), 5.8 % in primary school students, 23.7 % in high school students. The mean first-smoking age was found as 12.6+2.3 years. Smoking were more common among male students than girls. Close friends and teachers were source of imitation to smoke cigarettes. Other associated factors were age, buying cigarettes from the corner shops for parents, usage of other addictive substances. Cigarette use among students attending to schools in Diyarbakır is significant health problem and preventive interventions should be employed without delay. Interventions which will be implemented in this context not only should comprise the young, but also the all society. Families, teachers and primary school students are the groups which are of priority for intervention. The law about cigarette smoking should be fully enforced.

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1. Bartal M. Health effects of tobacco use and exposure. Monaldi Arch Chest Dis 2001; 56: 545-54.
2. Corrao MA, Guindon GE, Cokkinides V, Sharma N. Building the evidence base for global tobacco control. Bulletin of the organization. 2000; 78: 884-90.
3. Mackay J, Eriksen M. WHO publication. The Tobacco Atlas 2002.
4. The European health report 2002. WHO regional publications; 2002; Copenhagen. European Series.
5. Yorulmaz F, Akturk Z, Dagdeviren N, Dalkilic A. Smoking among adolescents: Relation to school success, socioeconomic status, nutrition, and self-esteem. Swiss Med Wkly 2002; 132: 449-54.
6. Ezzati M, Lopez AL. Estimates of global mortality attributable to smoking in 2000. The Lancet 2003; 362: 847-52.
7. Kaufman N, Yach D. Tobacco control-challenges and prospects. Bulletin of the World Health Organization 2000; 78: 867.
8. WHO 2002 Report. Erişim tarihi: 17.01.2004. Available from: http://www.who.int/whr/2002/en/Chapter7.pdf
9. World Health Organization, guidelines for controlling and monitoring the tobacco epidemic, Geneva,1998.
10. Spor YN, Çelik Y, İlçin E, et al. Diyarbakır'daki orta öğrenim öğrencilerinde sigara ve alkol kullanım düzeyleri. III Halk Sağlığı Kongresi, Kongre Özet Kitabı 1992; 30 April-2 May 1992. p.149.
11. Öğel K, Tamar D, Evren C, Çakmak D. Lise gençleri arasında sigara, alkol ve madde kullanım yaygınlığı. Türk Psikiyatri Dergisi 2001; 12: 47-52.
12. Çelik P, Esen A, Yorgancıoğlu A, et al. Attitudes of high school students towards smoking in Manisa, Toraks Dergisi 2000; 1: 61-6.
13. Goksel T, Cirit M, Bayındır U. Factors affecting smoking behavior in high school students in Izmir. Toraks Dergisi 2001; 2: 49-53.
14. Hibell B, Andersson B, Ahlström S, et al. The ESPAD 1999 Report. Alcohol and other drug use among students in 30 European countries. Swedish Council for Information on Alcohol and other Drugs Stockholm. 2001.
15. Kyrlesi A, Soteriades ES, Warren CW, et al. Tobacco use among students aged 13-15 years in Greece: The GYTS project. BMC Public Health 2007; 7: 3.
16. Youth Risk Behavior Surveillance United States, 2001. MMWR 2002; 51: 1-64.
17. Erbaydar T, Daglı E, Hayran O, Ayla F. Smoking patterns of youth in Turkey. Final Report. University of Marmara, Istanbul: 2002.
18. CDC. Trends in cigarette smoking among high school students-United States 1991-2001. MMWR 2002; 51: 410-3.
19. CDC Prevalence of cigarette smoking among secondary school students, Budapest, Hungary, 2000. MMWR 2000; 49: 438-41.
20. Azevedo A, Machado AP, Barros H. Tobacco smoking among Portuguese high-school students. Bulletin of the World Health Organization 1999; 77: 509-14.
21. E.A.W. den Exter Blokland, Rutger C.M.E. Engels, William W. Hale III, Wim Meeus et al. Lifetime parental smoking history and cessation and early adolescent smoking behavior. Preventive Medicine 2004; 38: 359-68.
22. Patton LH. Adolescent substance abuse: Risk factors and protective factors. Pediatr Clin North Am 1995; 42: 283-93.
23. Rose JE, Levin Ed. Inter-relationships between conditioned and primary reinforcement in the maintenance of cigarettes smoking. British Journal of Addition 1991; 86: 605-09.
24. Herken H, Özkan İ, Çilli AS ve ark. Sigara kullanma davranışında sosyal öğrenmenin etkisi. Bağımlılık Dergisi 2000; 1: 38-42.
25. Vries H, Engels R, Kremers S, et al. Parents and friends smoking status as predictors of smoking onset: Findings from six European countries. Health Educ Res 2003; 18: 627-36.
26. Sasco AJ, Merrill RM, Benhaim-Luzon V, et al. Trends in tobacco smoking among adolescents in Lyon, France. Eur J Cancer 2003; 39: 496-504.
27. Tubman JG, Vento RS. Principal and teacher reports of strategies to enforce anti-tobacco policies in Florida middle and high schools. The Journal of School Health 2001; 71: 229-35.
28. Karlıkaya C. Smoking prevalence among high school students in Edirne smuggling, advertising and adolescence access to cigarettes. Toraks Dergisi 2002; 3: 7-12.
29. Langille DB, Curtis L, Hughes J, Murphy GT. Association of socio-economic factors with health risk behaviors among high school students in rural Nova Scotia. Can J Public Health 2003; 94: 442-7.
30. Goodman E, Huang B. Socioeconomic status, depressive symptoms, and adolescent substance use. Arch Pediatr Adolesc Med 2002; 156: 448-53.