Association between cigarette use and adolescents’ behavior

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2020054001534

Keywords:

Adolescent, Smoking, epidemiology, Risk Factors, Health Risk Behaviors, Cross-Sectional Studies

Abstract

OBJECTIVE: To determine the prevalence of cigarette use among adolescents and to identify associated health risk behaviors. METHODS: This is a cross-sectional study with a representative sample, composed of 1059 adolescents between 13 and 19 years old, enrolled in primary and secondary public schools of Olinda, Pernambuco, in 2014. Information was obtained through self-administered questionnaires (validated version of YRBS 2007). Cigarette experimentation was defined as smoking at least once in life. Adolescents who smoked at least one day within 30 days prior to the survey were considered current smokers. Most students were female and 16 years old or older. RESULTS: Almost 30% used it in life and about 10% smoked within the 30 days before the survey. Suicidal ideation (PR = 1.51, 95%CI 1.25–1.82), alcohol use (PR = 1.41, 95%CI 1.03–1.92), marijuana (PR = 1.64, 95%CI 1.37–1.96), excessive alcohol consumption (PR = 1.57, 95%CI 1.15–2.16) and sexual experience (PR = 1.78, 95%CI 1.43–2.21) have increased the risk of using cigarettes. Feelings of sadness (PR = 1.70, 95%CI 1.22–2.36), alcohol use (PR=2.40, 95%CI 1.12–5.12), excessive alcohol consumption (PR = 2.5, 95% CI 1.24–5.38), marijuana (PR = 2.31, 95%CI.57–3.39) and cocaine (PR = 1.99, 95%CI.32–3.01) increased the risk of cigarette use within the 30 days before the survey. CONCLUSIONS: Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation.

 

References

Instituto Nacional de Câncer; Observatório da Política Nacional de Controle do Tabaco: Prevalência de Tabagismo. Rio de Janeiro: INCA; 2016 [cited 2018 Oct 8]. Available from: http://www2.inca.gov.br/wps/wcm/connect/observatorio_controle_tabaco/site/home/dados_numeros/prevalencia-de-tabagismo

World Health Organization. WHO report on the global tobacco epidemic, 2015: raising taxes on tobacco. Geneva: WHO; 2015.

Coutinho RX, Santos WM, Folmer V, Puntel RL. Prevalência de comportamentos de risco em adolescentes. Cad Saude Coletiva. 2013;21(4):441-9. https://doi.org/10.1590/S1414-462X2013000400013

Barreto SM, Giatti L, Oliveira-Campos M, Andreazzi MA, Malta DC. Experimentation and use of cigarette and other tobacco products among adolescents in the Brazilian state capitals (PeNSE 2012). Rev Bras Epidemiol. 2014;17 Supl 1:62-76. https://doi.org/10.1590/1809-4503201400050006

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde do Escolar - 2015. Rio de Janeiro: IBGE; 2016.

Rosa MI, Caciatori JFF, Panatto APR, Silva BR, Pandini JC, Freitas LBS, et al. Uso de tabaco e fatores associados entre alunos de uma universidade de Criciúma (SC). Cad Saude Coletiva. 2014;22(1):25-31. https://doi.org/10.1590/1414-462X201400010005

Chen VCH, Kuo CJ, Wang TN, Lee WC, Chen WJ, Ferri CP, et al. Suicide and other-cause mortality after early exposure to smoking and second hand smoking: a 12-year population-based follow-up study. PLoS One. 2015;10(7):e0130044. https://doi.org/10.1371/journal.pone.0130044

Guedes DP, Lopes CC. Validação da versão brasileira do Youth Risk Behavior Survey 2007. Rev Saude Publica. 2010;44(5):840-50. https://doi.org/10.1590/S0034-89102010000500009

Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, et al. Youth Risk Behavior Surveillance-United States, 2007. MMWR Surveill Summ. 2008;57(SS04):1-131.

Horta BL, Calheiros P, Pinheiro RT, Tomasi E, Amaral KC. Tabagismo em adolescentes de área urbana na região Sul do Brasil. Rev Saude Publica. 2001;35(2):154-64. https://doi.org/10.1590/S0034-89102001000200009

Myint T, Yee MM. Tobacco smoking among school adolescents in Northern Sabah. Asian J Med Biol Res. 2016;2(3):389-95. https://doi.org/ 10.3329/ajmbr.v2i3.30108

Bonilha AG, Ruffino-Netto A, Sicchieri MP, Achcar JA, Rodrigues-Júnior AL, Baddini-Martinez J. Correlatos de experimentação e consumo atual de cigarros entre adolescentes. J Bras Pneumol. 2014;40(6):634-42. https://doi.org/10.1590/S1806-37132014000600007

Al Agili DE, Park HK. The prevalence and determinants of tobacco use among adolescents in Saudi Arabia. J Sch Health. 2012;82(3):131-8. https://doi.org/10.1111/j.1746-1561.2011.00676.x

Iglesias R, Prabhat Jha, Pinto M, Silva VLC, Godinho J. Controle do tabagismo no Brasil.. Washington, DC: Banco Mundial; 2007. (Documento de Discussão - Saúde, Nutrição e População).

Bojesen SE, Timpson N, Relton C, Smith GD, Nordestgaard BG. AHRR (cg05575921) hypomethylation marks smoking behaviour, morbidity and mortality. Thorax. 2017;72(7):646-53. https://doi.org/10.1136/thoraxjnl-2016-208789

Instituto Nacional de Câncer José Alencar Gomes da Silva; Comissão Nacional para Implementação da Convenção-Quadro para Controle do Tabaco (CONICQ). Política Nacional de Controle do Tabaco: relatório de gestão e progresso 2011-2012. Rio de Janeiro: INCA; 2014.

Benwell MEM, Balfour DJK, Anderson JM. Smoking-associated changes in the serotonergic systems of discrete regions of human brain. Psychopharmacology. 1990;102(1):68-72. https:/doi.org/10.1007/bf02245746

Kamali M, Oquendo MA, Mann JJ. Understanding the neurobiology of suicidal behavior. Depress Anxiety. 2001;14(3):164-76. https://doi.org/10.1002/da.1062

Murray RP, Istvan JA, Voelker HT, Rigdon MA, Wallace MD. Level of involvement with alcohol and success at smoking cessation in the Lung Health Study. J Stud Alcohol. 1995;56(1):74-82. https://doi.org/10.15288/jsa.1995.56.74

York JL, Hirsch JA. Drinking patterns and health status in smoking and nonsmoking alcoholics. Alcohol Clin Exp Res. 1995;19(3):666-73. https://doi.org/10.1111/j.1530-0277.1995.tb01565.x

Daeppen JB, Smith TL, Danko GP, Gordon L, Landi NA, Nurnberger JI Jr, et al. Clinical correlates of cigarette smoking and nicotine dependence in alcohol-dependent men and women. Alcohol Alcohol. 2000;35(2):171-5. https://doi.org/10.1093/alcalc/35.2.171

Rose JE, Brauer LD, Behm FM, Cramblett M, Calkins K, Lawhon D. Potentiation of nicotine reward by alcohol. Alcohol Clin Exp Res. 2002;26(12):1930-1. https://doi.org/10.1111/j.1530-0277.2002.tb02507.x

Kandel DB, Yamaguchi K, Chen K. Stages of progression in drug involvement from adolescence to adulthood: further evidence for the gateway theory. J Stud Alcohol. 1992;53(5):447-57. https://doi.org/10.15288/jsa.1992.53.447

Patton GC, Coffey C, Carlin JB, Sawyer SM, Lynskey M. Reverse gateways? Frequent cannabis use as a predictor of tobacco initiation and nicotine dependence. Addiction. 2005;100(10):1518-25. https://doi.org/10.1111/j.1360-0443.2005.01220.x

Filbey FM, Schacht JP, Myers US, Chavez RS, Hutchison KE. Marijuana craving in the brain. Proc Natl Acad Sci USA. 2009;106(31):13016-21. https://doi.org/10.1073/pnas.0903863106

Agrawal A, Silberg JL, Lynskey MT, Maes HH, Eaves LJ. Mechanisms underlying the lifetime co-occurrence of tobacco and cannabis use in adolescent and young adult twins. Drug Alcohol Depend. 2010;108(1-2):49-55. https://doi.org/10.1016/j.drugalcdep.2009.11.016

Brook JS, Lee JY, Finch SJ, Brown EN. Course of comorbidity of tobacco and marijuana use: psychosocial risk factors. Nicotine Tob Res. 2010;12(5):474-82. https://doi.org/10.1093/ntr/ntq027

Kandel D, Kandel E. The Gateway Hypothesis of substance abuse: developmental, biological and societal perspectives. Acta Paediatr. 2015;104(2):130-7. https://doi.org/10.1111/apa.12851

Kandel ER, Kandel DB. A molecular basis for nicotine as a gateway drug. N Engl J Med. 2014;371(21):932-43. https://doi.org/10.1056/NEJMsa1405092

Garriguet D. Early sexual intercourse. Health Rep. 2005;16(3):9-18.

Coutinho EC, Pestana L, Duarte JC, Amaral O, Nelas P, Chaves C, et al. Tobacco consumption in adolescents and school performance. Aten Primaria. 2016;48 Suppl C:266-70.

Downloads

Published

2020-03-18

Issue

Section

Original Articles

How to Cite

Colares, V., Lisboa, J. L. de, Zarzar, P. M. P. de A. ., Santo, C. da F. B. F., Valença, P. A. de M., Menezes, V. A. de, & Cruz, J. F. . (2020). Association between cigarette use and adolescents’ behavior. Revista De Saúde Pública, 54, 31. https://doi.org/10.11606/s1518-8787.2020054001534