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Factores predictores de la conducta fumadora en alumnos de enseñanza secundaria / Predictive factors of smoking behaviour in secondary school children
Gómez Cruz, G; Barrueco Ferrero, M; Maderuelo Fernández, A; Aparicio Coca, I; Torrecilla García, M.
Affiliation
  • Gómez Cruz, G; Centro de Salud La Guareña. Zamora. España
  • Barrueco Ferrero, M; Hospital Universitario. Salamanca. España
  • Maderuelo Fernández, A; Gerencia de Atención Primaria. Salamanca. España
  • Aparicio Coca, I; IES de Fuentesaúco. Zamora. España
  • Torrecilla García, M; Centro de Salud San Juan. Salamanca. España
An. pediatr. (2003, Ed. impr.) ; 68(5): 454-461, mayo 2008. tab
Article in Es | IBECS | ID: ibc-64572
Responsible library: ES15.1
Localization: ES15.1 - BNCS
RESUMEN

Introducción:

Se han descrito múltiples factores como responsables de la iniciación al consumo de tabaco durante la edad escolar, pero aún no se conoce bien qué determinantes cognitivos se comportan como factores predictores del consumo de tabaco. Sujetos y

métodos:

Se ha realizado un estudio prospectivo, longitudinal, de 3 años de duración, en dos institutos de educación secundaria rurales de Castilla y León. Han participado 417 alumnos de 12 a 17 años. Se ha utilizado el cuestionario ESFA, que incluye escalas sobre actitudes y creencias, influencias sociales, autoeficacia, intención de fumar en el futuro y conducta fumadora.

Resultados:

Son fumadores el 36,7 % de los alumnos (el 38,6 % de las alumnas y el 34,4 % de los alumnos). La edad media de inicio al consumo es de 12 años (11,83-12,15). En el análisis inicial existe una clara relación entre determinantes cognitivos y conducta fumadora. A los 3 años pierden valor predictivo la presión de la publicidad y de los allegados. El análisis multivariante muestra que los determinantes del consumo de tabaco son además de la edad (odds ratio [OR] 5 3,85; intervalo de confianza del 95 % [IC 95 %] 1,27-11,64), tener una actitud favorable a fumar (OR 5 4,47; IC 95 % 2,15-9,32) y la conducta percibida entre iguales (OR 5 5,05; IC 95 % 2,50-10,19).

Conclusiones:

Los determinantes que demuestran una clara relación con la conducta fumadora son la edad, la actitud de los alumnos favorable a fumar y la conducta percibida de los amigos fumadores. Los programas de prevención de tabaquismo deberán tener en cuenta estos factores al diseñar sus actividades (AU)
ABSTRACT

Introduction:

Many factors have been reported as being responsible for starting smoking during school age, but it is still not well known which cognitive determinants may be used as predictive factors of tobacco use. Subjects and

methods:

A prospective, longitudinal, study, including 417 pupils from 12 to 17 years, was carried out over three years in two rural Secondary Education Institutes in Castilla y León. The ESFA questionnaire was used, which included scales on attitudes and beliefs, social influences, self-efficacy, intention to smoke in the future and smoker behaviour.

Results:

Of the 417 pupils studied, 36.7 % were smokers (38.6 % females and 34.4 % males). The mean of starting smoking was 12 years (11.83-12.15). In the initial analysis there was a clear relationship between cognitive determinants and smoker behaviour. The advertising and peer pressure lost predictive value after 3 years. The multivariate analysis showed that the determining factors of tobacco use are, besides age (OR 5 3.85; 95 % CI, 1.27-11.64), to have a favourable attitude to smoking, (OR 5 4.47; 95 % CI, 2.15-9.32), and the conduct perceived among peers (OR 5 5.05; 95 % CI, 2.50-10.19).

Conclusions:

The determining factors that demonstrates a clear relationship with smoker behaviour are, age, favourable attitude of pupils towards smoking, and the perceived behaviour by smoker friends. Smoking prevention programs should take these factors into accounts when designing their activities (AU)
Subject(s)
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Collection: National databases / Spain Health context: SDG3 - Target 3A Strengthen the implementation of the WHO Framework Convention on Tobacco Control / SDG3 - Health and Well-Being Health problem: Non-price Measures / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: IBECS Main subject: Tobacco Use Disorder / Adolescent Behavior / Psychology, Adolescent / Behavior, Addictive Type of study: Observational study / Prognostic study / Qualitative research / Risk factors Limits: Adolescent / Female / Humans / Male Country/Region as subject: Europa Language: Spanish Journal: An. pediatr. (2003, Ed. impr.) Year: 2008 Document type: Article Institution/Affiliation country: Centro de Salud La Guareña/España / Centro de Salud San Juan/España / Gerencia de Atención Primaria/España / Hospital Universitario/España / IES de Fuentesaúco/España
Search on Google
Collection: National databases / Spain Health context: SDG3 - Target 3A Strengthen the implementation of the WHO Framework Convention on Tobacco Control / SDG3 - Health and Well-Being Health problem: Non-price Measures / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: IBECS Main subject: Tobacco Use Disorder / Adolescent Behavior / Psychology, Adolescent / Behavior, Addictive Type of study: Observational study / Prognostic study / Qualitative research / Risk factors Limits: Adolescent / Female / Humans / Male Country/Region as subject: Europa Language: Spanish Journal: An. pediatr. (2003, Ed. impr.) Year: 2008 Document type: Article Institution/Affiliation country: Centro de Salud La Guareña/España / Centro de Salud San Juan/España / Gerencia de Atención Primaria/España / Hospital Universitario/España / IES de Fuentesaúco/España
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