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1- Centers for Disease Control and Prevention (CDC). Tobacco use-United States, 1900-1999. MMWR Morb Mortal Wkly Rep. 1999; 48 (43): 986-93.
2- Murray CGL, Lopez AD. Alternative projections of mortality and disease by cause, 1990-2020, Global burden of disease study. Lancet. 1997; 349: 1498-504.
3- US Department of Health and Human Services. Preventing tobacco use among young people, a report of the surgeon General. Atlanta, GA, US Department of Health and Human Services, Public Health Service, Centers for Disease Control and prevention, National Center for Chronic Disease Prevention and Health Promotion, office of smoking and health, 1994.
4- World Health, tobacco or health. A global status report. Geneva world health organization, 1997.
5- CDC, smoking-attributable mortality and years of potential life lost- United States, 1984. MMWR, 1997, 46: 444-51.
6- Griesbach D, Amos A, Currie C. Adolescent smoking and family structure in Europe. Soc Sci Med. 2003; 56 (1):
41-52.
7- Fleming CB, Kim H, Harachi TW, Catalann RF. Family process for children in early elementary school as predictor of smoking initiation. J Adolescent Health. 2002; 30: 184-90.
8- Du Rant RH, Smith JA, Krowchuk DP. The relation between early age of onset of initial substance use and engaging in multiple health risk. Behaviors among young adolescents. Arch Pediatr Adolesc Med. 1999; 153: 286-91.
9- Shariat Zadeh MR, Sadeghi A. Epidemiological study of cigarette smoking in Urmia high school boys. Med J Tabriz Univ Med Sci Health Services. 2001; 48 (34): 27-32.
10- Yazdani A., Determination of risk factor for cigarette smoking in 3rd grade high school boys of Isfahan.
[dissertation]. Faculty of Nursing, Iran University of Medical Sciences. 1989.
11- Ziaei P, Hatami Zadeh N, Vameghi R, Dolatabadi Sh. Study on prevalence of cigarette smoking and the age of first smoking in senior high school students in Tehran, 1998-99. Hakim Res J. 2001; 2 (4): 78-84.
12- Ayatollahi SAR, Mohammadpoor A, Rajaee AR. Determination of the prevalence of stages in cigarette smoking and its correlates in grade-10 male students in Shiraz 2003. J Mazandaran Univ Med Sci. 2004; 43 (14): 64-71.
13- Warren CW, Riley L, Asma S, Eriksen MP, Green L, Blanton C, et al. Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull World Health Organ. 2000; 78 (7): 868-76.
14- Kelishadi R, HashemiPoor M, Sarraf Zadegan N, Sadri GhH, Bashar Doost N, Alikhasi H, et al. Effects of some environmental factors on smoking and the consequences of smoking on major cardiovascular disease (CVD) risk factors in adolescent: Isfahan healthy heart program-heart health promotion from childhood. J Med Faculty Guilan Univ Med Sci. 2004; 50 (13): 62-75.
15- Roohafza HR, Sadeghi M, Emami AR. Smoking in youth: Isfahan healthy heart project (IHHP). Hakim Res J. 2003;
2 (6): 61-68.
16- Hatami Zadeh N, Ziaei P, Dolatabadi Sh, Vameghi R, Vasseghi S. Evaluation of Tehran pre-university students awareness of effect of cigarette smoking. Quarterly J Andeesheh Va Raftar. 2003; 33 (9): 71-78.
Title: Prevalence of cigarette smoking and evaluation of attitude and knowledge in its high school boys in
Birjand, 2005
Authors: K. Namakin1
, Gh. Sharifzadeh
2, MR. Miri
3 Abstract:Background and Aim: Smoking tobacco products is one of the most important risk factors of noninfectious
diseases, especially cardiovascular and cancers. This study was conducted to assess the prevalence of smoking tobacco products and evaluate knowledge and attitude of high school male students about smoking.
Materials and Methods: This descriptive-analytical study was done on Birjand high school male students
selected through cluster multi- stage sampling in 2006. A questionnaire which included demographic information and questions about attitude (12), knowledge (17) and practice (4) concerning smoking. The obtained data was statistically analyzed by SPSS software using chi- square test at the significant level ( <0.05).
Results: Overall, 1233 cases were studied; out of which 3.9% were smokers and 21.3% had experienced
cigarette smoking. There was a positive correlation of parents' level of education with prevalence of cigarette smoking and smoking experience. Prevalence of smoking in students whose mothers were employees was more than those with housewife mothers. The difference was statistically significant (P<0.001). Besides, prevalence of smoking was in accord with education level. The most important cause of proneness to smoking was curiosity. 25.5% of the students had very little knowledge about the harms of smoking, 54.7%
had moderate knowledge, and 19.8% had favorable knowledge. Attitude regarding the harms of smoking was weak in 5.1%, moderate in 48.3%, and good in 46.6%.
Conclusion: Although prevalence of smoking was low compared to other areas of the country, experiencing
of smoking was high. Since knowledge and attitude of the students concerning smoking hazards was not satisfactory, implementing educational programmes and social interventions at high school level seems necessary in order to prevent smoking.
Key Words: Smoking, Students, Knowledge, Attitude, Prevalence
1Corresponding Author; Assistant Professor, Department of Pediatrics, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran. [email protected]
2Instructor, Department of Social Medicine, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
3