Social factors associated with the daily cigarette smoking among middle-school student adolescents in Bucaramanga, Colombia.

Abstract

Introduction. Daily cigarette smoking is associated with high morbidity and mortality in adults. This pattern of tobacco use is established during the early adolescence. Among adolescents, daily cigarette smoking is a strong predictor of illegal, addictive substance use. The prevalence of daily cigarette smoking is not known in Colombian adolescent middle-school students.
Objective. To assess smoking prevalence, daily cigarette smoking and associated factors among middle school-students in Bucaramanga, northeast Colombia.
Materials And Methods. An anonymous questionnaire concerning illegal and legal substance use was administered to a random sample of 2,586 students.
Results. The group mean age was 13.0 years; 54.9% was male; 32.0% was in sixth grade, 31.7% in seventh, 25.2% in eighth and 11.1% in ninth grade, with 67.1% enrolled in public schools. The prevalence of daily cigarette smoking lasting the month prior to the questionnaire was 3.8% (95% CI 2.7-4.9). Logistic regression showed a significant association between being the best friend of a smoker or a drinker of alcohol (OR=3.71; 95% CI 1.71-8.04), having low academic performance perception (OR=3.83; 95% CI 1.0-14.2), and being older age (OR=1.4; 95% CI 1.2-1.8).
Conclusions. These data demonstrated that one in 26 middle-school student adolescents from Bucaramanga is an everyday smoker. The most important associated factor was being the best friend of a smoker or a drinker of alcohol.