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Journal of Environmental and Public HealthVolume 2010 2010, Article ID 795265, 8 pages

Research Article

Instituto de Ciencia y Tecnología Regional, El Carmen 719, S.S. de Jujuy, 4600, Argentina

Consejo Nacional de Investigaciones Científicas y Técnicas CONICET, Universidad Nacional de Jujuy, Argentina

Department of Medicine, University of California, San Francisco, 3333 California Street, Suite 335 San Francisco, CA 94118, USA

UCSF Helen Diller Family Comprehensive Cancer Center, USA

Received 29 July 2009; Accepted 21 January 2010

Academic Editor: Edward Trapido

Copyright © 2010 Ethel Alderete et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study examines alternative tobacco use among Latin American youth. Aself-administered survey in a random sample of 27 schools was administeredin 2004 in Jujuy, Argentina . Prevalence of alternative tobaccoproduct use was 24.1%; 15.3% of youth used hand-rolled cigarettes, 7.8% smoked cigars, 2.3% chewed tobacco leaf and 1.6% smoked pipe. Among youthwho never smoked manufactured cigarettes, alternative product use was rare2.9%, except for chewing tobacco 22%. In multivariate logisticregression boys were more likely than girls to smoke pipe OR = 3.1; 95% CI 1.1–8.7; indigenous language was associated with smoking hand-rolledcigarettes OR = 1.4; 95% CI-1.1–1.9 and pipe OR = 2.2; 95% CI 1.5–3.4. Working in tobacco sales was a risk factor for chewing tobacco OR = 2.9; 95% CI: 1.7–4.9 and smoking hand-rolled cigarettes OR = 1.4; 95% CI 1.1–1.8. Having friends who smoked was associated with chewing tobacco OR = 1.8; 95% CI 1.0–3.2 and with smoking cigars OR = 2.1; 95% CI 1.5–2.9. Current drinking and thrill-seeking orientation were associated with cigarsand pipe smoking. Findings highlight the importance of surveillance ofalternative tobacco products use and availability among youth and foraddressing identified risk factors.

Autor: Ethel Alderete, Celia Patricia Kaplan, Steven E. Gregorich, and Eliseo J. Pérez-Stable



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