Trends in tobacco use among Estonian and Russian youth in Tallinn

Abstract

Smoking behaviour and exposure to environmental tobacco smoke (ETS) were examined in three cross-sectional surveys from 1991/92, 1993/94, and 1995/96. The study population comprised 3,185 Estonian and Russian adolescents from 17 schools in Tallinn, Estonia. Prevalence of ever-smoking girls increased by 13 percentage points versus 2% among boys during the study period. Mean ages of the first experimentation with tobacco and exposure to ETS did not change significantly. Regular smoking increased significantly from 1991/92 to 1995/96. Detailed analyses for the 1995/96 survey showed that among ethnic Estonians, compared with ethnic Russians, the prevalence of ever-smokers and regular smoking were higher, mean age for the first experimentation was younger, and on average, Estonians smoked more cigarettes per week. The smoking trend among adolescents in Estonia is worsening; especially among Estonian youth. This study identifies a compelling need for national and community-wide efforts to deter adolescents from smoking and to reduce the exposure to ETS.

Keywords

adolescents exposure to environmental tobacco smoke smoking trends tobacco smoking.

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References

Millstein SG , Petersen AC , Nightingale EO Adolescent health promotion: rationale, goals, and objectives. In: Millstein SG , Petersen AC , Nightingale EO , eds. Promoting the health of adolescents. Oxford University Press, 1993: 3-10.

Law MR , Hackshaw AK Environmental tobacco smoke. Br Med Bull, 1996; 52: 22-34.

Berenson GS Evolution of cardiovascular risk factors in early life: perspectives on causation . In: Berenson GS , ed. Causation of cardiovascular risk factors in children. Perspectives on cardiovascular risk in early life. New York, Raven Press 1986; 1-26.

Croft JB , Freedman DS , Cresanta JL , et al. Adverse influences of alcohol, tobacco, and oral contraceptive use on cardiovascular risk factors during transition to adulthood. Am J Epidemiol, 1987; 126: 202-13.

Charlton A. Children and smoking: the family circle. Br Med Bull , 1996; 52: 90-107.

Evans RI Deterring smoking in adolescents: a social psychological perspective . In: Lauer RM , Shekelle RB , eds. Childhood prevention of atherosclerosis and hypertension. New York: Raven Press, 1980: 459-64.

Jaén CR Protecting nonsmokers from environmental tobacco smoke. J Fam Pract, 1996; 43: 530-2.

Pirkle JL , Flegal KM , Bernert JT , Brody DJ , Etzel RA , Maurer KR Exposure of the US population to environmental tobacco smoke. The Third National Health and Nutrition Examination Survey, 1988 to 1991. JAMA , 1996; 275: 1233-40.

Witschi H. , Joad JP , Pinkerton KE The toxicology of environmental tobacco smoke. Ann Rev Pharmacol Toxicol, 1997; 37: 29-52.

10.

MacD HS , Croft JB , Parker FC Biobehavioural studies in cardiovascular risk development. In: Berenson GS , ed. Causation of cardiovascular risk factors in children. Perspectives on cardiovascular risk in early life . New York: Raven Press, 1986: 223-53.

11.

WHO Regional Office for Europe. Protocol and guidelines. Countrywide Integrated Non-communicable Disease Intervention (CINDI) Programme. Copenhagen; 1996: 1-16.

12.

Luiga E. , Tur I. , Suurorg L. Laste passiivne suitsetamine. (Passive smoking of children). Eesti Arst (Estonian Physician) 1994;, 1994; lisa: 53-4.

13.

Fleiss JL Statistical methods for rates and proportions. New York : John Wiley & Sons, 1981: 138-59.

14.

Piha T. Tobacco control activities of the World Health Organisation in Europe . In: Richmond R , ed. Interventions for smokers: an international perspective. New York: Williams &Wilkins, 1994: 323-47.

15.

Green DE Beliefs of teenagers about smoking and health. In: Lauer RM , Shekelle RB , eds. Childhood prevention of atherosclerosis and hypertension . New York: Raven Press, 1980: 223-8.

16.

Mittelmark MB , Pallonen UE , Murray DM , Luepker RV , Pechacek TF , Pirie PL Predictors of non-adoption of cigarette smoking following experimentation. Scand J Prim Health Care, 1988; 6: 131-5.

17.

Ware JH , Dockery DW , Spiro A. , Speizer FE , Ferris BG Passive smoking, gas cooking, and respiratory health of children living in six cities. Am Rev Resp Dis, 1984; 129: 366-74.

18.

Rimpelä MK , Aarø LE, Rimpelä. The effect of tobacco sales promotion on initiation of smoking - experiences from Finland and Norway. Scand J Soc Med, 1993; Suppl 49: 5-23.

19.

Puska P. , Korhonen HJ , Uutela A. , Helakorpi S. , Piha T. Anti-smoking policy in Finland. Smoke free europe- a forum for networks - 14 August 1997. http://www.tupakka.org/english/smokefree/Smoke2-7.html .

20.

Mittelmark MB Health promotion at the community wide level: lessons from diverse perspectives . In: Bracht N , ed. Health promotion at the community level 2. Sage Publications 1999: 3-27.

21.

Ashton J , ed. Healthy cities. Milton Keynes: Open University Press, 1993.

22.

WHO Regional Office for Europe. Promoting health through schools. Report of a WHO Expert Committee on comprehensive school health education and promotion. Geneva: WHO, 1997.