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Tobacco use among institutionalized adolescents in Turkey: does social environment affect the risk? | LitMetric

Tobacco use among institutionalized adolescents in Turkey: does social environment affect the risk?

Int J Public Health

Primary Health Care General Directorate, Ministry of Health, Ankara, Turkey.

Published: April 2010

AI Article Synopsis

  • The study assessed the smoking habits and risk factors among Turkish adolescents in orphanages, focusing on how their institutionalization may influence their likelihood to start or continue smoking.
  • Researchers surveyed 6,220 adolescents across Turkish orphanages and compared the findings with data from non-institutionalized students.
  • Results indicated that 57% of participants had smoked, with 29.3% currently smoking, and found that institutionalized adolescents had higher smoking rates, greater access to tobacco, less awareness of its dangers, and a growing gender gap in smoking prevalence.

Article Abstract

Objectives: The study aimed to estimate smoking prevalence and associated risk factors among Turkish adolescents residing in orphanages and to investigate whether "institutionalization" (i.e., factors leading to institutionalization and/or those present in the institutional environment) makes adolescents more prone "to try" and/or "continue" smoking.

Methods: An institution-based survey was conducted in all orphanages in Turkey and included 6,220 adolescents. Effects of institutionalization on smoking were further evaluated based on comparisons with external data obtained from an earlier survey of non-institutionalized Turkish students.

Results: Of the participants: 57% had ever smoked cigarettes; 29.3% were current cigarette smokers; and exposure to secondhand smoke (SHS) was above 80.0%. Compared to non-institutionalized adolescents, institutionalized adolescents seem to be more prone to start and continue smoking; have higher access to tobacco; know less about the health hazards of smoking; and have higher prevalence of addiction, especially among girls.

Conclusions: Smoking prevalence among institutionalized adolescents is quite high; they have an environment favoring smoking and the gender gap in smoking rates is closing. An effective tobacco-control program based on evidence, tailored to the specific needs, and combined with a motivating environment is required to decrease tobacco consumption among institutionalized youngsters.

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Source
http://dx.doi.org/10.1007/s00038-009-0064-4DOI Listing

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