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Smoking Initiation and Cessation among Youths in Vietnam: A Longitudinal Study Using the Chi Linh Demographic-Epidemiological Surveillance System (CHILILAB DESS)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Vietnam.
Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Vietnam.
Department of General Surgery, Viet Duc University Hospital, 40 Trang Thi Street, Hoan Kiem District, Ha Noi, Vietnam.
Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Vietnam.
2017 (English)In: AIMS PUBLIC HEALTH, ISSN 2327-8994, Vol. 4, no 1, 1-18 p.Article in journal (Refereed) Published
Abstract [en]

Study of smoking initiation and cessation is particularly important in adolescent population because smoking prevention and cessation at this time may prevent several health consequences later in life. There is a very limited knowledge about the determinants of smoking initiation and cessation among youths in Vietnam. This limits the development and implementation of appropriately targeted anti-smoking prevention interventions. This study applied pooled data from 3 rounds of a longitudinal survey in the Chi Linh Demographic-Epidemiological Surveillance System (CHILILAB DESS) in a northern province in Vietnam to analyse the determinants of smoking initiation and cessation among youths. The total of youths in the first round, second, and third rounds was 12,406, 10,211, and 7,654, respectively. The random-effects logit model controlling for both time-variant and time-invariant variables was conducted to explore the associated factors with new smokers and quitters. We found an increase trend of new smokers (7.0% to 9.6%) and quitters (27.5% to 31.4%) during 2009-2013. Smoking initiation and cessation are the result of multifactorial influences of demographic and health behaviours and status. Demographic background (older youths, male, unmarried youths, and youths having informal work) and health behaviours and status (youths who had smoking family members and/or smoking close friends, and had harmful drinking) were more likely to initiate smoking and more difficult to quit smoking. Among these variables, youths who had smoking close-friends had the highest likelihood of both initiating smoking and failed quitting. Our results could represent the similar health problems among youths in peri-urban areas in Vietnam. Further, our findings suggested that anti-smoking interventions should involve peer intervention, integrated with the reduction of other unhealthy behaviours such as alcohol consumption, and to focus on adolescents in their very early age (10-14 years old).

Place, publisher, year, edition, pages
AMER INST MATHEMATICAL SCIENCES-AIMS , 2017. Vol. 4, no 1, 1-18 p.
Keyword [en]
smoking initiation, smoking cessation, youths, CHILILAB DESS
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-319141DOI: 10.3934/publichealth.2017.1.1ISI: 000396665400001OAI: oai:DiVA.org:uu-319141DiVA: diva2:1086197
Available from: 2017-03-31 Created: 2017-03-31 Last updated: 2017-04-20Bibliographically approved

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