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Självupplevd påverkan och self-efficacy bland svenska ungdomar relaterat till tobaksvanor och munhälsovanor: En tvärsnittsstudie efter ett skolbaserat preventionsprogram
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2012 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Syftet var att beskriva en grupp värmländska ungdomars tobaks- och munhälsovanor samt undersöka möjliga associationer av dessa till ett tobakspreventivt program i skolan och tilltro till egen förmåga (self-efficacy). Urvalet var elever (15-16 år, n=631) som genomgått ett tobakspreventivt program med information och värderingsövningar i klass 5 och 7. Rökning var vanligare bland flickor än bland pojkar (13% resp 8%), med omvänt förhållande avseende snusning (6% resp 15%). Tandborstning <2 gånger/dag var vanligare bland pojkarna (21%) än bland flickorna (12%). Flickorna hade som grupp lägre self-efficacy. Hög grad av self-efficacy gav signifikant högre sannolikhet att uppleva påverkan av tandvårdens tobakslektioner (p=0.004). I en multivariat modell identifierades tre signifikanta riskfaktorer för att inte uppleva påverkan av tandvårdens tobakslektioner: snusning (OR 2.77; 95% CI 1.42-5.41), låg self-efficacy (OR 1.70; 95% CI 1.19-2.42) och boende utan två vuxna (OR 1.71; 95% CI 1.17-2.51). Ålder <15 år (OR 0.65; 95% CI 0.46-0.93) gav lägre risk för att inte uppleva påverkan. Stratifierat på kön kvarstod statistisk signifikans av samtliga ovanstående variabler för flickor och boende utan två vuxna för pojkar. 

Den kunskap som genererats i studien kan ge underlag för planering av preventions- och promotionsstrategier både i den kliniska verksamheten och vid hälsofrämjande arbete i skolan.

Abstract [en]

The aim was to examine adolescents in the Swedish county of Värmland, their tobacco and oral health habits, and possible associations of these to a tobacco prevention program and their self-efficacy. The sample were students (15-16 years, n = 631) who had undergone a tobacco prevention program in grade 5 and 7. Smoking was more common among girls than among boys (13% vs. 8%), with inverse relationship for snus use (6% vs. 15%). Toothbrushing <2 times/day were more common among boys (21%) than among girls (12%). The girls had as a group, lower self-efficacy. High degree of self-efficacy entailed a greater probability for self-perceived impact of tobacco lessons (p = 0.004). In a multivariate model three significant risk factors for not experiencing influence from tobacco lessons were identified: snus use (OR 2.77, 95% CI 1.42-5.41), low self-efficacy (OR 1.70; 95% CI 1.19-2.42) and living without two adults (OR 1.71; 95% CI 1.17-2.51). Age <15 years (OR 0.65, 95% CI 0.46-0.93) yielded a lower risk for not experiencing influence. Stratified on gender statistical significance persisted regarding all above for girls and living without two adults for boys. 

The knowledge generated in this study may serve as a base for planning of prevention and promotion strategies in both clinical practice and in schools.

Place, publisher, year, edition, pages
2012. , 40 p.
Keyword [en]
health promotion, oral health, self-efficacy, smoking, tobacco smokeless
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-185572OAI: oai:DiVA.org:uu-185572DiVA: diva2:572161
Subject / course
Public Health
Educational program
Master Programme in Public Health
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-11-26 Created: 2012-11-26 Last updated: 2012-11-26Bibliographically approved

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