IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v64y2019i9d10.1007_s00038-019-01307-z.html
   My bibliography  Save this article

Sex-specific initiation rates of tobacco smoking and its determinants among adults from a Middle Eastern population: a cohort study

Author

Listed:
  • Donna Parizadeh

    (Shahid Beheshti University of Medical Sciences)

  • Seyyed Saeed Moazzeni

    (Shahid Beheshti University of Medical Sciences)

  • Mitra Hasheminia

    (Shahid Beheshti University of Medical Sciences)

  • Pegah Khaloo

    (Shahid Beheshti University of Medical Sciences
    Tehran University of Medical Sciences)

  • Mohammad Ali Mansournia

    (Tehran University of Medical Sciences)

  • Fereidoun Azizi

    (Shahid Beheshti University of Medical Sciences)

  • Amir Abbas Momenan

    (Shahid Beheshti University of Medical Sciences)

  • Farzad Hadaegh

    (Shahid Beheshti University of Medical Sciences)

Abstract

Objectives To assess the initiation rate and determinants of tobacco smoking among adults. Methods In the Tehran Lipid and Glucose Study, a population-based cohort from Iran, 6101 participants ≥ 18 years old who had never smoked tobacco at baseline (phase II: 2002–2006) were followed until phase VI (2015–2018). Sex-specific initiation rates per 1000 person-years for self-reported tobacco smoking and hazard ratios (HR) for its potential determinants (using Cox proportional hazards models) were calculated. Results The age- and sex-adjusted smoking initiation rate was 13.77 [95% confidence interval (CI) 12.59–14.94] per 1000 person-years, of which 78% was attributed to water pipe use. Initiation rate was remarkably higher among men [19.1 (16.9–21.2)] than women [8.3 (7.4–9.2)] and declined in older age-groups. Among both genders, being married was protective [men: HR 0.67 (CI 95% 0.48–0.92); women: 0.58 (0.45–0.74)], while intermediate-level education (compared with high level) [men: 1.61 (1.14–2.26); women: 1.33 (0.95–1.84, p value = 0.092)] and passive smoking [men: 1.76 (1.36–2.28); women: 1.82 (1.42–2.33)] increased the risk. Educational intervention decreased the risk among women [0.74 (0.58–0.94)]. Conclusions The majority of adult smoking initiators started smoking with water pipe. The initiation rate was remarkably higher in men and younger age-groups. Passive smoking, being single and lower education were risk factors. Educational intervention was protective among women.

Suggested Citation

  • Donna Parizadeh & Seyyed Saeed Moazzeni & Mitra Hasheminia & Pegah Khaloo & Mohammad Ali Mansournia & Fereidoun Azizi & Amir Abbas Momenan & Farzad Hadaegh, 2019. "Sex-specific initiation rates of tobacco smoking and its determinants among adults from a Middle Eastern population: a cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1345-1354, December.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:9:d:10.1007_s00038-019-01307-z
    DOI: 10.1007/s00038-019-01307-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-019-01307-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-019-01307-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Kaan Sözmen & Belgin Ünal & Olfa Saidi & Habiba Romdhane & Niveen Abu-Rmeileh & Abdullatif Husseini & Fouad Fouad & Wasim Maziak & Kathleen Bennett & Martin O’Flaherty & Simon Capewell & Julia Critchl, 2015. "Cardiovascular risk factor trends in the Eastern Mediterranean region: evidence from four countries is alarming," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(1), pages 3-11, January.
    2. Alameddine, Mohamad & Baumann, Andrea & Onate, Kanecy & Crea, Mary & Arnaout, Nour El & Deber, Raisa, 2017. "Job Stickiness of young nurses in Ontario: Does the employer organization participation in the Nursing Graduate Guarantee initiative make a difference?," Health Policy, Elsevier, vol. 121(7), pages 809-815.
    3. repec:cdl:ctcres:qt8nw5p0zt is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Peter Francis Raguindin, 2020. "The changing epidemiology of pneumococcal diseases: new challenges after widespread routine immunization," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 709-710, July.
    2. Varduhi Hayrumyan & Zaruhi Grigoryan & Zhanna Sargsyan & Serine Sahakyan & Lusine Aslanyan & Arusyak Harutyunyan, 2020. "Barriers to utilization of adolescent friendly health services in primary healthcare facilities in Armenia: a qualitative study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1247-1255, November.
    3. Katharina Tabea Jungo & Daniela Anker & Lea Wildisen, 0. "Astana declaration: a new pathway for primary health care," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-2.
    4. Enai Ojeda & Christian Torres & Ángela Carriedo & Mélissa Mialon & Niyati Parekh & Emanuel Orozco, 2020. "The influence of the sugar-sweetened beverage industry on public policies in Mexico," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(7), pages 1037-1044, September.
    5. Tine Bizjak & Branko Kontić, 2019. "Auditing in addition to compliance monitoring: a way to improve public health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1259-1260, December.
    6. Martina Otavova & Herman Oyen & Renata T. C. Yokota & Rana Charafeddine & Luk Joossens & Geert Molenberghs & Wilma J. Nusselder & Hendriek C. Boshuizen & Brecht Devleesschauwer, 2020. "Potential impact of reduced tobacco use on life and health expectancies in Belgium," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 129-138, March.
    7. Christian Loret de Mola & Viviane Cunha Cardoso & Rosangela Batista & Helen Gonçalves & Maria Conceição Pereira Saraiva & Ana M. B. Menezes & Iná S. Santos & Marlos Rodrigues Domingues & Antonio Augus, 2020. "Maternal pregnancy smoking in three Brazilian cities: trends and differences according to education, income, and age," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 207-215, March.
    8. Katharina Tabea Jungo & Daniela Anker & Lea Wildisen, 2020. "Astana declaration: a new pathway for primary health care," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(5), pages 511-512, June.
    9. Peter Francis Raguindin, 0. "The changing epidemiology of pneumococcal diseases: new challenges after widespread routine immunization," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-2.
    10. Ala Alwan, 2018. "Moving to action in the Eastern Mediterranean Region," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 1-2, May.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:64:y:2019:i:9:d:10.1007_s00038-019-01307-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.