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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
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    References listed on IDEAS

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