pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2007-0-6-58-62pulmo-2004Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESРаспространенность и характерные особенности табакокурения у подростков г. Чапаевска Самарской областиPrevalence and particular features of tobacco smoking among adolescents in Chapaevsk, Samara regionМокинаН. А.MokinaN. A.

г. Самара

ЗейлертВ. Ю.ZeilertV. Yu.

г. Чапаевск

СараеваН. И.SaraevaN. I.

г. Чапаевск

СахароваГ. М.SakharovaG. M.

Москва

АнтоновН. С.AntonovN. S.

Москва

Кафедра профессиональных болезней и клинической фармакологии Самарского государственного медицинского университетаRussian FederationМУ ЦГБ г. Чапаевска Самарской областиRussian FederationФГУ НИИ пульмонологии РосздраваRussian Federation200728122007065862Copyright © Мокина Н.А., Зейлерт В.Ю., Сараева Н.И., Сахарова Г.М., Антонов Н.С., 20072007Мокина Н.А., Зейлерт В.Ю., Сараева Н.И., Сахарова Г.М., Антонов Н.С.Mokina N.A., Zeilert V.Y., Saraeva N.I., Sakharova G.M., Antonov N.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/2004

В ситуации эпидемического роста табакокурения среди людей работоспособного возраста во всем мире очень мало подробных отечественных данных по распространенности и характеристикам активного и пассивного табакокурения у подростков. Данное исследование проводилось в 4 этапа среди учащихся школ и профессионально-технических училищ (возрастная группа с 13 до 18 лет, n = 7142) в г. Чапаевске – одном из крупных промышленных центров Самарской области. Установлена высокая распространенность табакокурения среди обследованных подростков – 28 %. Средний возраст начала курения составлял 14,7 ± 0,4 года, отмечались высокое влияние табакокурения на аэродинамические характеристики респираторного тракта и низкая мотивация к отказу от курения. Среди обследованных преобладали подростки с низкой никотиновой зависимостью, но мощными факторами сопротивления являются слабая мотивация к отказу от курения и высокое влияние социальной среды на возобновление курения: в подавляющем большинстве случаев подростки возобновляют курение при возвращении в привычную социальную среду.

Under the epidemic rising of tobacco consumption among working-aged people worldwide, there is little Russian detailed data on prevalence and particularities of active and passive tobacco smoking among adolescents. The present 4-stage study involved schoolchildren and students of trade schools (13 to 18 years of age) at Chapaevsk, which is a large industry center of Samara region. The prevalence of tobacco smoking among these adolescents was as high as 28 %. The average age of starting smoking was 14.7 ± 0.4 yrs. A significant effect of tobacco smoking on airway aerodynamics and low motivation for quitting the smoking were found. The most of adolescents had low nicotine dependence but were poorly motivated for smoking cessation and highly influenced by the social surroundings to re-start smoking. The majority of adolescents renewed smoking after return to habitual social conditions.

ReferencesHeuer C., Becker N. Smoking prevalence and lung cancer mortality in Germany. J. Epidemiol. Biostat. 1999; 4: 45–52.Heuer C., Becker N. Smoking prevalence and lung cancer mortality in Germany. J. Epidemiol. Biostat. 1999; 4: 45–52.Hirsch A., Slama K., Alberisio A. et al. Smoking cessation methods: recommendations for health professionals. Advisory Group or the European School of Oncology. Eur. J. Cancer 1994; 30A: 253–263.Hirsch A., Slama K., Alberisio A. et al. Smoking cessation methods: recommendations for health professionals. Advisory Group or the European School of Oncology. Eur. J. Cancer 1994; 30A: 253–263.Bush A., Carlsen K.2H., Zach M.S., eds. Growing up with lung disease: the lung in transition to adult life. Eur. Respir. Monogr. 2002; 7: 1–280.Bush A., Carlsen K.2H., Zach M.S., eds. Growing up with lung disease: the lung in transition to adult life. Eur. Respir. Monogr. 2002; 7: 1–280.Pbert L., Fletcher K.E., Flint A.J. et al. Smoking prevention and cessation intervention delivery by pediatric providers, as assessed with patient exit interviews. Pediatrics 2006; 118 (3): e810–824.Pbert L., Fletcher K.E., Flint A.J. et al. Smoking prevention and cessation intervention delivery by pediatric providers, as assessed with patient exit interviews. Pediatrics 2006; 118 (3): e810–824.Peto R., Lopez A.D., Boreham J. et al. Mortality from smoking in developed countries 1950–2000. Oxford: Oxford University Press; 1994.Peto R., Lopez A.D., Boreham J. et al. Mortality from smoking in developed countries 1950–2000. Oxford: Oxford University Press; 1994.US Centers for Disease Control (CDC). Trends in cigarette smoking among high school children. http://www.cdc.gov/tobacco/youth.htm. September 2000 (accessed January 24 2002).US Centers for Disease Control (CDC). Trends in cigarette smoking among high school children. http://www.cdc.gov/tobacco/youth.htm. September 2000 (accessed January 24 2002).Hastier N., Quinque K.,Bonnel A.S. et al. [Smoking and the adolescent. An inquiry into motivation and knowledge of the effects of tobacco] //Rev Mal Respir. 2006 Jun;23(3 Pt 1): 237–241.Hastier N., Quinque K.,Bonnel A.S. et al. [Smoking and the adolescent. An inquiry into motivation and knowledge of the effects of tobacco] //Rev Mal Respir. 2006 Jun;23(3 Pt 1): 237–241.Fisher V., Petermann H. Evaluation von massnahmen schulischer suchtpravention. Forum. Public Health. 2000; 28: 26.Fisher V., Petermann H. Evaluation von massnahmen schulischer suchtpravention. Forum. Public Health. 2000; 28: 26.Partridge M. Smoking and the young. B.M.J. 1992; 305: 2.Partridge M. Smoking and the young. B.M.J. 1992; 305: 2.Prokhorov A.V., Winickoff J.P., Ahluwalia J.S. et al. Youth tobacco use: a global perspective for child health care clinicians. Pediatrics 2006; 118 (3): e890–e903.Prokhorov A.V., Winickoff J.P., Ahluwalia J.S. et al. Youth tobacco use: a global perspective for child health care clinicians. Pediatrics 2006; 118 (3): e890–e903.US Centers for Disease Control. Incidence and initiation of cigarette smoking. United States, 1965–1996. Morbid. Mortal. Wkly Rep. 1998; 47: 838.US Centers for Disease Control. Incidence and initiation of cigarette smoking. United States, 1965–1996. Morbid. Mortal. Wkly Rep. 1998; 47: 838.Krishnan2Sarin S., Duhig A.M., McKee S.A. et al. Contingency management for smoking cessation in adolescent smokers. Exp. Clin. Psychopharmacol. 2006; 14 (3): 306–310.Krishnan2Sarin S., Duhig A.M., McKee S.A. et al. Contingency management for smoking cessation in adolescent smokers. Exp. Clin. Psychopharmacol. 2006; 14 (3): 306–310.

The authors declare that there are no conflicts of interest present.