Hygiena 2008, 53(2):48-52

Trends in Cigarette Smoking in Czech Children and Adolescents from 1994 through 2006 and Selected Smoking Associations among Adolescents

Ladislav Csémy1,2, Hana Sovinová2, Jarmila Rážová2, Hana Provazníková3
1 Psychiatrické Centrum, Praha
2 Státní zdravotní ústav, Praha
3 3. lékařská fakulta UK, Praha

Objective: The study is focused on trends in smoking among adolescents in the Czech Republic from 1994 through 2006. Specific attention is given to psychosocial context of smoking.

Methods: Analyses are based on a dataset from the WHO project Health Behaviour in School-aged Children. The Czech Republic has participated in the study since 1994. Data were collected in schools in form of an anonymous survey. Sample. The sample size of school-aged children from years 1994, 1998, 2002 and 2006 is as follows: 3,585 3,703 5,012 and 4,782 individuals respectively.

Results: The prevalence of regular smoking (frequency at least once per week) was rather low and practically stable within the given period among children aged 11. In age groups 13 and 15 years the prevalence markedly increased between 1994 and 2002 (from 5.8 % to 11.1 % in 13 years old, and from 13.9 % to 29.7 % in 15 years old). Since 2002 the trend has changed and a substantial decrease in prevalence was observed. This decrease was most striking among 15 years old, where in girls prevalence dropped from 30.6 % to 23. 5 %, and 28.6 % and 19.7 % in boys. A highest rate of smoking was found among those who lived in incomplete or restructured families and among those whose parents or close friends are smokers. Smokers more frequently reported psychosomatic complaints, excessive alcohol consumption and use of illicit drugs, especially marijuana and/or ecstasy.

Conclusions: The decrease in the prevalence of smoking in children and adolescents after the year 2002 is definitely a positive change. The reasons for this change may be attributed to several factors including regulation of availability of tobacco products for minors, restriction of marketing and more efficient prevention programmes.

Keywords: prevalence of smoking, adolescents, health risks, psychosocial context, alcohol, illicit drugs

Published: June 2008  Show citation

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Csémy L, Sovinová H, Rážová J, Provazníková H. Trends in Cigarette Smoking in Czech Children and Adolescents from 1994 through 2006 and Selected Smoking Associations among Adolescents. Hygiena. 2008;53(2):48-52.
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