2002-12-31-世界卫生组织-2003_GYTS_Country_Report_Sri_Lanka_15页_79kb

报告摘要

Sri Lanka Global Youth Tobacco Survey (GYTS) 2003: Report Summary

1.0 Executive Summary

This report summarizes the findings of Sri Lanka’s second Global Youth Tobacco Survey (GYTS), conducted in 2003 among students in grades eight, nine, and ten (ages 12-16 years).
It aims to document tobacco use prevalence, attitudes, knowledge, and behaviors among youth, and to provide data for policymakers to combat tobacco use, which is a major public health issue in the country.

2.0 Introduction

Tobacco Use in Sri Lanka: High rates of tobacco use exist among adults and youth. Male smoking prevalence is significantly higher than females (10.1% vs 3.3%).
GYTS Objectives: To monitor tobacco use prevalence, assess students’ attitudes/knowledge, evaluate interventions, and compare data with 1999 findings.

3.0 Methodology

Sample: A two-stage cluster sampling method was used, involving 50 schools (representing ~10,000 schools) and 1,845 students (response rate 79.12%).
Questionnaire: Comprised core and optional questions on tobacco use, susceptibility, media exposure, school curriculum, secondhand smoke, and cessation.

4.0 Analysis of Results

Tobacco Use: 6.9% of students had ever smoked cigarettes (down from 12.5% in 1999), with higher rates among males (10.1%) than females (3.3%).
- Current cigarette smoking: 2.5%, and current use of other tobacco products (e.g., beedis, cigars): 7.5%.
Health Impact Perception: 78.8% of students believed smoking is harmful, with females having higher agreement than males.
Secondhand Smoke Exposure: 51.3% were exposed to smoke at home, 68.3% at public places. High support exists for banning smoking in public (92.9%).
Cessation Attempts: 68.5% of current smokers wanted to quit, and 100% believed help was available.
Media Exposure: Most students (84.8%) saw anti-smoking messages, but many also encountered pro-tobacco advertising.
Education: Only 42% discussed reasons for smoking in classrooms, and school-based tobacco education is insufficient.

5.0 Discussion

Prevalence: While youth smoking rates decreased slightly, high tobacco use persists, particularly among boys and use of cheaper tobacco alternatives.
Culture and Policy: Gender norms discourage female smoking, but casual exposure to tobacco is common.
Policy Gaps: Despite regulations, tobacco advertising, promotion, and product availability remain issues.

6.0 Recommendations

Strengthen anti-tobacco public awareness programs, especially in schools.
Ban pro-tobacco promotions and enforce restrictions on tobacco advertising.
Establish a National Authority on Tobacco Control to advise and implement strategies.
Contribute to tobacco-free environments and monitor illicit tobacco trade.
Initiate medical research to understand tobacco’s link to specific cancers.

7. References