2004-12-31-世界卫生组织-2005_GYTS_Fact_Sheet_Fiji_1页_37kb

Fiji GYTS Summary

Core Content

The Fiji Global Youth Tobacco Survey (GYTS) is a school-based survey conducted in 2005 that gathered data on the prevalence of cigarette and other tobacco use among students in Forms 2, 3, and 4. It also assessed knowledge, attitudes, and behaviors related to tobacco use, focusing on five key determinants: access/availability and price, exposure to secondhand smoke (SHS), cessation, media and advertising, and school curriculum. The survey aimed to provide insights that could inform a comprehensive tobacco control program in Fiji.

Methodology

• Sampling Design: A two-stage cluster sample was used to ensure representative data.
  • Stage 1: Schools were selected with probability proportional to enrollment size.
  • Stage 2: Classes were randomly selected, and all students in those classes were eligible to participate.
• Response Rates:
  • School response rate: 100.0%
  • Class response rate: 98.6%
  • Student response rate: 80.9%
  • Overall response rate: 79.8%
• Total Participants: 1,687 students aged 13–15.

Key Findings

Tobacco Use Prevalence

• Ever smoked cigarettes: 17.3%
  • Boys: 22.4%
  • Girls: 11.7%
• Current tobacco use: 11.5%
  • Boys: 11.6%
  • Girls: 10.2%
• Current cigarette smoking: 5.0%
  • Boys: 6.7%
  • Girls: 3.1%
• Current use of other tobacco products: 7.7%
  • Boys: 6.7%
  • Girls: 7.6%
• Likely to initiate smoking next year: 16.9% of never smokers

Knowledge and Attitudes

• Perception of smoking attractiveness:
  • 55.1% think boys who smoke have more friends
  • 41.4% think girls who smoke have more friends
  • 13.6% think boys who smoke look more attractive
  • 12.3% think girls who smoke look more attractive

Access and Availability

• Current smokers:
  • 20.7% usually smoke at home
  • 24.9% buy cigarettes in a store

Exposure to Secondhand Smoke (SHS)

• Living environment:
  • 47.1% live in homes where others smoke in their presence
  • 56.8% are exposed to smoke in public places outside the home
• Perception of SHS:
  • 39.1% think smoking should be banned from public places
  • 51.9% think smoke from others is harmful to them
• Family and friends:
  • 47.1% have one or more parents who smoke
  • 6.0% have most or all friends who smoke

Cessation Behaviors

• Current smokers:
  • 88.2% want to stop smoking
  • 83.1% tried to stop smoking in the past year
  • 90.4% have ever received help to stop smoking

Media and Advertising

• Anti-smoking messages: 85.9% of students saw anti-smoking media messages in the past 30 days
• Pro-cigarette ads:
  • 68.5% saw pro-cigarette ads on billboards
  • 70.7% saw pro-cigarette ads in newspapers or magazines
• Brand exposure:
  • 13.1% have an object with a cigarette brand logo
• Free cigarette offers:
  • 7.2% were offered free cigarettes by a tobacco company representative

School Curriculum

• Smoking education:
  • 56.0% had been taught about the dangers of smoking
  • 45.1% had been taught about the effects of tobacco use
  • 40.7% had discussed reasons why people their age smoke

Main Points

• High prevalence of tobacco use among Fiji's youth, with over 11% currently using any tobacco product and 5% smoking cigarettes.
• Significant exposure to SHS is reported, indicating a need for stronger smoke-free policies.
• Media influence is mixed, with anti-smoking messages being more prevalent than pro-cigarette ads.
• Schools play a role in tobacco education, though there is room for improvement in curriculum coverage.
• Strong cessation intentions among current smokers, but support for quitting remains necessary.

Conclusion

The Fiji GYTS provides critical data on the extent of tobacco use and related behaviors among adolescents. It highlights the need for targeted interventions in areas such as SHS exposure, media regulation, and school-based education to reduce tobacco consumption and its associated health risks.