2002-12-31-世界卫生组织-2003_GYTS_Fact_Sheet_Bosnia_and_Herzegovina_Republika_Srpska_1页_38kb

Summary of Republika Srpska Global Youth Tobacco Survey (GYTS)

Background and Methodology

The Republika Srpska GYTS was conducted in 2003, a school-based survey targeting students aged 13-15 in grades VII, VIII, and high school. It used a two-stage cluster sampling design with schools selected proportionally to enrollment size, followed by random selection of classes and all eligible students within those classes. The response rate was high: overall 91.6%, with sample size 3,855 students.

Key Findings

• Tobacco Use Prevalence: 44.0% of students had ever smoked cigarettes, with current use of any tobacco product at 10.8%. Specifically, 10.4% smoked cigarettes currently, and 2.0% were daily cigarette smokers. A high proportion, 45.4% of boys and 39.7% of girls, initiated smoking before age ten, and 23.3% of never smokers were likely to start next year.
• Access and Availability: High access was evident, with 58.8% buying cigarettes easily, and limited age restrictions in sales. Price was a factor, as only 9.2% were refused due to age.
• Exposure to Secondhand Smoke (SHS): Nearly all students (96.2%) lived in homes where smoking occurred, 91.1% were exposed to smoking outside the home, and 87.7% believed SHS should be banned in public places. 60.5% had parents who smoked, and 13.3% had most friends who smoked.
• Attitudes and Media: Two-thirds (66.0%) thought secondhand smoke was harmful, and 92.8% supported public smoking bans. Media messages were mixed, with students seeing anti-smoking ads on TV (78.6%) but pro-smoking ones on TV (almost 91.1%) and other media. 17.1% had objects with cigarette logos.
• School Environment: A significant portion (45.3%) had learned about smoking dangers in class, while 41.7% were taught about effects; only 79.7% had received help to quit smoking.

Implications for Tobacco Control

The survey highlights the need for comprehensive school-based programs to address determinants like accessibility, parental influences, and media exposure, to reduce youth tobacco use.