2006-12-31-世界卫生组织-2007_GYTS_Fact_Sheet_Zambia_Lusaka_1页_39kb

Summary of Zambia-Lusaka GYTS 2007

Methodology

• Survey Design: A two-stage cluster sampling design was employed. Schools were selected with probability proportional to enrollment size, followed by random selection of classes.
• Sample Size and Response Rates: A total of 1,362 students aged 13–15 participated. School response rate was 96.0%, class response rate was 100%, student response rate was 88.8%, and overall response rate was 85.35%.
• Funders/Context: Part of the Global Youth Tobacco Survey.
• Coverage: Data collected from grades 7, 8, and 9 in Lusaka.

Prevalence of Tobacco Use

• 22.3% of students had ever smoked cigarettes.
• 25.6% currently use any tobacco product.
• 6.8% currently smoke cigarettes.
• Additional highlights: Over 25% use any tobacco form, and 22.8% currently use other tobacco products.
• Findings show that 20.2% of never smokers are likely to initiate smoking next year.

Determinants of Tobacco Use

• Key areas assessed include secondhand smoke exposure, cessation, media and advertising, and school curriculum.
• These components are crucial for comprehensive tobacco control programs.

Knowledge and Attitudes

• Perceptions on smoking:
  • 42.4% believe smoke from others is harmful to them.
  • 39.7% support banning smoking in public places.
• Beliefs about smoking's effects:
  • 6.8% currently smoke cigarettes, with similar rates between boys and girls.
  • Misconceptions exist, such as 22.8% thinking smoking is attractive for both genders.
• Family influence: 16.4% have one or more parents who smoke.

Access and Availability

• High exposure to tobacco in daily life:
  • 42.0% usually smoke at home in others' presence.
  • SHS exposure in public: 39.7% think smoking should be banned in public places, and 45.5% are exposed to others smoking outside homes.

Cessation Behaviors

• Among current smokers (6.8%):
  • 71.8% want to stop smoking.
  • 65.6% attempted to quit in the past year.
  • 84.3% have received help to quit.

Media and Advertising

• Media exposure:
  • 75.8% were exposed to anti-smoking messages in the past 30 days.
  • 55.5% saw pro-cigarette ads on billboards; 57.5% on newspapers or magazines.
  • 18.6% had an object with a cigarette brand logo, and 14.0% were offered free cigarettes.
• Media influences include negative advertising with strong public health messages.

School-Based Factors

• Curriculum coverage:
  • 48.3% were taught about smoking dangers.
  • 33.4% discussed smoking reasons with peers.
  • 49.5% were taught about effects of tobacco use.

Key Highlights

• Over one-quarter of students (25.6%) currently use tobacco, with high smoking rates among peers.
• Low support for tobacco control in media and at home, but high cessation intent among smokers.