177823 Correlates of cigarette smoking among juvenile inmates in Taiwan

Monday, October 27, 2008

Eugene Yu-Chang Peng, MD, MS , Department of Community Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
Shu-Yu Lyu, MPH, PhD , School of Public Health, Taipei Medical University, Taipei, Taiwan
Donald E. Morisky, ScD, MSPH, ScM , Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA
Po-Tswen Yu, MS , Health Education Center, Bureau of Health Promotion, Department of Health, the Executive Yuan, Hsinchuang City, Taipei County, Taiwan
Ya-Ling Weng, RN, MS , Public Relationships, Taipei Medical University Hospital, Taipei, Taiwan
Objective: This study examined the correlates of cigarette smoking among juvenile inmates. Method: Data were collected through a census survey for juvenile inmates in the correctional institutions anonymously using a self-administered questionnaire in group settings, and the survey was directed by our interviewers in 2007. A total of 1,363 juvenile inmates were recruited in the survey and the response rate was 90.6%. Results: Roughly 87.9% of the subjects had initiated a smoking habit before this imprisonment, and 78.0% of the subjects had by then smoked over 100 cigarettes. The first three leading reasons of their initial smoking experience were curiosity (53.8%), stress reduction (14.5%), and peer influence (13.5%). The prevalence of ever used illicit drugs was 42.2%. Among these, 93.3% had a smoking habit before initiating illicit drug use. The mean age of smoking initiation (12.9±2.03) was about 1.5 years earlier than the mean age of illegal drug use behavior (14.4±1.7). About 40.2% of the subjects agreed with the statement that “smoking is the gateway drug of illicit drug use.” Multiple logistic regression analyses revealed that male (OR=2.31, 95%CI=1.32-4.04), those having a drinking habit (OR=14.21, 95%CI=8.36-24.16), those with all or most significant others were smokers (OR=4.43, 95%CI=2.36-8.31), and those with some significant others were smokers (OR=2.79, 95%CI=1.46-5.30) were more likely to smoke compared to their counterparts, after controlling for subjects' age, level of education, and having exercise habits. Conclusions: Cigarette smoking is associated with illicit drug use behaviors among juvenile inmates.

Learning Objectives:
1.Recognize the prevalence rate of substance use among juvenile incarcerated population. 2.Identify the correlates of cigarette smoking among juvenile incarcerated population. 3.Discuss tobacco control strategies for juvenile incarcerated population. 4.Explore risky behaviors and health education needs among juvenile incarcerated population.

Keywords: Tobacco Control, Adolescents, International

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-principal investigator of this research project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.