Summary:
Using their own questionnaire comprising 10 items the authors evaluated the
dependence of student volunteers from Brno secondary schools and schools for
apprentices (age 15 to 17 years) and compared anamnestic data with specific
(cotinine in urine) and non-specific (CO in expired air) biological tests of exposure
to smoking.
Of the 147 students examined 42 % were non-smokers, 25 % occasional smokers
and almost 33 % daily smokers. Almost 10 % children smoked more than 10
cigarettes per day, more than 20 % children reported that they smoked 60 or more
cigarettes per week.
According to score of dependence, prepared in advance, representing the sum of
points for each answer 59 % respondents (incl. all non-smokers) were included
among independent ones. The second most frequent sub-group were those "severely
dependent" (almost 17 % of the subjects), 3.4 % of the examined subjects were
included in the very severely dependent sub-group. Highly significant correlations were found between evaluation of the degree of
dependence according to anamnestic data and biological indicators of exposure
(cotinine/creatinine in urine and CO in expired air): the values of correlation
coefficients were 0.615 and 0.764. Both biological markers of exposure correlated
significantly inversely with the time since the last exposure to active as well as
passive smoking.
Individual items of the questionnaire on dependence were significantly positively
related to objective indicators of exposure. The closest correlation was found for
the question relating to the first cigarette in the morning with the highest
correlation coefficients, followed by signs evaluating the frequency of smoking
and the usual number of cigarettes smoked per day and per week. The loosest
relationships were found in signs testing at which occasions the young people
smoke most frequently and whether they have any symptoms after enforced
abstinence and what these symptoms are.
The authors confirmed that regularly smoking children aged 15-17 years inhale
the smoke and that they are internally exposed to nicotine. In this age group there
are alreadymanyof thosewhoare severely or very severelydependentonnicotine.
Therefore it is important to support "quit smoking " and treatment of nicotine
dependence by indicated recommendations regarding preparations of nicotine
substitution therapy.
Key words:
smoking - teenagers - dependence - test
|