Current medical and social aspects of tobacco and nicotine-containing products consumption in adolescents

Abstract

Objective. To determine the trends in the structure and assess medical, social and clinical aspects of the consumption of tobacco and nicotine-containing products among adolescents aged 14–17.

Material and methods. During the study, 352 adolescents aged 14 to 18 years studying in urban (n = 202) and rural (n = 150) schools of Yaroslavl region were surveyed in 2020–2021. Statistical processing of the data was carried out using computer programs "Statistica" v.10.0.

Results. The survey of teenagers revealed a fairly high prevalence not only of active tobacco smoking (tried 37 %, actively smoked 30 % of adolescents), but also the use of "new" nicotine-containing products (vape, hookah, electronic cigarettes, snus, snuff) (tried 38 %, actively used 7 % of teenagers). The structure of active tobacco use and NRTI use was found to differ by the place of residence. Active tobacco use accounted for 46.7 % of rural adolescents and 19.8 % of urban residents (p < 0,01).

Conclusions. In modern adolescents, along with tobacco smoking, a negative trend has been detected to increase the use of nicotine-containing products, especially hookah. This substantiates the need to improve educational anti-nicotine programs, to introduce a system of regular regional monitoring of the prevalence of traditional and new nicotine-containing products use among children and adolescents in order to make quick and effective decisions.

Keywords

adolescents / prevalence of smoking / consumption of nicotine-containing products

References

[1] Baranov A.A., Kuchma V.R., Zvezdina I.V. Sojuz pediatrov Rossii. Smoking of children and adolescents: hygienic and medical-social problems and solutions. Moscow: Literra 2007; 213 (in Russian).

[2] Баранов А.А., Кучма В.Р., Звездина И.В. Союз педиатров России. Табакокурение детей и подростков: гигиенические и медико-социальные проблемы и пути решений. М.: Литера 2007: 213.

[3] Batozhargalova B.C., Mizernitskiy Yu.L. The problem of tobacco smoking of teenagers and the rationale for the role of antismoking programs in the prevention of respiratory pathology and rehabilitation of chronic lung diseases. Detskaja i podrostkovaja reabilitacija 2011; 2 (17): 52–60 (in Russian).

[4] Батожаргалова Б.Ц., Мизерницкий Ю.Л. Проблема табакокурения у подростков и обоснование роли антисмокинговых программ в профилактике респираторной патологии и реабилитации хронических заболеваний легких. Детская и подростковая реабилитация 2011; 2 (17): 52–60.

[5] The prevention of tobacco smoking in children and adolescents is a problem of our time. Pod red. N.A. Geppe, I.M. Osmanov, N.F. Gerasimenko. Moscow: MedKom-Pro 2021; 126 (in Russian).

[6] Профилактика табакокурения у детей и подростков – проблема современности. Под ред. Н.А. Геппе, И.М. Османова, Н.Ф. Герасименко. М.: МедКом-Про 2021; 126.

[7] Melnikova I.M., Dorovskaja N.L., Sedova A.P., Mizernitskiy Yu.L. Medical and social aspects of tobacco and nicotine-containing products consumption in adolescent environments. Vestnik KRSU 2021; 21 (9): 175–180 (in Russian).

[8] Мельникова И.М., Доровская Н.Л., Седова А.П., Мизерницкий Ю.Л. Медицинские и социальные аспекты потребления табака и никотинсодержащей продукции в подростковой среде. Вестник КРСУ 2021; 21 (9): 175–180.

[9] Kozhevnikova T.N., Geppe N.A., Osmanov I.M., Gerasimenko N.F., Mashukova N.G. et al. The problem of teenage tobacco smoking: yesterday, today, tomorrow. Pediatrics. Consilium Medicum 2021; 2: 101–108. (in Russian).

[10] Кожевникова Т.Н., Геппе Н.А., Османов И.М., Герасименко Н.Ф., Машукова Н.Г. и др. Проблема табакокурения подростков: вчера, сегодня, завтра. Педиатрия. Consilium Medicum 2021; 2: 101–108.

[11] Skachkova M.A., Nikitina O.V., Chajnikova I.N., Karpova E.G., Abubakirova A.V., Tarasenko N.F. Smoking as a risk factor for respiratory diseases in children and adolescents. Orenburgskij medicinskij vestnik. 2015; 2 (10): 35–38 (in Russian).

[12] Скачкова М.А., Никитина О.В., Чайникова И.Н., Карпова Е.Г., Абубакирова А.В., Тарасенко Н.Ф. Курение как фактор риска формирования заболеваний органов дыхания у детей и подростков. Оренбургский медицинский вестник 2015; 2 (10): 35–38.

[13] GBD 2019 Chewing Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet Public Health 2021; 6 (7): e482-e499.

[14] GBD 2019 Chewing Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet Public Health. 2021; 6 (7): e482–e499.

[15] Skvortsova E.S. The spread of and main motives for smoking among urban senior pupils in the Russian Federation in 2010–2011. Profilakticheskaya meditsina 2016; 19 (1): 44–50 (in Russian).

[16] Скворцова Е.С. Распространенность и основные мотивы курения среди городских старшеклассников в Российской Федерации в 2010–2011 гг. Профилактическая медицина 2016; 1: 44–50.

[17] Ermakova M.K., Ermakov G.I., Kapustina N.R., Matveeva L.P., Botnikova E.A., Guznishheva L.A. Prevalence of tobacco smoking among adolescents and adults of the Udmurt Republic. Pulmonologija 2010; 2: 46–48 (in Russian).

[18] Ермакова М.К., Ермаков Г.И., Капустина Н.Р., Матвеева Л.П., Ботникова Е.А., Гузнищева Л.А. Распространенность курения табака среди подростков и взрослого населения Удмуртской Республики. Пульмонология 2010; 2: 46–48.

[19] Kapustina N.R., Matveeva L.P. Smoking in the lifestyle of children and adolescents. Vjatskij medicinskij vestnik 2020; 1 (65): 81–83 (in Russian).

[20] Капустина Н.Р., Матвеева Л.П. Курение в образе жизни детей и подростков. Вятский медицинский вестник 2020; 1 (65): 81–83.

[21] Gambarian M.G., Drapkina O.M. Prevalence of tobacco consumption in Russia: dynamics and trends. Analysis of global and national survey results. Profilakticheskaya meditsina 2018; 21 (5): 45–62 (in Russian).

[22] Гамбарян М.Г., Драпкина О.М. Распространенность потребления табака в России: динамика и тенденции. Анализ результатов глобальных и национальных опросов. Профилактическая медицина 2018; 21 (5): 45–62.

[23] WHO Report on the global tobacco epidemic, 2017: monitoring tobacco use and prevention policies. World Health Organization 2017.

[24] Perevezencev E.A. The state of health and ways to optimize the medical provision of adolescents-students of vocational schools and technical schools of the agroindustrial district: avtoref. dis. … kand. med. nauk. Rjazan 2009; 25 (in Russian).

[25] Перевезенцев Е.А. Состояние здоровья и пути оптимизации медицинского обеспечения подростков-учащихся профессиональных училищ и техникумов агропромышленного района: автореф. дис. … канд. мед. наук. Рязань 2009; 25.

[26] Handy M.V., Nikiforova T.I., Chernogradskij A.I., Markova S.V. Prevalence of smoking among teenage children in the city of Yakutsk. Jakutskij medicinskij zhurnal 2019; 1 (65): 55–57 (in Russian).

[27] Ханды М.В., Никифорова Т.И., Черноградский А.И., Маркова С.В. Распространенность курения среди детей подросткового возраста города Якутска. Якутский медицинский журнал 2019; 1 (65): 55–57.

[28] Antonov N.S., Sakharova G.M., Donitova V.V., Kotov A.A., Berezhnova I.A., Latif E. Electronic cigarette: assessment of safety and risk for health. Pulmonologiya 2014; (3): 122–127 (in Russian).

[29] Антонов Н.С., Сахарова Г.М., Донитова В.В., Котов А.А., Бережнова И.А., Латиф Э. Электронные сигареты: оценка безопасности и рисков для здоровья. Пульмонология 2014; 3: 123–127.

[30] WHO report on the global tobacco epidemic 2021: addressing new and emerging products. 2021; 220.

[31] Krishnan-Sarin S., Jackson A., Morean M., Kong G., Bold K.W., Camenga D.R. et al. E-cigarette devices used by high-school youth. Drug. Alcohol. Depend. 2019; 194: 395–400.

[32] Krishnan-Sarin S., Jackson A., Morean M., Kong G., Bold K.W., Camenga D.R. et al. E-cigarette devices used by high-school youth. Drug. Alcohol Depend. 2019; 194: 395–400.

[33] Kazachkov M., Pirzada M. Diagnosis of EVALI in the COVID-19 era. The Lancet Respiratory Medicine 2020; 8 (12): 1169–1170.

[34] Kligerman S., Raptis C., Larsen B., Henry T.S., Caporale A., Tazelaar H. et al. Radiologic, Pathologic, Clinical, and Physiologic Findings of Electronic Cigarette or Vaping Product Use-associated Lung Injury (EVALI): Evolving Knowledge and Remaining Questions. Radiology 2020; 294 (3): 491–505.

[35] Blount B.C., Karwowski M.P., Shields P.G., Morel-Espinosa M., Valentin-Blasini L., Gardner M. et al. & Lung Injury Response Laboratory Working Group. Vitamin E Acetate in Bronchoalveolar-Lavage Fluid Associated with EVALI. N. Engl. J. Med 2020; 382 (8): 697–705.

[36] Blount B.C., Karwowski M.P., Shields P.G., Morel-Espinosa M., Valentin-Blasini L., Gardner M. et al. & Lung Injury Response Laboratory Working Group. Vitamin E Acetate in Bronchoalveolar-Lavage Fluid Associated with EVALI. N Engl J Med. 2020; 382 (8): 697–705.

[37] Medvedeva L.V., Mizernitskiy Yu.L., Zhakov Ya.I., Teplova S.N. Passive smoking as a factor in the ecology of the home and its effect on secretory immunity in children with bronchial asthma. Pulmonologija detskogo vozrasta: problemy i reshenija 2006; 6: 98 (in Russian).

[38] Медведева Л.В., Мизерницкий Ю.Л., Жаков Я.И., Теплова С.Н. Пассивное курение как фактор экологии жилища и его влияние на секреторный иммунитет у детей, больных бронхиальной астмой. Пульмонология детского возраста: проблемы и решения 2006; 6: 98.

[39] Melnikova I.M., Udaltsova E.V., Mizernitskiy Yu.L. Algorithms for differential diagnosis of diseases accompanied by protracted and chronic cough in children. Pediatrics named after G.N. Speransky 2018; 97 (2): 8–18 (in Russian).

[40] Мельникова И.М., Удальцова Е.В., Мизерницкий Ю.Л. Алгоритмы дифференциальной диагностики заболеваний, сопровождающихся затяжным и хроническим кашлем у детей. Педиатрия. Журнал имени Г.Н. Сперанского 2018; 97 (2): 8–18.

[41] Nikiforova T.I. Prevalence of tobacco smoking and its effect on the functional state of the respiratory tract epithelium in children in the Republic of Sakha (Yakutia): avtoref. dis. … kand. med. nauk. Moscow 2020; 24 (in Russian).

[42] Никифорова Т.И. Распространенность табакокурения и его влияние на функциональное состояние эпителия респираторного тракта у детей в Республике Саха (Якутия): автореф. дис. … канд. мед. наук. М. 2020; 24.

[43] Peredelskaja M.Yu. Effects of tobacco smoking on the incidence and course of chronic bronchitis: avtoref. dis. … kand. med. nauk. Moscow 2021; 26 (in Russian).

[44] Передельская М.Ю. Влияние табакокурения на заболеваемость и течение хронического бронхита: автореф. дис. … канд. мед. наук. М., 2021; 26.

[45] Gaiha S.M., Cheng J., Halpern-Felsher B. Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19. J. Adolesc. Health 2020; 67 (4): 519–523.

[46] Gaiha S.M., Cheng J., Halpern-Felsher B. Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19. J Adolesc Health. 2020; 67 (4): 519–523.

RIGHTS & PERMISSIONS

Melnikova I.M., Dorovskaya N.L., Dmitrieva A.P., Mizernitskiy Y.L.