Objectives: This study aims to measure trends in cigarette smoking among children and adolescents in Israel, focusing on school grade, sex, and ethnicity. We hypothesized that smoking would be higher among boys and Arab‐Israelis, rates would grow with age, and there would be a decline over time. Methods: Data were derived from the Health Behavior in School‐aged Children study between 1998 and 2015 in Israel. The total sample included 56,513 students in grades 6, 8, and 10, with 29,411 girls and 27,102 boys. Descriptive analysis described trends of smoking behavior according to grade, sex, ethnicity, family affluence, and year of study. multivariate logistic regression analysis examined predicting variables. Results: Smoking was higher among boys in all grades, ethnic groups, and years of study, with the highest frequencies among Arab‐Israelis. Trends over the years show a decline from 1998 to 2004, followed by an increase for both sexes. The increase was more prominent among girls. Logistic regression analysis revealed strong associations between smoking and grade, sex, ethnicity, and year of study. Conclusions: The results of this study can significantly enhance the development and implementation of smoking prevention and control programs among students in Israel.
|Journal||International Journal of Environmental Research and Public Health|
|State||Published - 2 Feb 2020|
Bibliographical noteFunding Information:
Funding: This research was funded by the Israeli Ministry of Health and the Israeli Ministry of Culture and Sports, both granted to the HBSC research team at the International research Program on Adolescent Well‐Being and Health, School of Education, Bar Ilan University, Israel.
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
- Cigarette smoking
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Health, Toxicology and Mutagenesis