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Volume 17
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10.3390/ijerph17041354
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Article

Trends in Tobacco Use among Children and Adolescents in Israel, 1998–2015

by
Riki Tesler
1,*,†,
Tanya Kolobov
2,†,
Liat Korn
1,
Kerem Shuval
3,
Diane Levin-Zamir
3,4,
Adilson Marques
5 and
Yossi Harel Fisch
2
1
The Department of Health Systems Management, Ariel University, Ariel 4076405, Israel
2
School of Education, Bar Ilan University, Ramat Gan 5290002, Israel
3
School of Public Health, University of Haifa, Haifa 3498838, Israel
4
Department of Health Education and Promotion, Clalit Health Services, 101 Arlozorov St. Tel Aviv 62098, Israel
5
Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1499-002 Cruz Quebrada, Dafundo, Portugal
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(4), 1354; https://doi.org/10.3390/ijerph17041354
Submission received: 14 December 2019 / Revised: 7 February 2020 / Accepted: 18 February 2020 / Published: 20 February 2020
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Abstract

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.
Keywords: cigarette smoking; grade; sex; ethnicity; adolescence; trends cigarette smoking; grade; sex; ethnicity; adolescence; trends

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MDPI and ACS Style

Tesler, R.; Kolobov, T.; Korn, L.; Shuval, K.; Levin-Zamir, D.; Marques, A.; Harel Fisch, Y. Trends in Tobacco Use among Children and Adolescents in Israel, 1998–2015. Int. J. Environ. Res. Public Health 2020, 17, 1354. https://doi.org/10.3390/ijerph17041354

AMA Style

Tesler R, Kolobov T, Korn L, Shuval K, Levin-Zamir D, Marques A, Harel Fisch Y. Trends in Tobacco Use among Children and Adolescents in Israel, 1998–2015. International Journal of Environmental Research and Public Health. 2020; 17(4):1354. https://doi.org/10.3390/ijerph17041354

Chicago/Turabian Style

Tesler, Riki, Tanya Kolobov, Liat Korn, Kerem Shuval, Diane Levin-Zamir, Adilson Marques, and Yossi Harel Fisch. 2020. "Trends in Tobacco Use among Children and Adolescents in Israel, 1998–2015" International Journal of Environmental Research and Public Health 17, no. 4: 1354. https://doi.org/10.3390/ijerph17041354

APA Style

Tesler, R., Kolobov, T., Korn, L., Shuval, K., Levin-Zamir, D., Marques, A., & Harel Fisch, Y. (2020). Trends in Tobacco Use among Children and Adolescents in Israel, 1998–2015. International Journal of Environmental Research and Public Health, 17(4), 1354. https://doi.org/10.3390/ijerph17041354

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