Determinants of daily smoking in Turkish young adults in the Netherlands.
BACKGROUND
As little is known about the determinants of smoking in large ethnic minorities in the Netherlands and other Western European countries, we studied the determinants of smoking young adult offspring of Turkish migrants to the Netherlands.


METHODS
Cross-sectional survey of 439 Turkish adults (18-28 y) in 2003. Smokers were compared with never smokers for five groups of determinants: demographic and socioeconomic factors, behavioral and emotional problems, psychosocial factors, and cultural factors. Associations were measured by prevalence rate ratios.


RESULTS
Prevalences for men were 51% for daily smoking, 12% for former smoking, and 38% for never smoking. For women they were 44%, 11%, and 47%, respectively. Without adjustment for other determinants, higher prevalence was associated with: emotional problems, boredom, life events, and being male; and, specifically among women, with low self-esteem and having children. The strongest determinants of daily smoking In multivariate models were alcohol use and demographic and socio-economic factors. Of the cultural factors only strong Muslim identification was associated with lower smoking prevalence.


CONCLUSIONS
The high prevalence of smoking warrants action. Many of the well-known determinants of smoking in Western countries were also important among young adults from ethnic minorities. Women with children and people of a low educational level deserve special attention.
van Oort
Floor V A
FV
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands. f.vanoort@erasmusmc.nl
van der Ende
Jan
J
Crijnen
Alfons A M
AA
Verhulst
Frank C
FC
Mackenbach
Johan P
JP
Joung
Inez M A
IM
D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms; D001887:Boredom; D016022:Case-Control Studies; D004522:Educational Status; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007514:Islam / Q000523:psychology; D008016:Life Change Events; D008297:Male; D008913:Minority Groups / Q000523:psychology* / Q000706:statistics & numerical data; D009426:Netherlands / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012649:Self Concept; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology / Q000208:ethnology*; D014421:Turkey / Q000208:ethnology