title: Tobacco Use and its Relationship with Health Complaints Among Employees of Kermanshah Province, Iran.
abstract: BACKGROUND
  Identifying the pattern of tobacco use and its related factors in employees is crucial. This study aimed to investigate the pattern of tobacco use and its related factors in employees of Kermanshah Province, Iran.
  
  
  METHODS
  In 2012, 7129 employees were investigated in a cross-sectional study using the census method. Data on tobacco use and on several chronic diseases obtained using a standardized questionnaire on noncommunicable diseases risk factors of the World Health Organization through face-to-face interviews. Statistical analysis was performed based on the Chi-square test and multivariate logistic regression.
  
  
  RESULTS
  In general, the prevalence of tobacco use, smoking cigarettes, and smoking waterpipe was 9.9%, 8.9%, and 1.2% among the employees, respectively. Tobacco use was significantly higher in the age group over 40 (14.0%), in male gender (13.3%), in married individuals (10.8%) and in those with diploma and lower degree (16.4%), (P < 0.001). At the individual level, the odds ratio of tobacco use was 1.5 (95% confidence interval [CI]: 1.2-1.8) in hypertensive, 1.8 (95% CI: 1.2-2.6) in diabetic employees and 1.7 (95% CI: 1.3-2.3) in those with heart diseases, compared to healthy individuals. After adjusting for age, gender, marital status and educational level, there was not any significant relationship between tobacco use and health complaints and only the demographic variables remained significant.
  
  
  CONCLUSIONS
  Preventive public health policies are mandatory especially in younger ages and male employees to promote their knowledge on disadvantages of tobacco use.
authors.affiliation: Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Nahid
authors.initials: N
authors.lastname: Khademi
authors.affiliation: Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Mehran
authors.initials: M
authors.lastname: Babanejad
authors.affiliation: Kermanshah Health Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Farid
authors.initials: F
authors.lastname: Najafi
authors.affiliation: Department of Pharmacology, Faculty of Pharmacy, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Nikbakht
authors.affiliation: Centers for Disease Control and Prevention (CDC), Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Behrooz
authors.initials: B
authors.lastname: Hamzeh
authors.affiliation: Centers for Disease Control and Prevention (CDC), Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Mohammadi
keywords: Cigarette; diabetes; employee; heart diseases; hypertension; tobacco; water-pipe