نقشه‌سازی مصرف سیگار در ایران با استفاده از سیستم اطلاعات جغرافیایی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس‌ارشد، مرکز تحقیقات آلاینده‌های محیطی، دانشگاه علوم پزشکی قم، قم، ایران.

2 کارشناس‌ارشد، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی قم، قم، ایران.

3 کارشناس‌ارشد، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

4 کارشناس‌ارشد، مرکز بهداشت استان قم، دانشگاه علوم پزشکی قم، قم، ایران.

چکیده

اهداف این مطالعه با هدف تعیین توزیع مکانی (کشوری) مصرف سیگار در ایران با استفاده از سیستم اطلاعات جغرافیایی طراحی و اجرا شد.
مواد و روش ها پژوهش حاضر مطالعه‌ای توصیفی‌مقطعی است. در این پژوهش ابتدا داده‌های کشوری طرح ارزیابی عوامل خطر بیماری‌های غیرواگیر کشوری از مرکز مدیریت بیماری‌ها گرفته و میزان بروز کشوری مصرف سیگار محاسبه شد. ابزار جمع‌آوری اطلاعات پرسش‌نامه استاندارد وزارت‌خانه بود. سپس داده‌ها در نرم‌افزار اکسل وارد و در بانک اطلاعاتی مکان‌مرجع در نرم‌افزار ArcGIS پردازش شد. تجزیه‌وتحلیل داده‌ها با استفاده از آمار توصیفی انجام شد.
یافته ها میزان شیوع کشوری مصرف سیگار در کشور 82/10درصد بود. شیوع مصرف سیگار در مردان ایرانی 39/20درصد و در زنان 02/1درصد بود. متوسط سن شروع مصرف سیگار 57/3±13/20 سال و متوسط سال‌های مصرف سیگار 23/2± 82/13 سال بود. مصرف سیگار در بسیاری از استان‌ها ازجمله تهران، آذربایجان‌غربی، اردبیل و چهارمحال‌و‌بختیاری بیشتر از میانگین کشوری بود.
نتیجه گیری استان‌های تهران، آذربایجان‌غربی، اردبیل و چهارمحال‌وبختیاری بیشتر از دیگر مناطق کشور درمعرض خطرات ناشی از مصرف سیگار هستند.

کلیدواژه‌ها


عنوان مقاله [English]

Mapping of Cigarette Smoking in Iran by Using Geographic Information System

نویسندگان [English]

  • Nahid Jesri 1
  • Abedin Saghafipour 2
  • Fatemeh Rezaei 3
  • Moharram Karami Jooshin 4
1 MSc., Research Center for Environmental Pollutants, Qom University of Medical Sciences and Health Services, Qom, Iran.
2 MSc., Department of Public Health, School of Health, Qom University of Medical Sciences and Health Services, Qom, Iran.
3 MSc., Department of Community Medicine, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
4 MSc., Health Center of Qom Province, Qom University of Medical Sciences and Health Services, Qom, Iran.
چکیده [English]

Background This study aimed to assess the geographical distribution of smoking which is a risk factor for non-communicable diseases such as cancer, cardiovascular disease, and respiratory disorders in Iran. In this regard, mapping of cigarette smoking was designed and implemented using Geographic Information System.
Materials & Methods This is a cross-sectional study. Initially, the national data from risk factors for non-communicable diseases screening program were collected from the Iranian Non-communicable Disease Control Center. Then, the incidence of cigarette smoking in each province was calculated. These data have been prepared by the Health Ministry. In the next step, the data were analyzed using descriptive statistics. Then, these data were arranged in a geo-referenced database in the ArcGIS software. The map of distribution of cigarette smoking was drawn by ArcGIS version 9.3.
Results The incidence of cigarette smoking in Iran has been estimated as 10.82%. More than 20% of Iranian men currently smoke tobacco on a daily basis and this percentage among Iranian women is 1.02%. The average start age of smoking is at the age of 20.13 years. The average smoking years was 13.82 years. Cigarette smoking in many provinces, such as Tehran, West Azerbaijan, Ardebil, as well as Chaharmahal and Bakhtiari, were higher than the national average.
Conclusion People in the provinces of Tehran, West Azerbaijan, Ardebil, as well as Chaharmahal and Bakhtiari, are more exposed to the danger of cigarette smoking than the people in the other provinces.

کلیدواژه‌ها [English]

  • Mapping
  • GIS
  • Cigarette smoking
  • Iran
Simons LA, Simons J, McCallum J, Friedlander Y. Impact of smoking, diabetes and hypertension on survival time in the elderly: the Dubbo Study. Medical Journal of Australia. 2005; 182(5):219-22. PMID: 15748131
Kandel I, Merrick J. Smoking and adolescence. International Journal of Adolescent Medicine and Health. 2003; 15(4):365-68. doi: 10.1515/ijamh.2003.15.4.365
Bergman MM, Scott J. Young adolescents’ wellbeing and health-risk behaviours: gender and socio-economic differences. Journal of Adolescence. 2001; 24(2):183-97. doi: 10.1006/jado.2001.0378
Bjarnason T, Davidaviciene AG, Miller P, Nociar A, Pavlakis A, Stergar E. Family structure and adolescent cigarette smoking in eleven European countries. Addiction. 2003; 98(6):815-24. doi: 10.1046/j.1360-0443.2003.00395.x
Gage AJ, Suzuki C. Risk factors for alcohol use among male adolescents and emerging adults in Haiti. Journal of Adolescence. 2006; 29(2):241-60. doi: 10.1016/j.adolescence.2005.05.001
Wannamethee SG, Shaper AG, Perry IJ. Smoking as a modifiable risk factor for type 2 diabetes in middle-aged men. Diabetes Care. 2001; 24(9):1590-595. doi: 10.2337/diacare.24.9.1590
Abolghasemi A, Mahmoodi H, Soleimani E. [The role of attachment styles and defense mechanisms in discriminating cigarette smoker students from non-smokers (Persian)]. Journal of Sabzevar University of Medical Sciences. 2009; 16(3):134-41.
Smith SC, Greenland P, Grundy SM. Prevention conference V: Beyond secondary prevention: Identifying the high-risk patient for primary prevention: executive summary. American Heart Association. Circulation 2000; 101(1):111-16. doi: 10.1161/01.CIR.101.1.111
Osooli M, Haghdoost A, Yarahmadi S, Foruzanfar M, Dini M, Holakouie Naieni K. [Spatial Distribution of Congenital Hypothyroidism in Iran using Geographic Information System (Persian)]. Iranian Journal of Epidemiology. 2009; 5(1):1-8.
Khoshdel A, Noori Fard M, Pezeshkan R, Salahi-Moghaddam A. [Mapping the Important Communicable Diseases of Iran (Persian)]. Journal of Health & Development. 2012; 1(1):31-46.
Karimi A, Hanafi-Bojd AA, Yaghoobi-Ershadi MR. Spatial and temporal distributions of phlebotomine sand flies (Diptera: Psychodidae), vectors of leishmaniasis, in Iran. Acta Tropica. 2014; 132:131–39. doi: 10.1016/j.actatropica.2014.01.004
Halimi M, Delavari M, Takhtardeshir A. [Survey of climatic condition of Malaria disease outbreak in Iran using GIS (Persian)]. Journal of School of Public Health and Institute of Public Health Research. 2012; 10(3):41-52.
Haghdoost AA, Kawaguchi L, Mirzazadeh A. Using GIS in Explaining Spatial Distribution of Brucellosis in an Endemic District in Iran. Iranian Journal of Public Health. 2007; 36(1):27-34.
Xavier SC, Vaz VC, D'Andrea PS, Herrera L, Emperaire L, Alves JR, et al. Mapping of the distribution of Trypanosoma cruzi infection among small wild mammals in a conservation unit and its surroundings (Northeast-Brazil). Parasitology International. 2007; 56(2):119-28. doi: 10.1016/j.parint.2007.01.003
Elnaiem DEA, Schorscher J, Bendall A, et al. Risk mapping of visceral leishmaniasis: the role of local variation in rainfall and altitude on the presence and incidence of Kala-Azar in eastern Sudan. American Journal of Tropical Medicine and Hygiene. 2003; 68(1):10-17. PMID: 12556141
Daniel M, Kolar J, Zeman K. GIS tools for tick and tick-borne disease occurrence. Parasitology. 2004; 129(7):329-352. doi: 10.1017/s0031182004006080
Sedaghat MM, Salahimoghaddam AR. [Mapping the distribution of the Important Rodents reservoir in Iran (Persian)]. Annals of Military and Health Sciences Research. 2010; 8:210-23.
Elliott SJ, Eyles J, DeLuca P. Mapping health in the Great Lakes areas of concern: a user-friendly tool for policy and decision makers. Environmental Health Perspectives. 2001; 109:817-26. doi: 10.2307/3454644
Chandrashekhar T, Sreeramareddy, Pranil Man Singh Pradhan, Imtiyaz Ali Mir, Shwe Sin. Smoking and smokeless tobacco use in nine South and Southeast Asian countries: prevalence estimates and social determinants from demographic and health surveys. Population Health Metrics. 2014; 12(22):1-16. doi: 10.1186/s12963-014-0022-0
Centers for Disease Control and Prevention. Behavioral risk factor surveillance system prevalence and trends data, 2012. Atlanta: National Center for Chronic Disease Prevention and Health Promotio; 2013.
Zhang H, Cai B. The impact of tobacco on lung health in China. Respirology. 2003; 8(1):17-21. doi: 10.1046/j.1440-1843.2003.00433.x
Tramacere I, Gallus S, Pacifici R, Zuccaro P, Colombo P, La VC. Smoking in young and adult population, Italy, 2009. Tumori. 2011; 97(4):423-27.
Salahi-Moghaddam A. [Mapping Epidemiologically Important Reservoirs of Snail Transmitted Parasites in Iran (Persian)]. Annals of Military and Health Sciences Research. 2010; 8(2):138-47.