Youth working in tobacco farming: effects on smoking behavior and association with health status

摘要

Background: Cultivation of tobacco raises concerns about detrimental health and social consequences for youth,but tobacco producing countries only highlight economic benefits. We compared sociodemographic and healthrelatedcharacteristics of school-age youth who worked and did not work in tobacco farming and assessed theeffects on smoking behavior and health at 1 year.Methods: We used existing data collected in the province of Jujuy, Argentina where 3188 youth 13 to 17 years ofage from a random middle school sample responded to longitudinal questionnaires in 2005 and 2006. Multivariatelogistic regression models predicted association of tobacco farming work with health status and smoking behaviorat 1 year.Results: 22.8% of youth in the tobacco growing areas of the province were involved in tobacco farming. The meanage of initiation to tobacco farming was 12.6 years. Youth working in farming had higher rates of fair or poor versusgood or excellent self-perceived health (30.3% vs. 19.0%), having a serious injury (48.5% vs. 38.5%), being injuredaccidentally by someone else (7.5% vs. 4.6%), being assaulted (5.5% vs. 2.6%), and being poisoned by exposure tochemicals (2.5% vs. 0.7%). Youth working in tobacco farming also had higher prevalence of ever (67.9% vs. 55.2%),current (48.0% vs. 32.6%) and established smoking (17.8% vs. 9.9%). In multivariate logistic regression modelstobacco farming in 2005 was associated with significant increased reporting of serious injury (OR = 1.4; 95%CI 1.1–2.0), accidental injury by someone else (OR = 1.5; 95% 1.0–2.1), assault (OR = 2.2; 95% CI 1.3–3.8), and poisoning byexposure to chemicals (OR = 2.5; 95% CI 1.2–5.4). Tobacco farming in 2005 predicted established smoking 1 yearlater (OR = 1.5; 95% CI 1.1–2.0).Conclusion: Youth who work in tobacco faming face a challenging burden of adversities that increase theirvulnerability. Risk assessments should guide public policies to protect underage youth working in tobacco farming.(298 words).