Multivariate Analysis of the Predicted Probability of Smoking Behavior of Foster Care Minors: Results of a Study from Romania

Corina Eugenia Budin, Anca Diana Maierean, Ioana Roxana Bordea, Iuliu Gabriel Cocuz, Liviu Sorin Enache, Elena Luminita Enache, Damiana Maria Vulturar, Ana Chis and Doina Adina Todea
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Corina Eugenia Budin: Department of Pathophysiology, University of Medicine, Pharmacy, Science and Technology Târgu Mureș, 540139 Targu Mures, Romania
Anca Diana Maierean: Department of Pneumology, University of Medicine and Pharmacy “Iuliu Hațieganu” Cluj Napoca, 400012 Cluj Napoca, Romania
Ioana Roxana Bordea: Department of Oral Rehabilitation, University of Medicine and Pharmacy “Iuliu Hațieganu” Cluj Napoca, 400012 Cluj Napoca, Romania
Iuliu Gabriel Cocuz: Department of Pathophysiology, University of Medicine, Pharmacy, Science and Technology Târgu Mureș, 540139 Targu Mures, Romania
Liviu Sorin Enache: Emergency Clinical Hospital Târgu Mureș, 540136 Targu Mures, Romania
Elena Luminita Enache: Dimitrie Cantemir University, 540545 Targu Mures, Romania
Damiana Maria Vulturar: Department of Pneumology, University of Medicine and Pharmacy “Iuliu Hațieganu” Cluj Napoca, 400012 Cluj Napoca, Romania
Ana Chis: Department of Pneumology, University of Medicine and Pharmacy “Iuliu Hațieganu” Cluj Napoca, 400012 Cluj Napoca, Romania
Doina Adina Todea: Department of Pneumology, University of Medicine and Pharmacy “Iuliu Hațieganu” Cluj Napoca, 400012 Cluj Napoca, Romania

IJERPH, 2022, vol. 19, issue 3, 1-13

Abstract: Background: There are a multitude of factors that influence smoking status, and minors from the social protection system are a vulnerable category in terms of smoking. Methods: The objective of this research was to assess the degree of smoking dependence and to identify potential predictors of smoking status in foster care teenagers. Smoker status was confirmed by dosing CO in the exhaled air, and the degree of dependence was assessed using the Fagerström score. We performed a multivariate logistic regression analysis. Results: From the 275 foster care minors, 22.5% were current smokers. Exhaled CO was not influenced by general demographic factors, was associated with the frequency of smoking, and was positively correlated with the estimated number of cigarettes consumed daily and with the Fagerström score. The calculated probability of being a smoker was less than 20.4% in 75% of nonsmokers, whereas 75% of actual smokers had a predicted probability higher than 30.3%. Conclusions: In addition to age, gender, social environment, previous exposure to secondhand smoking, and residential type of foster care system, the expressed opinions regarding the health effects of tobacco use were associated with smoking in foster care teenagers.

Keywords: tobacco use; smoking behavior; foster care minors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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