Introduction: Smoking is considered the key preventable risk factor for morbidity and mortality at the global level. The aim of this study were to determine the prevalence of tobacco user and factors associated with tobacco use among the higher secondary students in selected schools in Lalitpur district. Methods: A cross-sectional study was conducted with 318 students in selected higher secondary schools of Lalitpur district. A standard, self-administered questionnaire adopted from Global Youth Tobacco Survey (GYTS) consisting of questions on socio-demographic variables, tobacco smoking status, family and peer tobacco smoking was administered to participants. Students of class 11 and 12 were included in the study and they were selected by stratified random sampling method. Data were analyzed using binary logistic regression analysis. Results: The overall prevalence of tobacco smoking was 17.9%, where males smoked at higher rates than females (13.5% and 4.4%, respectively). One fourth of the monthly pocket money was seem to spend on tobacco use (monthly pocket money: 2000 and expenditure on tobacco: 500) Logistic regression analysis showed that tobacco use was associated with age, class, gender, pocket money and alcohol use of the students. Conclusion: The current tobacco smoking prevalence among higher secondary students was 17.9%. The control of using tobacco products in school students needs to be prioritized. This study help focus on the need of school health nurse for counseling and support for the students who are in need or search for help to give up the tobacco use and for other physical and psychological help.
prevalence, smoking, students, tobacco use.
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