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 health-related characteristics of school-age youth who worked and did not work in tobacco farming and assessed the effects 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 of age from a random middle school sample responded to longitudinal questionnaires in 2005 and 2006. Multivariate logistic regression models predicted association of tobacco farming work with health status and smoking behavior at 1 year. RESULTS 22.8% of youth in the tobacco growing areas of the province were involved in tobacco farming. The mean age of initiation to tobacco farming was 12.6 years. Youth working in farming had higher rates of fair or poor versus good or excellent self-perceived health (30.3% vs. 19.0%), having a serious injury (48.5% vs. 38.5%), being injured accidentally by someone else (7.5% vs. 4.6%), being assaulted (5.5% vs. 2.6%), and being poisoned by exposure to chemicals (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 models tobacco 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 by exposure to chemicals (OR = 2.5; 95% CI 1.2-5.4). Tobacco farming in 2005 predicted established smoking 1 year later (OR = 1.5; 95% CI 1.1-2.0). CONCLUSION Youth who work in tobacco faming face a challenging burden of adversities that increase their vulnerability. Risk assessments should guide public policies to protect underage youth working in tobacco farming. (298 words).

中文翻译：

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从事烟草种植的青年：对吸烟行为的影响及其与健康状况的关联。


背景技术烟草种植引起了人们对对青少年有害健康和社会后果的担忧，但烟草生产国只强调经济利益。我们比较了在烟草种植业工作和未工作的学龄青年的社会人口特征和健康相关特征，并评估了一年后对吸烟行为和健康的影响。方法 我们使用了在阿根廷胡胡伊省收集的现有数据，该省随机抽取了 3188 名 13 至 17 岁的中学样本，对 2005 年和 2006 年的纵向问卷进行了答复。多元逻辑回归模型预测了烟草种植工作与健康状况的关联以及 1 岁时的吸烟行为。结果 全省烟区22.8%的青年从事烟草种植。开始种植烟草的平均年龄为 12.6 岁。从事农业工作的青年自我感觉健康状况一般或较差的比例高于良好或优秀的比例（30.3% vs. 19.0%），遭受严重伤害的比例较高（48.5% vs. 38.5%），被他人意外伤害的比例较高（7.5%）因接触化学物质而中毒（2.5% vs. 0.7%）、被袭击（5.5% vs. 2.6%）。从事烟草种植的青年人曾经吸烟（67.9% vs. 55.2%）、当前吸烟（48.0% vs. 32.6%）和长期吸烟（17.8% vs. 9.9%）的患病率也较高。在多变量逻辑回归模型中，2005 年烟草种植与严重伤害（OR = 1.4；95% CI 1.1-2.0）、他人意外伤害（OR = 1.5；95% 1.0-2.1）、袭击（OR = 1.4；95% CI 1.1-2.0）、袭击（ OR = 2.2；95% CI 1.3-3.8），以及接触化学品中毒（OR = 2.5；95% CI 1.2-5.4）。 2005 年的烟草种植预测了一年后吸烟的情况（OR = 1.5；95% CI 1.1-2.0）。 结论 从事烟草种植的青年面临着逆境的挑战性负担，这增加了他们的脆弱性。风险评估应指导公共政策，以保护从事烟草种植的未成年人。 （298字）。