{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T06:03:06Z","timestamp":1784268186094,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tobacco use is a leading cause of preventable disease and death worldwide. In Russia, despite tobacco\u2010control measures, adolescent tobacco use remains a significant public health concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the prevalence and predictors of tobacco use among adolescents aged 13\u201315 years in the Russian Federation using data from the Global Youth Tobacco Survey (GYTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present study was a cross\u2010sectional study based on secondary analysis of data from the 2021 Russian Federation GYTS. Descriptive statistics, bivariate analysis, and multivariable logistic regression were used to evaluate sociodemographic and attitudinal factors associated with adolescent tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The findings showed that the prevalence of adolescent tobacco use was 16.3% among 13\u2010year\u2010olds, to 21.4% among 14\u2010year\u2010olds, and 29.6% among 15\u2010year\u2010olds (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Male adolescents had a higher prevalence of tobacco use than females (22.7% vs. 20.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009). Tobacco use prevalence also increased by school level, reaching 29.0% among ninth\u2010grade students, compared with 17.2% and 20.7% among seventh\u2010 and eighth\u2010grade students, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Weekly spending was strongly associated with tobacco use, with prevalence rising to 36.0% among adolescents spending 1000 rubles or more per week. In multivariable analysis, adolescents spending 1000 rubles or more per week had over twice the odds of tobacco use (adjusted odds ratio [OR]: 2.03; 95% confidence interval [CI]: 1.75\u20132.46;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Positive tobacco use expectancies were also strongly associated with tobacco use, with adjusted ORs reaching 10.79 among adolescents who agreed that they might enjoy tobacco use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of this study highlight that adolescent tobacco use in Russia continues to be a significant public health issue, characterized by an increasing prevalence with age, an emergence of a relatively small sex difference in prevalence, and strong associations with socioeconomic factors and positive tobacco use expectancies.<\/jats:p>\n                  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UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8887-0739","authenticated-orcid":false,"given":"Mouhammed","family":"Sleiay","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hama University  Hama Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud M.","family":"Ali","sequence":"additional","affiliation":[{"name":"Nabaruh Health Administration Directorate of Health Affairs  Nabaruh, Dakahlia Governorate Egypt"},{"name":"Faculty of Pharmacy Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2013.01.009"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.26633\/RPSP.2022.139"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-01210-8"},{"key":"e_1_2_12_5_1","volume-title":"New WHO\/Europe Fact Sheets Reveal Mixed Progress on Tobacco Control in the European Region","author":"WHO","year":"2024"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.15690\/vramn1710"},{"key":"e_1_2_12_7_1","volume-title":"Global Youth Tobacco Survey","author":"WHO","year":"2024"},{"key":"e_1_2_12_8_1","unstructured":"RFFL Organization On Protecting the Health of Citizens From the Effects of Second Hand Tobacco Smoke and the Consequences of Tobacco Consumption Federal Law N 15\u2010FZ of February 23 (RFFL Organization 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