RT Journal Article SR Electronic T1 Patterns of Tobacco use Among Spanish Secondary School Students JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1370 DO 10.1183/13993003.congress-2020.1370 VO 56 IS suppl 64 A1 Natalia Pascual Martinez A1 Silvia Martín Bote A1 María Melgar Herrero A1 Cristina Gómez Rebollo A1 Cristina Villalba Moral A1 Rafael Castro Jiménez YR 2020 UL http://erj.ersjournals.com/content/56/suppl_64/1370.abstract AB Objective: To analyze the prevalence and smoking pattern among high school students from different socioeconomic levels.Methods: Observational cross-sectional study in three schools with different economic levels in Cordoba province.A self-administered, anonymous and voluntary questionnaire was used. ANOVA,Chi-square and logistic regression were used.Results: 343 surveys were collected:218 concerted school(CS),45 public school(PubS) and 80 private school(PrS).Average age is 13-14 yrs with similar % of girls and boys. Adolescents who have ever tried tobacco is higher in PubS(37.7%)vs31.3%(PrS)vs20.6%(CS) p<0.001,age of onset in all centres:10 yrs.Current tobacco use:22.2%(PubS),8.7%(PrS),6%(CS)p<0.001.Students know e-cigarette(EC):93.6%(CS),100%(PubS),98.8%(PrS)p=0.047.Age of onset:12yrs(CS),14yrs(PubS and PrS).Current EC use:22.2%(PubS)vs12.5%(PrS)vs9.2%(CS)p=0.014.Perceived risk of EC less harmful than tobacco:79.5%(PubS),75.9%(PrS),25.2%(CS).Have ever smoked waterpipe:60%(PrS),48.9%(PubS),26.1%(CS).Current use (1-2/week):17.5%(PrS),11.1%(PubS),9.6%(CS). Perceived risk waterpipe more harmful than tobacco:45%(CS),7%(PubS),2.5%(PrS).Specific information (EC,pipe):32.6%(CS),26.7%(PubS),21.3%(PrS).Use of other substances:15.6%(PubS),10%(PrS),3.7%(CS).Risk factors (tobacco):waterpipe: HR27,772(95% CI 13,753-56,079)p<0.00,other substances:HR17,624(95% CI 5,810-53,546)p<0.001. Lower age is a protective factor for tobacco:HR 0.542 (95% CI 0.432-0.679) p<0.001 and waterpipe:HR 0.383 (95% CI 0.300-0.488)p<0.001.Conclusions: Concerted school has a lower prevalence of tobacco in all its forms. Shisha and other substances use are risk factors for tobacco smoking. Younger age is a protective factor for both, tobacco and waterpipe use.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 1370.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).