Current Tobacco Smoking and Desire to Quit Smoking Among Students Aged 13–15 Years — Global Youth Tobacco Survey, 61 Countries, 2012–2015

Arrazola, René A.; Ahluwalia, Indu B.; Pun, Eugene; Quevedo, Isabel Garcia de; Babb, Stephen; Armour, Brian S.

doi:10.15585/mmwr.mm6620a3

Cited by 57 publications

(46 citation statements)

References 2 publications

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“…The highest prevalence was reported in Timor-Leste (35.0%), followed by Bulgaria (27.4%) and Lithuania (26.4%). Of the South-East Asian countries, the highest was reported in Timor-Leste (35.0%) followed by Indonesia (19.4%) and Bhutan (16.6%) [8].…”

Section: Prevalence Of Alcohol Smoking Smokeless Tobacco Andmentioning

confidence: 97%

Smoking, Alcohol Consumption, and Illegal Substance Abuse among Adolescents in Sri Lanka: Results from Sri Lankan Global School-Based Health Survey 2016

Senanayake¹,

Gunawardena

Kumbukage

et al. 2018

Advances in Public Health

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Background. Adolescence is defined by the World Health Organization (WHO) as “the transition period from childhood to adulthood”. Increases in autonomy during this period, willingness to experiment, and peer influence create an environment of taking high-risk decisions influencing adolescent health, such as substance abuse and smoking. The current study was conducted to estimate the prevalence of smoking, alcohol consumption, and illegal substance abuse and their determinants on in-school adolescents using data from the Global School-based Student Health Survey, Sri Lanka in 2016. Methods. A cross-sectional survey was conducted among 3,650 students using a self-administered questionnaire in government schools. Weighted prevalence was calculated, and logistic regression analysis was conducted to determine the correlates. Results. The prevalence of current alcohol, smoking, smokeless tobacco consumption, and substance abuse, 30 days before the survey, was 3.4% (95% CI 2.6 - 4.3), 3.6% (95% CI 2.5-5.0), 2.3% (95% CI 1.5-3.7), and 2.7% (95% CI - 1.7-4.2%). Male sex and involvement in physical fighting were independently associated with increased risk in all four substance categories assessed. Multivariate analysis using multiple logistic regression revealed that only the male sex and involvement in physical fighting were correlates for four substance categories assessed when confounding effects of other variables were accounted for. Being in the 16-17 age category, parents’ tobacco use and seeing actors consuming alcohol on TV increased the risk of alcohol consumption, smoking, and smokeless tobacco. Having ever attempted suicide was positively associated with increased risk for alcohol consumption, smoking, and illegal substance abuse. Conclusion. Alcohol use, smoking, smokeless tobacco use, and illegal substance abuse by students remain a concern in Sri Lanka and implementing life skills-based interventions at schools is recommended.

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Section: Prevalence Of Alcohol Smoking Smokeless Tobacco Andmentioning

confidence: 97%

Smoking, Alcohol Consumption, and Illegal Substance Abuse among Adolescents in Sri Lanka: Results from Sri Lankan Global School-Based Health Survey 2016

Senanayake¹,

Gunawardena

Kumbukage

et al. 2018

Advances in Public Health

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“…Although adolescents are generally healthy, up to 70% of premature adult deaths reflect behaviours started or reinforced during adolescence [20]. Worldwide, over 10% of young people smoke [21], 81% of adolescents have insufficient physical activity; and 11.7% of adolescents partake in heavy episodic drinking [3,22]. This is further shaped by the social and commercial determinants of health which influence health-related behaviours.…”

Section: Ncd Prevention In Adolescentsmentioning

confidence: 99%

Missed opportunities for NCD multimorbidity prevention in adolescents and youth living with HIV in urban South Africa

Kamkuemah

Gausi

Oni

2020

Preprint

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Background: Epidemiological transition in high HIV-burden settings is resulting in a rise in HIV/NCD multimorbidity. The majority of NCD risk behaviours start during adolescence, making this an important target group for NCD prevention and multimorbidity prevention in adolescents with a chronic condition such as HIV. However, there is data paucity on NCD risk and prevention in adolescents with HIV in high HIV-burden settings. The aim of this study was to investigate the extent to which NCD comorbidity (prevention, diagnosis, and management) is incorporated within existing adolescent HIV primary healthcare services in Cape Town, South Africa. Methods: We reviewed medical records of 491 adolescents and youth living with HIV (AYLHIV) aged 10- 24 years across nine primary care facilities in Cape Town from November 2018- March 2019. Folders were systematically sampled from a master list of all AYLHIV per facility and information on HIV management and care, NCDs, NCD risk and NCD-related health promotion extracted. Results: The median age was 20 years (IQR: 14- 23); median age at ART initiation 18 years (IQR: 6 –21) and median duration on ART 3 years (IQR: 1.1 –8.9). Fifty five percent of participants had a documented comorbidity, of which 11% had an NCD diagnosis with chronic respiratory diseases (60%) and mental disorders (37%) most common. Of those with documented anthropometrics (62%), 48% were overweight or obese. Fifty nine percent of participants had a documented blood pressure, of which 27% were abnormal. Twenty-six percent had a documented health promoting intervention, 42% of which were NCD-related; ranging from alcohol or substance abuse (13%); smoking (9%); healthy weight or diet (9%) and mental health counselling (10%). Conclusions: Our study demonstrates limited NCD screening and health promotion in AYLHIV accessing healthcare services. Where documented, our data demonstrates existing NCD co-morbidity and NCD risk factors highlighting a missed opportunity for multimorbidity prevention through NCD screening and health promotion. Addressing this missed opportunity requires an integrated health system and intersectoral action on upstream NCD determinants to turn the tide on the rising NCD and multimorbidity epidemic.

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“…Comparison of data from this study with neighbouring countries, indicates a lower prevalence of active smokers among young male adolescents aged 13-15 years, in places such as Vietnam (15.4%) (Giang et al, 2016) and Malaysia (27.9%) (Lim et al, 2017). Comparison of the prevalence of current smoking among 13 to 15-year-old boys in 61 countries, using GYTS, reveals a figure of 20.7% in Thailand, 20.5% in the Philippines and 6.3% in Vietnam (Arrazola et al, 2017).…”

Section: Strengths and Weaknesses Of The Study Discussing Important mentioning

confidence: 99%

Smoking Among Adolescent Males at Pulau Weh, Indonesia

Skulberg

Hamid²,

Vaktskjold

2019

PHI

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Background: Use of tobacco may cause severe diseases like cardiovascular diseases and lung cancer. Smoking is a major threat to public health in many low- and middle-income countries.Objective: The aim of this study is to assess the prevalence of smoking among boys in the age group 13-15 years at Pulau Weh in Indonesia, and identify factors associated with smoking.Methods: A cross-sectional study was conducted of 291 male students, aged 13-15 years, in three participating secondary schools. A modified version of the Global Youth Tobacco Survey questionnaire was used to collect data. The association between active smoking within the previous 30 days, and social and demographic factors was analysed by multiple logistic regressions.Results: 40.2% of the male students were habitual smokers at the time of the study. The adjusted odds of current smoking increased with increasing age (odds ratio [OR] = 5.1, 95% CI: 2.2–12.3); having a father with a university or university college education (OR = 2.7, 95% CI: 1.0–7.1); having friends who smoke (OR = 5.2, 95% CI: 1.6–16.5), having sibling who smoke (OR = 2.7, 95% CI: 1.2–6.2); having a father who smokes (OR = 2.1, 95% CI: 1.1–3.9) and attending a rural school (OR = 7.4, 95% CI: 2.8–19.6).Conclusions: Cigarette smoking was found to be prevalent among 13 to 15-year-old male students in Pulau Weh, Indonesia, significantly higher in students attending a rural school compared to those attending an urban school. Indonesia should take steps to redress the smoking epidemic among adolescents by various means, e.g., minimizing access to tobacco products, stricter enforcement of tobacco control laws and changing attitudes to smoking.

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Current Tobacco Smoking and Desire to Quit Smoking Among Students Aged 13–15 Years — Global Youth Tobacco Survey, 61 Countries, 2012–2015

Cited by 57 publications

References 2 publications

Smoking, Alcohol Consumption, and Illegal Substance Abuse among Adolescents in Sri Lanka: Results from Sri Lankan Global School-Based Health Survey 2016

Smoking, Alcohol Consumption, and Illegal Substance Abuse among Adolescents in Sri Lanka: Results from Sri Lankan Global School-Based Health Survey 2016

Missed opportunities for NCD multimorbidity prevention in adolescents and youth living with HIV in urban South Africa

Smoking Among Adolescent Males at Pulau Weh, Indonesia

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