Predictors of Cigarette Smoking, Smokeless Tobacco Consumption, and Use of both forms in Adolescents in South Asia: A Secondary Analysis of the Global Youth Tobacco Surveys

Mishu, Masuma Pervin; Siddiqui, Faraz; Shukla, Radha; Kanaan, Mona; Dogar, Omara; Siddiqi, Kamran

doi:10.1093/ntr/ntaa202

Cited by 18 publications

(32 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This smoking-friendly atmosphere exposes them to health risks and encourages them to start consuming tobacco. Consistent with other studies in the literature [8,33,34,47], we also observed significantly higher odds ratios of tobacco use among adolescents exposed to tobacco smoke compared to their counterparts. Exposure to smoking significantly increases the tobacco use risk three to seven times, indicating that the scope and enforcement of smoke-free policies were not enough.…”

Section: Discussionsupporting

confidence: 92%

“…Similarly, after adjusting for inflation, in 2007, the cost of a pack of cigarettes was categorised as 'less than 64 TK', 'more than or equal to 64 TK' whereas in 2013, the categories were: 'less than or equal to 75 TK', 'between 76 to 200 TK', and 'more than 200 TK'. The selection of the factors associated with tobacco use was guided by related studies in the literature related to adolescent tobacco use [8,13,33,34].…”

Section: Factors Associated With Outcome Variablesmentioning

confidence: 99%

See 1 more Smart Citation

Changes in prevalence, and factors associated with tobacco use among Bangladeshi school students: evidence from two nationally representative surveys

2021

View full text Add to dashboard Cite

Background Globally, tobacco kills more than nine million people per year. Annually in Bangladesh, smoking accounts for 1.2 million illnesses and over one hundred fifty thousand deaths. Worldwide, about one out of five school students smoke tobacco, and this problem is also growing significantly in Bangladesh. There is a need to address this problem. However, to the best of knowledge, no published study has been evaluated the changes in factors associated with tobacco use over time among Bangladeshi adolescent students using large, nationally representative comparable surveys. Our objective was to identify the factors associated with tobacco use among school going students, examine any changes in them over time, and explore policy options based on national surveys. Methods We analysed the data from the 2007 and the 2013 Global Youth Tobacco Survey (GYTS), a school-based survey targeting adolescents age 13–15 years (7th–9th grade), developed by the World Health Organization (WHO) and the Centres for Disease Control and Prevention (CDC). The samples were selected based on a two-stage cluster sample design. The data were collected in school classes using a self-administered anonymous survey. We applied chi-square tests and survey logistic regression models for analysing the data. Results Overall tobacco usage significantly declined from 8.4 to 6.9% over six years. The prevalence of tobacco use decreased among females (5.22 to 2.84%), those who received anti-tobacco messages (8.93 to 7.24%) and because of age restriction could not buy tobacco products (18.86 to 15.78%). Compared with the female, the odds of overall tobacco smoking among male students was 1.97 (CI: 0.99–3.92) in the year 2007 and it increased (OR = 3.07; CI: 1.56–6.04) in the year 2013. Moreover, the odds of smoking among those exposed to tobacco smoke had increased (OR = 3.26; CI: 1.46–7.29 vs 5.43; CI: 1.63–18.07) from 2007 to 2013. Conclusion There was a decline in tobacco use, especially among female students. Male students were higher tobacco user. It appeared anti-smoking campaign and age restriction policies were working.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Factors Associated With Outcome Variablesmentioning

confidence: 99%

Changes in prevalence, and factors associated with tobacco use among Bangladeshi school students: evidence from two nationally representative surveys

2021

View full text Add to dashboard Cite

show abstract

“…However, this association was no longer significant in the final model. This is in contrast to another study of LMIC settings which found that adolescents who were exposed to smoking in electronic media were more likely to be smokers [ 71 ]. Similar to the results of other studies [ 72 , 73 ], we found exposure to cigarette advertising in shops was a significant predictor of susceptibility in both countries after adjusting for sociodemographic factors.…”

Section: Discussioncontrasting

confidence: 99%

Socio-environmental and psychosocial predictors of smoking susceptibility among adolescents with contrasting socio-cultural characteristics: a comparative analysis

et al. 2021

View full text Add to dashboard Cite

Background Despite a steady decline in adolescent smoking globally, it remains a prevalent risk factor for non-communicable disease. Previous research points to differences in socio-environmental and psychosocial risk factors for smoking and how they vary across different settings with disparate social and cultural characteristics. As a result, smoking rates have remained disproportionately higher in some settings while decreasing in others. This study explored the socio-environmental and psychosocial risk factors for smoking susceptibility in a high-income and upper-middle income setting. Methods Cross-sectional data were obtained from 1,573 male and female adolescents aged 11-15 years who completed self-administered questionnaires in schools in Northern Ireland and Bogotá, Colombia. Using logistic regression analysis, we examined how socio-environmental and psychosocial predictors of smoking susceptibility compared across the two countries. Results In Northern Ireland, reduced odds of smoking susceptibility were significantly associated with less family smoking (OR: 0.64, 95% CI: 0.41-1.00); having access to information about smoking in school (OR: 0.75, 95% CI: 0.59-0.96); negative attitudes towards smoking (OR: 0.35, 95% CI: 0.23-0.51); higher levels of openness (OR: 0.59, 95% CI: 0.50-0.69); and higher levels of self-reported wellbeing (OR: 0.57, 95% CI: 0.44-0.74). Increased odds of smoking susceptibility were associated with reporting less smoking of a mother (OR: 1.37, 95% CI: 1.06-1.76); higher levels of extraversion (OR: 1.40, 95% CI: 1.04-1.90); and receiving pocket money (OR: 1.20, 95% CI: 1.06-1.37). In Bogotá, reduced odds of smoking susceptibility were significantly associated with reporting less smoking among friends (OR: 0.86, 95% CI: 0.76-0.98); higher levels of self-efficacy (OR: 0.58, 95% CI: 0.40-0.83); greater perceived behavioural control to quit smoking (OR: 0.71, 95% CI: 0.56-0.90); and lower levels of truancy (OR: 0.69, 95% CI: 0.52-0.92). In Bogotá, no factors were associated with increased odds of smoking susceptibility in the final model. Conclusions The findings illustrate that there were differences in predictors of adolescent smoking susceptibility across the two settings. By using a comparative approach we demonstrate that smoking interventions and policies must be sensitive to the cultural and normative context within which they are implemented.

show abstract

“…Similarly, exposure to tobacco industry promotion was associated with tobacco product use (cigarette, non-cigarette tobacco products) among schoolgoing adolescents in the 22 African countries considered in our study. Our ndings are consistent with studies conducted elsewhere (45)(46)(47). Our nding may be attributed to the increased market in uence of the tobacco industry in many African countries(48).…”

Section: Discussionsupporting

confidence: 92%

Prevalence and Correlates of Current Tobacco use and Non-user Susceptibility to using Tobacco Product Among School-going Adolescents in 22 African Countries, 2013-2018

James

Bah

Kabba

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Our study examined the prevalence and associated factors of tobacco product use and non-users’ susceptibility to using tobacco products among school-going adolescents in 22 African countries.MethodsWe analysed the cross-sectional 2013-2018 GYTS data from 22 African countries. We conducted complex sampling descriptive and logistic regression analyses. We reported our results using frequencies and proportions for descriptive statistics and adjusted odd ratios and 95% confidence intervals for logistic model.ResultsThe overall prevalence of current use of any tobacco product among adolescents was 19.1%, with more males (23.7%) than females (13.7%) being current users. Zimbabwe and Morocco were the highest (47.1%) and least (12.6%) reported prevalence respectively. Being male (AOR=1.930;95%CI:1.614-2.307), exposure to secondhand smoke within (AOR=2.069;95%CI:1.763-2.429) and outside (AOR=1.364;95%CI:1.138-1.635) the home, not knowledgeable about the harmful effect of secondhand smoke (AOR=1.413;95%CI:1.178-1.693), exposure to tobacco industry promotion (AOR=3.027;95%CI:2.653-3.453) and not in favour of banning smoking in enclosed places (AOR=1.222;95%CI:1.014-1.472) were associated with current use of any tobacco product. The prevalence of the susceptibility to using tobacco products among never users of tobacco products was 12.2%, with no significant gender difference. Mozambique (24.6%) and Algeria (4.5%) had the highest and least prevalence of the susceptibility to using tobacco products among never users, respectively. Exposure to tobacco industry promotion (AOR=1.730;95%CI:1.485-2.015) and those not in favour of banning smoking in enclosed places (AOR= 1.323;95%CI:1.142-1.532) were associated with susceptibility to using any tobacco product among never users of tobacco products.ConclusionOur study reports that tobacco use and non-user susceptibility to using tobacco product among school-going adolescents in the 22 African countries is high. As part of public health efforts, governments and other stakeholders need to fully implement anti-tobacco use campaigns, enforce a complete ban on tobacco promotion and advertising, institute educational programs for families, and anti-tobacco use education for the general public and in schools in line with WHO Framework Convention on Tobacco Control guidelines.

show abstract

Predictors of Cigarette Smoking, Smokeless Tobacco Consumption, and Use of both forms in Adolescents in South Asia: A Secondary Analysis of the Global Youth Tobacco Surveys

Cited by 18 publications

References 31 publications

Changes in prevalence, and factors associated with tobacco use among Bangladeshi school students: evidence from two nationally representative surveys

Changes in prevalence, and factors associated with tobacco use among Bangladeshi school students: evidence from two nationally representative surveys

Socio-environmental and psychosocial predictors of smoking susceptibility among adolescents with contrasting socio-cultural characteristics: a comparative analysis

Prevalence and Correlates of Current Tobacco use and Non-user Susceptibility to using Tobacco Product Among School-going Adolescents in 22 African Countries, 2013-2018

Contact Info

Product

Resources

About