Determinants of smokeless tobacco use and prevalence among Sudanese adolescents.
Adolescent
Smokeless tobacco
Sudan
Toombak
Urban health
Journal
Archives of public health = Archives belges de sante publique
ISSN: 0778-7367
Titre abrégé: Arch Public Health
Pays: England
ID NLM: 9208826
Informations de publication
Date de publication:
12 Oct 2021
12 Oct 2021
Historique:
received:
15
04
2021
accepted:
27
09
2021
entrez:
13
10
2021
pubmed:
14
10
2021
medline:
14
10
2021
Statut:
epublish
Résumé
Smokeless tobacco is a part of social and cultural life in Sudan. The affordability and availability of this kind of tobacco make it a fundamental issue in adolescents. The aim of this study is to investigate the extent of the use of smokeless tobacco in adolescents and its determinants. A school-based cross-sectional study was conducted in Khartoum state in Sudan. The study targeted male and female adolescents in secondary schools. A total of 3387 students from public and private schools participated in the study. Multistage random sampling was used to select the participants. The Arabic version questionnaire from the Global Youth Tobacco Survey (GYTS) was utilised to collect the data from the participants. Among the participants, 57.3% were females and 42.7% were males. Students from private and public schools were 48.4 and 51.6%, respectively. The overall prevalence of those who had ever used smokeless tobacco was 7.6%, in which the prevalence among male students was 11.0% while among females was 5.0%. The determinant factors were male gender (OR 1.53 CI 95% 1.03-2.28), family structure (OR 1.52 CI 95% 1.03-2.23), exposure to second-hand smoke at home (OR 1.60 CI 95% 1.11-2.31), friends smoking cigarettes (OR 1.78 CI 95% 1.22-2.60), lack of restriction of selling tobacco to minors (OR 1.73 CI 95% 1.25-2.39), promotion of smokeless tobacco (OR 2.12 CI 95% 1.20-3.72) and low self-efficacy (OR 7.47 CI 95% 4.45-12.52). A comprehensive prevention programme that enforces the prohibition of the promotion of smokeless tobacco and the selling of smokeless tobacco to minors is crucial. Moreover, the prevention programme should enhance adolescents' self-efficacy.
Sections du résumé
BACKGROUND
BACKGROUND
Smokeless tobacco is a part of social and cultural life in Sudan. The affordability and availability of this kind of tobacco make it a fundamental issue in adolescents. The aim of this study is to investigate the extent of the use of smokeless tobacco in adolescents and its determinants.
METHODS
METHODS
A school-based cross-sectional study was conducted in Khartoum state in Sudan. The study targeted male and female adolescents in secondary schools. A total of 3387 students from public and private schools participated in the study. Multistage random sampling was used to select the participants. The Arabic version questionnaire from the Global Youth Tobacco Survey (GYTS) was utilised to collect the data from the participants.
RESULTS
RESULTS
Among the participants, 57.3% were females and 42.7% were males. Students from private and public schools were 48.4 and 51.6%, respectively. The overall prevalence of those who had ever used smokeless tobacco was 7.6%, in which the prevalence among male students was 11.0% while among females was 5.0%. The determinant factors were male gender (OR 1.53 CI 95% 1.03-2.28), family structure (OR 1.52 CI 95% 1.03-2.23), exposure to second-hand smoke at home (OR 1.60 CI 95% 1.11-2.31), friends smoking cigarettes (OR 1.78 CI 95% 1.22-2.60), lack of restriction of selling tobacco to minors (OR 1.73 CI 95% 1.25-2.39), promotion of smokeless tobacco (OR 2.12 CI 95% 1.20-3.72) and low self-efficacy (OR 7.47 CI 95% 4.45-12.52).
CONCLUSION
CONCLUSIONS
A comprehensive prevention programme that enforces the prohibition of the promotion of smokeless tobacco and the selling of smokeless tobacco to minors is crucial. Moreover, the prevention programme should enhance adolescents' self-efficacy.
Identifiants
pubmed: 34641965
doi: 10.1186/s13690-021-00699-w
pii: 10.1186/s13690-021-00699-w
pmc: PMC8507347
doi:
Types de publication
Journal Article
Langues
eng
Pagination
176Informations de copyright
© 2021. The Author(s).
Références
BMC Public Health. 2019 Oct 28;19(1):1390
pubmed: 31660934
J Sch Health. 2012 Mar;82(3):131-8
pubmed: 22320337
J Sch Health. 2007 Mar;77(3):109-15
pubmed: 17302852
PeerJ. 2018 Aug 21;6:e5463
pubmed: 30155362
Lancet. 2006 Feb 18;367(9510):589-94
pubmed: 16488802
Addict Behav. 2011 May;36(5):470-8
pubmed: 21324609
IARC Monogr Eval Carcinog Risks Hum. 2007;89:1-592
pubmed: 18335640
Am J Epidemiol. 1989 Jan;129(1):125-37
pubmed: 2910056
Pediatrics. 2018 Jan;141(Suppl 1):S63-S74
pubmed: 29292307
Lancet Glob Health. 2016 Nov;4(11):e795-e805
pubmed: 27697484
J Prim Prev. 2010 Aug;31(4):191-208
pubmed: 20614184
BMC Public Health. 2017 Aug 2;18(1):88
pubmed: 28768494
Nicotine Tob Res. 2014 Sep;16(9):1167-73
pubmed: 24692667
Cochrane Database Syst Rev. 2003;(4):CD003439
pubmed: 14583977
Prev Med. 1988 Jul;17(4):449-60
pubmed: 3217377
J Cancer Res Ther. 2007 Apr-Jun;3(2):127-30
pubmed: 17998740
Tob Control. 2003 Mar;12(1):74-8
pubmed: 12612366
Nicotine Tob Res. 2019 Jul 17;21(8):1113-1121
pubmed: 29931374
Subst Use Misuse. 2008;43(7):936-51
pubmed: 18570026
J Oral Maxillofac Res. 2013 Jul 01;4(2):e3
pubmed: 24422031
MMWR Surveill Summ. 2008 Jan 25;57(1):1-28
pubmed: 18219269
BMC Public Health. 2010 Jan 14;10:16
pubmed: 20074362
Tob Control. 2011 Mar;20(2):94-9
pubmed: 20943827
Asian Pac J Cancer Prev. 2013;14(3):1747-53
pubmed: 23679268
BMC Public Health. 2017 Nov 28;17(1):913
pubmed: 29183302
J Health Commun. 2001 Jan-Mar;6(1):11-29
pubmed: 11317421
Prev Med. 1998 Jul-Aug;27(4):597-603
pubmed: 9672954
Nicotine Tob Res. 2008 Feb;10(2):315-23
pubmed: 18236296
J Adolesc Health. 2006 Apr;38(4):443.e1-7
pubmed: 16549306
Oral Oncol. 1998 Nov;34(6):558-66
pubmed: 9930371
Addict Behav. 2007 Sep;32(9):1863-76
pubmed: 17270357
Pan Afr Med J. 2014 Jun 05;18:118
pubmed: 25404978
Soc Sci Med. 2006 Apr;62(7):1810-8
pubmed: 16165262