Prevalence and determinants of tabacco use among adolescents in Khartoum - Sudan / Mohammed Othman Mohammed Alshaikh
Globally, 25 million adolescents aged 13-15 years, smoke cigarettes while 13 million use smokeless tobacco. In 2014, 22.8% of adolescents had ever smoked cigarette in Sudan while current cigarette smokers were 4.5%; moreover, studies about shisha smoking and smokeless tobacco were limited in Su...
| Main Author: | |
|---|---|
| Format: | Thesis |
| Published: |
2020
|
| Subjects: | |
| Online Access: | http://studentsrepo.um.edu.my/13275/ http://studentsrepo.um.edu.my/13275/4/othman.pdf |
| Summary: | Globally, 25 million adolescents aged 13-15 years, smoke cigarettes while 13 million
use smokeless tobacco. In 2014, 22.8% of adolescents had ever smoked cigarette in
Sudan while current cigarette smokers were 4.5%; moreover, studies about shisha
smoking and smokeless tobacco were limited in Sudan. The aim of this study is to
estimate the prevalence of tobacco use among adolescents and to describe determinant
factors associated with tobacco use. Descriptive school based cross-sectional study was
conducted, and multistage random sampling was used to recruit participants from
secondary schools in Khartoum State, Sudan. Self-administered questionnaire of Arabic
version of Global Youth Tobacco Survey was used to collect data and multivariate
logistic regression was used to analyse the data. In all, 3387 students from 29 schools
participated in this study during September and October 2016. The outcome, tobacco
use, was defined as ever use if the adolescents had ever used tobacco in the past, while
it was considered as current use if the adolescent used tobacco in the past 30 days.
Among participants, 42.7% were males and 57.3% were females. Public school students
were 51.6% and 48.4% from private ones. The prevalence of current cigarette smoking
was 5.8% and for current shisha use was 3.5%. In smokeless tobacco (toombak) the
prevalence of current use was 2.6%. Determinants of current cigarette smoking in the
study included male students (OR 3.08, 95% CI 1.79-5.29), exposure to second hand
smoke at home (OR 6.44, 95% CI 4.02-10.32), low self-efficacy (OR 12.51, 95% CI
6.69-23.39) , friends smoking (OR 4.50, 95% CI 2.58-7.84) and not trying to buy
cigarette (protective factor) (OR 0.30, 95% CI 0.14-0.63). While for current shisha use
determinants were studying in public school (OR 2.20, 95% CI 1.20-3.70), exposure to
second hand smoke outdoors (OR 2.30, 95% CI 1.20-4.13), anti-tobacco message (OR
2.60, 95% CI 1.40-4.84), low self-efficacy (OR 11.40, 95% CI 5.90-22.00) and friends
iv
using shisha (OR 6.59, 95% CI 3.40-12.74). For current smokeless tobacco use
determinants were male student (OR 54.80, 95% CI 12.00-248.90), exposure to second
hand smoke at home ( OR 4.72, 95% CI 2.24-9.97) and indoors (OR 12.47, 95% CI
3.99-38.98), low self-efficacy ( OR 114.00, 95% CI 36.30-357.60), friends using
smokeless tobacco (OR 3.38, 95% CI 1.52-7.49), living in Khartoum city (protective
factor) (OR 0.22, 95% CI 0.09-0.54), pro-advertising (protective factor) (OR 0.36, 95%
CI 0.16-0.81) and not trying to buy smokeless tobacco (protective factor)(OR 0.08, 95%
CI 0.01-0.42). The Assessment of the magnitude of tobacco use among adolescents
represents a useful tool to compare the trend over time. Moreover, the determinants
factors will help to identify adolescents at high risk of tobacco use. These results can be
utilized to help develop an effective peer based prevention programs in schools since
the peers have the greatest effect on adolescents.
Keywords: Adolescent, Tobacco, Cigarette, Shisha, Smokeless tobacco |
|---|