Prevalence and Correlates of Smokeless Tobacco Use Among Grade 8–11 School Students in South Africa: A Nationwide Study

2014 ◽  
Vol 16 (9) ◽  
pp. 1167-1173 ◽  
Author(s):  
Priscilla S. Reddy ◽  
Shamagonam James ◽  
Ken Resnicow ◽  
Ronel Sewpaul ◽  
Pardon Masuka ◽  
...  
Keyword(s):  
South Africa ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
School Students ◽  
Nationwide Study ◽  
Smokeless Tobacco Use ◽  
Grade 8

scholarly journals Prevalence and Correlates of Snuff Use, and its Association With Tuberculosis, Among Women Living With HIV in South Africa

2018 ◽  
Vol 21 (8) ◽  
pp. 1087-1092 ◽  
Author(s):  
Jessica L Elf ◽  
Ebrahim Variava ◽  
Sandy Chon ◽  
Limakatso Lebina ◽  
Katlego Motlhaoleng ◽  
...  
Keyword(s):  
South Africa ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
People Living With Hiv ◽  
Potential Health ◽  
Adjusted Analysis ◽  
Women Living With Hiv ◽  
Urine Cotinine ◽  
Smokeless Tobacco Use ◽  
Living With Hiv

Abstract Introduction A higher proportion of people living with HIV (PLWH) smoke compared to the general population, but little information exists about the prevalence and correlates of smokeless tobacco use among PLWH. In South Africa, dry powdered tobacco is inhaled nasally as snuff. Methods A cross-sectional survey among PLWH attending three HIV clinics was conducted. Snuff use was assessed via self-report and urine cotinine. Results Given the low (3%) prevalence of snuff use among men, analysis was restricted to n = 606 nonsmoking women living with HIV. Half (n = 298, 49%) were snuff users, the majority of whom (n = 244, 84%) had a positive urine cotinine test. In adjusted analysis, snuff use was negatively associated with higher education (relative risk [RR] 0.55; 95% confidence interval [CI]: 0.39, 0.77) and mobile phone ownership (RR 0.83; 95% CI: 0.71, 0.98), and positively associated with ever having tuberculosis (TB) (RR 1.22; 95% CI: 1.03, 1.45). In adjusted analysis, with current TB as the outcome, snuff use was marginally statistically significantly associated with a twofold increase in odds of a current TB diagnosis (odds ratio [OR] 1.99; 95% CI: 0.98, 4.15). Discussion A high proportion of nonsmoking South African women living with HIV use snuff, which was a risk factor for TB. Additional research is needed to understand the relationship between snuff, TB, and other potential health risks. Implications PLWH have a higher prevalence of smoking than their seronegative peers, but there is a paucity of research on smokeless tobacco use in this population, especially in low-resource settings. TB is the leading cause of death among PLWH, and with improvements to HIV treatment and care, PLWH are at greater risk of tobacco-related diseases. We report an extremely high prevalence of snuff use among women living with HIV in South Africa. Further, in this population snuff use is positively associated with ever having a TB diagnosis, as well as currently having TB.

Smokeless Tobacco Use Among Rural High School Students in Arkansas

1986 ◽  
Vol 56 (7) ◽  
pp. 282-285 ◽  
Author(s):  
Tom Williams ◽  
Rick Guyton ◽  
Phillip J. Marty ◽  
Robert J. McDermott ◽  
Michael E. Young
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
School Students ◽  
Rural High School ◽  
Smokeless Tobacco Use

“Country Boys Spit and Dip”: Masculinity and Rural Adolescent Smokeless Tobacco Use

2020 ◽  
pp. 106082652094645
Author(s):  
Donald W. Helme ◽  
Edward Morris ◽  
Ana de la Serna ◽  
Carina Zelaya ◽  
Carrie Oser ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Health Research ◽  
School Students ◽  
Rural High School ◽  
Smokeless Tobacco Use ◽  
Rural Adolescent

While tobacco use nationwide is declining, smokeless tobacco (SLT) use remains steady, particularly among men in rural areas. Despite the harms of SLT, researchers know little about what initiates and sustains this use. In this study, we argue that SLT persistence is encouraged by its salience as an emblem of rural manhood. Based on interviews with 64 male and 19 female rural high school students we find that SLT symbolizes rural masculinity, and that many boys “spit and dip” to perform their status as rural men. We specify several peer, family, and community mechanisms that undergird this process. Finally, we discuss implications for men’s health research and intervention efforts.

scholarly journals Temporal Trends in Smokeless Tobacco Use Among US Middle and High School Students, 2000-2011

JAMA ◽  
2013 ◽  
Vol 309 (19) ◽  
pp. 1992 ◽  
Author(s):  
Israel T. Agaku ◽  
Constantine I. Vardavas ◽  
Olalekan A. Ayo-Yusuf ◽  
Hillel R. Alpert ◽  
Gregory N. Connolly
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Temporal Trends ◽  
School Students ◽  
Smokeless Tobacco Use

Water Pipe and Smokeless Tobacco Use Among Medical Students in South Africa

2011 ◽  
Vol 14 (6) ◽  
pp. 755-760 ◽  
Author(s):  
F. Senkubuge ◽  
O. A. Ayo-Yusuf ◽  
G. M. C. Louwagie ◽  
K. S. Okuyemi
Keyword(s):  
South Africa ◽  
Medical Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Water Pipe ◽  
Smokeless Tobacco Use

Patterns and correlates of smoking and smokeless tobacco use among continuation high school students

1994 ◽  
Vol 19 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Carl de Moor ◽  
Dennis A. Johnston ◽  
Donald L. Werden ◽  
John P. Elder ◽  
Karen Senn ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Continuation High School ◽  
School Students ◽  
Smokeless Tobacco Use

scholarly journals Patterns of smokeless tobacco use in a population of high school students.

1986 ◽  
Vol 76 (2) ◽  
pp. 190-192 ◽  
Author(s):  
P J Marty ◽  
R J McDermott ◽  
T Williams
Keyword(s):  
High School ◽  
High School Students ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
School Students ◽  
Smokeless Tobacco Use
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