The Social Patterning of Tobacco Use Among Women in Jordan: The Protective Effect of Education on Cigarette Smoking and the Deleterious Effect of Wealth on Cigarette and Waterpipe Smoking

Background Maternal tobacco use is a global public health problem. In the literature, the focus was mainly on cigarette smoking, minimally on waterpipe use, and totally ignored dual use among pregnant women. We estimated the prevalence of current maternal tobacco use by tobacco product (cigarette, waterpipe, and dual use) over a period of ten years (2007 to 2017), and examined the socio-demographic patterning of maternal tobacco use. Methods A secondary analysis of Jordan DHS four data waves was conducted for women who reported to be pregnant at the time of the survey. Current cigarette and waterpipe tobacco use were investigated. Prevalence estimates for cigarette-only, waterpipe-only, and dual use, as well as for cigarette, regardless of waterpipe, and waterpipe, regardless of cigarette, were reported. The effect of independent variables on cigarette smoking, waterpipe use, and dual use was assessed. Logistic regression models assessed the adjusted effects of socio-demographic variables on cigarette smoking, waterpipe use, and on dual use. For each outcome variable, a time-adjusted and a time-unadjusted logistic models were conducted. Results Over the last decade, the prevalence estimates of current cigarette-only smoking slightly decreased. The prevalence estimates of current waterpipe-only use exceeded those for cigarette-only after 2007 and showed a steady overall increase. Current dual use showed a continuous rise especially after 2009. Gradual increase in cigarette smoking (4.1%, in 2007, and 5.7% in 2017) and in waterpipe use (2.5% to 6.4%) were detected. Education showed an inverse relationship with cigarette and waterpipe smoking. Household wealth demonstrated a positive association with cigarette and waterpipe smoking. Conclusions Tobacco use epidemic is expanding its roots among pregnant women in Jordan through not only waterpipe use but also dual cigarette–waterpipe smoking. Maternal and child services should consider tobacco counseling and cessation.

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Musculoskeletal Disorders Related to Cigarette Smoking and Tobacco Use.

10.21236/ada309218 ◽

1996 ◽

Author(s):

D. J. White

Keyword(s):

Cigarette Smoking ◽

Musculoskeletal Disorders ◽

Tobacco Use

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Social Determinants of Cigarette Smoking among American Women during Pregnancy

Women ◽

10.3390/women1030012 ◽

2021 ◽

Vol 1 (3) ◽

pp. 128-136

Author(s):

Shervin Assari ◽

Shanika Boyce

Keyword(s):

Cigarette Smoking ◽

Educational Attainment ◽

Protective Effect ◽

Pregnant Women ◽

Ethnic Minority ◽

Current Smoking ◽

Smoking During Pregnancy ◽

American Women ◽

Poverty Status ◽

Racial And Ethnic Minority

Educational attainment is among the most substantial protective factors against cigarette smoking, including during pregnancy. Although Minorities’ Diminished Returns (MDRs) of educational attainment, defined as weaker protective effect of education for racial and ethnic minority groups compared to Non-Hispanic Whites, has been demonstrated in previous studies; such MDRs are not tested for cigarette smoking during pregnancy. To better understand the relevance of MDRs to tobacco use during pregnancy, this study had three aims: firstly, to investigate the association between educational attainment and cigarette smoking in pregnant women; secondly, to compare racial and ethnic groups for the association between educational attainment and cigarette smoking; and thirdly, to explore the mediating effect of poverty status on such MDRs, among American adults during pregnancy. This cross-sectional study explored a nationally representative sample of pregnant American women (n = 338), which was taken from the Population Assessment of Tobacco and Health (PATH; 2013). Current smoking was the outcome. Educational attainment was the independent variable. Region and age were the covariates. Poverty status was the mediator. Race and ethnicity were the effect modifiers. Overall, a higher level of educational attainment (OR = 0.54, p < 0.05) was associated with lower odds of current smoking among pregnant women. Race (OR = 2.04, p < 0.05) and ethnicity (OR = 2.12, p < 0.05) both showed significant interactions with educational attainment on smoking, suggesting that the protective effect of educational attainment against smoking during pregnancy is smaller for Blacks and Hispanics than Non-Hispanic Whites. Poverty status fully mediated the above interactions. In the United States, highly educated pregnant Black and Hispanic women remain at higher risk of smoking cigarettes, possibly because they are more likely to live in poverty, compared to their White counterparts. The results suggest the role that labor market discrimination has in explaining lower returns of educational attainment in terms of less cigarette smoking by racial and ethnic minority pregnant women.

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Sex Difference in the Association between Electronic Cigarette Use and Subsequent Cigarette Smoking among U.S. Adolescents: Findings from the PATH Study Waves 1–4

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041695 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1695

Author(s):

Zongshuan Duan ◽

Yu Wang ◽

Jidong Huang

Keyword(s):

Mental Health ◽

Cigarette Smoking ◽

Tobacco Use ◽

Mental Health Problems ◽

Cigarette Use ◽

Tobacco Products ◽

Estimation Equations ◽

Nationally Representative ◽

Prospective Association

E-cigarettes are the most-used tobacco products among U.S. adolescents. Emerging evidence suggests that adolescents using e-cigarettes are at elevated risk for initiating cigarette smoking. However, whether this risk may differ by sex remains unknown. This study analyzed data from Wave 1 to 4 of the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative longitudinal survey. Generalized estimation equations (GEE) were performed to estimate the associations between baseline e-cigarette use and subsequent cigarette smoking, controlling for sociodemographic characteristics, mental health conditions, and other tobacco use. Effect modifications by sex were examined. Multivariate analyses showed that, among baseline never cigarette smokers, past-30-day e-cigarette use at baseline waves was significantly associated with past-30-day cigarette smoking at follow-up waves (aOR = 3.90, 95% CI: 2.51–6.08). This association was significantly stronger for boys (aOR = 6.17, 95% CI: 2.43–15.68) than for girls (aOR = 1.10, 95% CI: 0.14–8.33). Additionally, using other tobacco products, older age, and having severe externalizing mental health problems at baseline were significantly associated with an increased likelihood of cigarette smoking at follow-up. The prospective association between e-cigarette use and cigarette smoking differs by sex among U.S. adolescents. Sex-specific tobacco control interventions may be warranted to curb the youth tobacco use epidemic.

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The protective effect of operant social reward on cocaine self-administration, choice, and relapse is dependent on delay and effort for the social reward

Neuropsychopharmacology ◽

10.1038/s41386-021-01148-6 ◽

2021 ◽

Author(s):

Marco Venniro ◽

Leigh V. Panlilio ◽

David H. Epstein ◽

Yavin Shaham

Keyword(s):

Protective Effect ◽

Social Reward ◽

Self Administration ◽

The Social

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Assessing quality-adjusted years of life lost associated with exclusive cigarette smoking and smokeless tobacco use

Preventive Medicine ◽

10.1016/j.ypmed.2021.106707 ◽

2021 ◽

pp. 106707

Author(s):

Xin Xu ◽

Leah Fiacco ◽

Brian Rostron ◽

Ghada Homsi ◽

Esther Salazar ◽

...

Keyword(s):

Cigarette Smoking ◽

Tobacco Use ◽

Smokeless Tobacco ◽

Years Of Life Lost ◽

Smokeless Tobacco Use

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An Application of the Social Development Model to Tobacco Use Prevention

Journal of Health Education ◽

10.1080/10556699.2000.10604683 ◽

2000 ◽

Vol 31 (4) ◽

pp. 189-195 ◽

Cited By ~ 3

Author(s):

Jacquie Rainey ◽

Jane W. Hammers

Keyword(s):

Social Development ◽

Tobacco Use ◽

Development Model ◽

Social Development Model ◽

The Social ◽

Tobacco Use Prevention

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Cigarette smoking and Awareness of Oral Health Problems of Tobacco use among Students at the University of Port Harcourt, South-South Nigeria

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1291 ◽

2014 ◽

Vol 5 (4) ◽

pp. 209-212

Author(s):

Braimoh Omoigberai Bashiru ◽

Umanah Ayamma Udo

Keyword(s):

Risk Factor ◽

Oral Health ◽

Cigarette Smoking ◽

Tobacco Use ◽

Negative Impact ◽

Smoking Behavior ◽

Health Problems ◽

Port Harcourt ◽

The University ◽

Shared Risk

ABSTRACT Objectives Cigarette smoking is recognized as the most important environmental risk factor in periodontitis and also an important risk factor for oral cancer. The aim of this study was to determine the prevalence of cigarette smoking and awareness of oral health problems of tobacco use among university students in Port Harcourt, Nigeria. Materials and methods The study population consisted of 360 young adults: 188 (52.2%) males and 172 (47.8%) females. Participants answered questions regarding demography, smoking behavior, attitude and on oral effect of smoking. Data were analyzed using IBM SPSS (New York, USA) statistics version 20.0 and test of significance done using Chi-square. Results The overall prevalence of smoking was 78 (21.7%): 52 (27.7%) in males and 26 (15.1%) in females. Males significantly smoked more than females (p = 0.002). Fifty-one (65.4%) of the current smokers commenced smoking in secondary school, 39 (50%) had smoked for 6 to 10 years, 54 (69.2%) consumed one to five sticks of cigarettes per day and among those who quitted smoking, 39 (52%) stopped smoking for health reasons. While 262 (72.8%) were ignorant that smoking was harmful to oral health, 223 (61.9%) and 278 (77.2%) respectively could not identify smoking as a risk factor for oral cancers and gum disease. Conclusion Though majority of the students were aware of the negative impact of smoking on general health, most of them were ignorant of the effect on oral health. Therefore, shared risk approach should be employed to inform, guide and educate the public on the effects of tobacco and in the campaign against its use. How to cite this article Bashiru BO, Udo UA. Cigarette smoking and Awareness of Oral Health Problems of Tobacco use among Students at the University of Port Harcourt, South- South Nigeria. World J Dent 2014;5(4):209-212.

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A Cross-Sectional Evaluation of Cigarette Smoking in the Brazilian Youth Population

Frontiers in Public Health ◽

10.3389/fpubh.2021.614592 ◽

2021 ◽

Vol 9 ◽

Author(s):

Emerson Silveira Brito ◽

Marina Bessel ◽

Thayane Dornelles ◽

Flávia Moreno ◽

Gerson Pereira ◽

...

Keyword(s):

Elementary Education ◽

Cigarette Smoking ◽

Tobacco Use ◽

Skin Color ◽

Sexual Experience ◽

Education Level ◽

Same Sex ◽

Cross Sectional ◽

Social Transformations ◽

Youth Population

Introduction: The transition from adolescence to adulthood involves a variety of physical, behavioral, and social transformations, often including tobacco use. Because understanding smoking at this stage is important for tobacco control, we aimed to analyze the prevalence of cigarette smoking in the Brazilian youth population.Methods: This study included participants aged 16–25 years from all Brazilian capitals. A standardized questionnaire was administered by trained healthcare professionals to collect information about sociodemographic status, sexual behavior, and tobacco use. The samples from each capital were weighted by age range and sex.Results: Of the 8,581 participants, 15.1% were current smokers, and 20.0% were former smokers; the average age at first tobacco use was 15.5 years. The prevalence of smoking in men was higher than that in women (20.1 vs. 10.3%, p < 0.01). Education level was associated with current smoking and former smoking. Participants with an elementary education level had a higher smoking prevalence (PR: 5.84, 95%, CI: 4.29–7.95) than those with a secondary education (PR: 2.19, 95% CI: 1.63–2.93) and those with higher education. Those without current partners (PR: 1.27, 95% CI: 1.03–1.56) also had a higher prevalence of smoking than those with partners, and participants who had a previous same-sex sexual experience smoked more (PR: 2.29, 95% CI: 1.78–2.96) than those who did not. In addition, regular use of alcohol was associated with higher prevalence of cigarette smoking (PR: 5.65, 95% CI: 4.03–7.90) than a lack of alcohol consumption. Skin color and socioeconomic class did not exhibit significant relationships with tobacco use patterns.Conclusions: Smoking was associated with education level regardless of social class, and some specific behaviors associated with a same-sex sexual experience were associated with a higher prevalence of smoking. These findings are important for formulating policies and directing actions to combat and prevent smoking among young populations.

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