Smokeless Tobacco Use among Urban White and Black South Africans

1999 ◽  
Vol 85 (3) ◽  
pp. 933-934 ◽  
Author(s):  
Karl Peltzer

A telephone survey was conducted to compare the extent of smokeless tobacco use and perception of related health risks by white and black urban South Africans. Using systematic random sampling, one out of every 20 phone numbers was selected from the Seshego (blacks) and Pietersburg (whites) telephone directory until 300 tobacco users in each site were identified. Among the white group, cigarette smoking was clearly predominant (290) and only 10 used snuff, whereas among the black sample almost half (46.7%) of the tobacco users used snuff, especially women (40%). Although a majority acknowledged negative effects of snuff use on their health and its addictive character, 42% either do not believe or do not know that snuff contains nicotine and causes cancer.

2021 ◽  
pp. 106707
Author(s):  
Xin Xu ◽  
Leah Fiacco ◽  
Brian Rostron ◽  
Ghada Homsi ◽  
Esther Salazar ◽  
...  

2018 ◽  
Vol 21 (8) ◽  
pp. 1087-1092 ◽  
Author(s):  
Jessica L Elf ◽  
Ebrahim Variava ◽  
Sandy Chon ◽  
Limakatso Lebina ◽  
Katlego Motlhaoleng ◽  
...  

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.


2014 ◽  
Vol 40 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Matthew Lee Smith ◽  
Brian Colwell ◽  
Chanese A. Forté ◽  
Jairus C. Pulczinski ◽  
E. Lisako J. McKyer

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