scholarly journals Tobacco use and associated mental symptoms and health risk behaviours amongst individuals 15 years or older in South Africa

Author(s):  
Karl Peltzer ◽  
Supa Pengpid
Author(s):  
Karl Peltzer ◽  
Supa Pengpid

Background: Tobacco use may deteriorate mental health and increase health risk behaviours.Aim: The aim of this investigation was to identify associations between tobacco use and mental illness symptoms and health risk behaviours in individuals 15 years or older in South Africa.Setting: Community-based national population sample in South Africa.Methods: Cross-sectional data were analysed from the ‘South African National Health and Nutrition Examination Survey (SANHANES-1) 2012’, using a sample of 15 310 individuals 15 years or older (median age 33 years). Measures included information on tobacco use, sociodemographic factors, mental symptoms and health risk behaviour.Results: Compared to non-tobacco users, daily tobacco users were associated with psychological distress and post-traumatic stress disorder (PTSD) in adjusted logistic regression analysis, and with sleeping problems in unadjusted analysis. Past tobacco use, less than daily, and daily tobacco use were highly associated with a drinking problem. In terms of dietary variables, less than daily and daily tobacco use increased the odds of inadequate fruit intake and salty food intake, and daily tobacco use decreased the odds of fast food consumption. Past tobacco use, less than daily, and daily tobacco use were inversely associated with physical inactivity, and daily tobacco use was associated with not always washing hands before eating.Conclusions: The study showed that compared to non-tobacco users, daily tobacco users had significantly poorer mental health (psychological distress and PTSD) and increased odds for several health risk behaviours (drinking problem, inadequate fruit intake, salty food consumption and not always washing hands before eating) as compared to non-tobacco users.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Hilda N Shilubane ◽  
Robert AC Ruiter ◽  
Bart van den Borne ◽  
Ronel Sewpaul ◽  
Shamagonam James ◽  
...  

2017 ◽  
Vol 41 (1) ◽  
pp. 75-85
Author(s):  
S. Makhubela ◽  
S. Mashegoane

Data from 333 Black university students in Limpopo, South Africa were used to investigate the association between the spirituality dimensions of religious and existential wellbeing (RWB and EWB) and health risk behaviours. The mean scores of almost all health risk behaviours, with the exception of the daily eating of healthy foods, varied according to the levels of RWB (p ≤ 0.05). On the other hand, with regards to levels of EWB, the analysis of physical activity produced a gender by EWB interaction only, and the results pertaining to the drinking of alcoholic beverages were marginal (p ≤ 0.10). There was a marginal gender by EWB effect for cigarette and marijuana use (p ≤ 0.10), with a 0.019 effect size (partial eta squared) for each analysis, and a gender effect for both (p ≤ 0.001 and 0.01, respectively). Effectively, there were no instances of statistically significant main effect of EWB (p > 0.05). Apparently, the type or dimensionality of spirituality used is important, and future studies should investigate varied measures of the construct to establish its relationship with health risk behaviour.


Author(s):  
Supa Pengpid ◽  
Karl Peltzer

AbstractBackgroundEvidence of the relationship between tobacco use and multiple health risk behaviours is limited.ObjectivesThe study aimed to investigate the relationship between tobacco use and health risk behaviours in university students across different cultures.MethodsIn a cross-sectional study the sample included 23,396 university students from 27 countries in Africa, Asia and the Americas.ResultsIndicate that 5.8 and 5.5% were daily and not daily tobacco users, respectively. In adjusted logistic regression analysis, less than daily and/or daily tobacco use was associated with nutrition and dietary risk behaviour (overweight or obesity, high sodium consumption, rarely or never having breakfast and not avoiding fat and cholesterol), addictive behaviour (binge drinking, drug use, and gambling), sleep risk behaviours (long sleep, poor sleep quality and restless sleep) and other health risk behaviour (having been in a physical fight, inadequate tooth brushing, and multiple sexual partners in the past year).ConclusionsCompared to non-tobacco users, less than daily and/or daily tobacco users had significantly higher overweight or obesity, dietary risk behaviour, addictive behaviour, sleep risk behaviours and other health risk behaviour. These associations may be taken into account in health promotion strategies targeting multiple health compromising behaviours.


2021 ◽  
Author(s):  
Karl Peltzer ◽  
Supa Pengpid

Abstract Background The aim of this study was to assess trends of various health risk behaviours among adolescents across three different surveys in Argentina. Methods Data from 115,697 adolescents (mean age:14.6 years, SD = 1.2) that participated in three cross-sectional national school surveys in 2007, 2012 and 2018 were analysed. In all, 27 health risk behaviours were assessed through a self-administered questionnaire. Significance of a linear trend was tested by treating study year as categorical variable in logistic regression analyses, adjusted by age group and food insecurity for boys and girls separately Results Among both sexes, four health risk behaviours (current cigarette use, passive smoking, trouble from alcohol use, and physically attacked) significantly reduced from 2007 to 2018. Among boys five health risk behaviours (experience of hunger, parental tobacco use, current alcohol use, involvement in physical fighting, and multiple sexual partners), and among girls, inadequate physical activity significantly reduced over time. Among both sexes, the prevalence of four health risk behaviours (overweight/obesity, obesity, leisure-time sedentary behaviour and insufficient fruit intake) significantly increased among both sexes, and among girls ten health risk behaviours (not walking/biking to school, current other tobacco use, bullying victimisation, lifetime drunkenness, having no close friends, suicide plan, suicidal ideation, worry-induced sleep disturbance, loneliness, and ever sexual intercourse) significantly increased over time. Conclusion Nine health risk behaviours among boys and five health risk behaviours among girls decreased, and four health risk behaviours among boys and 14 health compromising behaviours among girls increased over a period of 11 years. School health programmes for adolescents should be strengthened in Argentina.


2007 ◽  
Vol 52 (10) ◽  
pp. 666-674 ◽  
Author(s):  
Tracie O Afifi ◽  
Brian J Cox ◽  
Laurence Y Katz

Objective: To examine associations between health risk behaviours and suicidal ideation and attempts in Canadian adolescents aged 12 to 13 years. Young adolescents think about and attempt suicide. However, most existing research on suicide has been conducted on individuals aged 15 years and older. Method: The present study examined a nationally representative Canadian sample of adolescents aged 12 to 13 years ( n = 2090). Health risk behaviours included disruptive (shoplifting, physical fighting, damaging property, fighting with a weapon, carrying a knife, and gambling), sexual (petting below the waist and sexual intercourse), and substance use behaviours (smoking cigarettes, consuming alcohol, marijuana or hash, and glue or solvents). Unadjusted and adjusted (for all significant health risk behaviour and psychiatric symptoms) models were tested. Results: All health risk behaviours were common among male and female adolescents. In unadjusted models, almost all health risk behaviours were associated with suicidal ideation and attempts among adolescent boys. In adjusted models, only damaging property, sexual intercourse, and smoking cigarettes remained statistically associated with suicidal ideation, while smoking cigarettes and using marijuana or hash remained statistically associated with suicide attempts among adolescent boys. All health risk behaviours were statistically associated with suicidal ideation and attempts among female adolescents in unadjusted models. In adjusted models, only carrying a knife remained statistically associated with suicidal ideation, while shoplifting and gambling remained statistically associated with suicide attempts among adolescent girls. Conclusions: Health risk behaviours among young adolescents are associated with suicidal ideation and attempts among young adolescents. Recognizing health risk behaviours among young adolescents may be one means of understanding who among them is at increased risk of suicidality.


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