scholarly journals Prevalence of tobacco use and its contributing factors among adolescents in Bangladesh: Results from a population-based study

2016 ◽  
Vol 05 (04) ◽  
pp. 186-188 ◽  
Author(s):  
Sheikh Mohammed Shariful Islam ◽  
A. K.M. Mainuddin ◽  
Faiz Ahmed Bhuiyan ◽  
Kamrun Nahar Chowdhury

Abstract Background: Tobacco use is an alarming public health problem worldwide and causes significant morbidity and mortality. In many developing countries tobacco use starts at a relative younger age. However, data on tobacco use among adolescents in Bangladesh is scarce. Objectives: The main objective of this study was to estimate the prevalence of tobacco use and its contributing factors among adolescents in Bangladesh. Materials and Methods: We used data from the Global Youth Tobacco Survey (GYTS) Bangladesh 2007 which was a school-based survey of 2,135 students aged 13-15 years in grades 7-10. Analysis: A two-stage cluster sample design was used to produce representative data for Bangladesh. At the first stage, schools were selected with probability proportional to enrollment size. At the second stage, classes were randomly selected and all students in selected classes were eligible to participate. The GYTS sample design produced representative, independent, cross-sectional estimates for Bangladesh. Results: The overall prevalence of ever cigarette smokers in Bangladeshi students was about 9%, which was more than 3 times higher in boys compared to girls (15.8% versus 4.8%). Almost 4 in 10 students start smoking before the age of 10 in Bangladesh. In addition to current cigarette smoking, another 6% also reported to use other tobacco products currently. Nine in 10 current smokers reported that they had ever received help to stop smoking. More than 4 in 10 students were exposed to smoke from other people in public places. Among current smokers, 38.3% reported that they usually buy tobacco in a store and of which 97.8% reported that they were not refused cigarette purchase because of their age. Conclusion: Implementation and enforcement of tobacco control act is an urgent public health priority in Bangladesh.

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034760 ◽  
Author(s):  
George Rachiotis ◽  
Anastasia Barbouni ◽  
Athanasios Basagiannis ◽  
Antonis Katsioulis ◽  
Konstantinos Kostikas ◽  
...  

ObjectivesSmoking prevalence in Greece is considered high within the European Union and the collection of evidence on tobacco use among adolescents is of vital importance in order to develop effective smoking prevention and cessation programmes.DesignCross-sectional.SettingGreece.Primary and secondary outcome measuresGlobal Youth Tobacco Survey (GYTS) is a national representative, paper-and-pencil, cross-sectional, school-based study of students at ages 13–15 years. The survey employed a multistage cluster sample design with schools selected proportional to enrolment size. Finally, 4618/5127 students aged 13–15 years participated in the survey. The school response rate was 98.1%, the student response rate was 90.1% and the overall response rate was 88.4%.ResultsThe prevalence of current cigarette smoking was estimated at 10.1% (10.4% in GYTS 2005) and of exposure to secondhand smoking in public places at 67.4% (94.1% in GYTS 2005). The vast majority of the adolescents (82.1%) supported the banning of smoking inside enclosed public places. Most of the current smokers (90.8%) were not prevented/refused purchase because of their age according to existing law. Multivariate analysis showed that peer influence (OR=48.32; 95% CI 36.2 to 64.48), pocket money (OR=2.63; 95% CI 1.28 to 3.41), increasing age (OR=2.35; 95% CI 1.63 to 3.39) and low educational level of father (OR=2.82; 95% CI 1.7 to 4.68) were risk factors independently associated with current cigarette smoking.ConclusionsDespite the existence of strict laws related to tobacco control, exposure to secondhand smoking among Greek students remained high even when compared with GYTS in 2005. This is likely a result of weak enforcement, what is really missing is the enforcement of the related legislation.


2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Yue-Chune Lee ◽  
Li-Chuan Chang ◽  
Chieh Hsu ◽  
Pei-Ching Chen

Objectives. Our objective in this study was to identify the risk factors for cigarette, e-cigarette, and IQOS use among adolescents in Taiwan, with a particular focus on socioeconomic status, smoking status of parents and peers, cigarette promotions, and anti-tobacco campaigns. Methods. Data were obtained from the 2018 version of the annual cross-sectional Taiwan Global Youth Tobacco Survey, which is used to monitor tobacco use among Taiwanese adolescents in junior and senior high schools. The dependent variables in the study were “current cigarette smoking,” “current use of e-cigarettes,” and “current use of IQOS devices” (i.e., during the 30 days prior to survey completion). Independent variables included gender, school grade, monthly income/allowance, educational level of parents, smoking status of parents, smoking status of close friends, access to free cigarettes, exposure to cigarette advertisements, and attendance at anti-tobacco courses. Logistic regression was used in the identification of factors correlated with the current use of cigarettes, e-cigarettes, or IQOS. Results. We determined that 5.65% of the adolescents in the study were currently using cigarettes, 2.74% were currently using e-cigarettes, and 2.33% were currently using IQOS. Our analysis revealed a number of factors that have a bearing on smoking behavior, including gender, monthly allowance, educational level of parents, smoking status of parents and close friends, access to free cigarettes, and exposure to cigarette advertisements. Conclusions. The tobacco product that was most widely used by adolescents was cigarettes, followed by e-cigarettes and IQOS. The socioeconomic status, smoking status of parents/close friends, and access to cigarettes were all identified as important factors related to the current use of cigarettes, e-cigarettes, and IQOS by adolescents.


2021 ◽  
Author(s):  
Peter Bai James ◽  
Said Abasse Kassim ◽  
John Alimamy Kabba ◽  
Chenai Kitchen

Abstract BackgroundTobacco use among adolescents has long term adverse health consequences, especially during adulthood. Currently, little is known about tobacco use behaviour among adolescents in Comoros. Our study aims to estimate the prevalence and identify key factors associated with tobacco use among adolescents in Comoros using the 2015 Comoros Global Youth Tobacco Survey data.MethodsNational cross-sectional survey data of 2,810 eligible school-going adolescents aged between 11-17 years were analysed. Complex sample logistic regression analyses to determine the correlates of current cigarette smoking and current use of non-cigarette tobacco products.ResultsThe overall prevalence of current cigarette smoking was 14.3% [males (18.5%), females (9.9%)]. The prevalence of current use of non-cigarette tobacco products was 5.8% [males (6.7%), females (4.9%)]. Being male (AOR=2.23;95%CI:1.38-3.59), exposure secondhand smoke within (AOR=3.869;95%CI:2.835-5.280)) and outside their home (AOR= 1.514; 95%CI: 1.100-2.084) and exposure to tobacco industry promotion (AOR=2.986; 95%CI:2.246-3.969) were predictors of current tobacco use among adolescents. Similarly, Exposure to tobacco industry promotion (AOR=.2.669;95%CI:1.610-4.425) were associated with non-cigarette tobacco use. Adolescents exposed to anti-smoking education in schools were less likely to use non-cigarette tobacco (AOR=0.523;95% CI:0.311-0.881) than those not exposed to anti-smoking education in schools.ConclusionOne in seven school-going adolescents smoke cigarettes, and approximately one in 20 school-going adolescents use non-cigarette tobacco products in Comoros. Exposure to secondhand smoke within and outside the home and exposure to tobacco industry promotion were associated with tobacco use in school-going adolescents in Comoros. Our findings suggest the need for adolescent-friendly gender-sensitive tobacco interventions, including strengthening existing tobacco control laws to prevent and reduce tobacco use among school-going adolescents in Comoros.


2020 ◽  
Author(s):  
Raghib Ali ◽  
Tom Loney ◽  
Mohammed Al-Houqani ◽  
Iain Blair ◽  
Faisal Aziz ◽  
...  

Abstract Background The prevalence of tobacco use among South Asian migrants in the United Arab Emirates (UAE) has not been evaluated. We examined the prevalence of cigarette smoking and smokeless tobacco use along with their associated factors among male South Asian migrants in the UAE.Methods A representative sample of South Asian adult migrant males was recruited in Al Ain, UAE in 2012. The sample included Indian (n=433), Pakistani (n=383) and Bangladeshi (n=559) nationalities. Prevalence and measures of association using bi-variable and multi-variable logistic regression models were used to identify correlates of tobacco use.ResultsA total of 1.375 South Asian migrant males participated in the study (response rate 76%) with a mean age of 34 years (SD ± 10). The prevalence of current cigarette smoking was 21%, 23% and 37% among participants from India, Pakistan and Bangladesh, respectively. The prevalence of current smokeless tobacco use was 6%, 12%, and 16% for Indian, Pakistani, and Bangladeshi participants, respectively. Bangladeshi nationality, hypertension, and alcohol use were significant correlates of current cigarette smoking. Increase in age, less than college level education, alcohol use and Pakistani or Bangladeshi nationality were significant correlates of exposure to smokeless tobacco.Conclusions The high prevalence of cigarette smoking and smokeless tobacco use in South Asian migrants, highlights the public health burden of tobacco use in migrant populations in the UAE. Public health measures are needed to address tobacco use in migrant population.


Author(s):  
Hina Bashir ◽  
Muhammad Salim Khan ◽  
Irfan Nazir Mir ◽  
Ruqia Qaunsar ◽  
Mohsina Mukhtar

Background: Tobacco use is one biggest health hazards in the world posing various physical and psychosocial risks. At a moment the spread of tobacco use is growing at fast rate in the adolescents, who are the future of the country. However, little information is known about the magnitude of tobacco use in adolescents. The aim of the study was to assess the prevalence and associated factors of cigarette smoking among adolescents of Srinagar city.Methods: This school based cross sectional study was conducted from June 2015 to March 2017 in 20 high schools selected randomly from public and private sectors. Students (boys only) [n=1200] from grade 9-12, in the age limit of 13-19 were included in the study. Data were collected by self-administered questionnaire that is adapted from global youth tobacco survey questionnaire. Bivariate and multivariate analysis were made using logistic regression on SPSS version 20.0 software in order to predict factors associated with tobacco use. Results: The prevalence of cigarette smoking among adolescent boys was found to be 29% ever smokers, and 23% current smokers. In addition, more than half [60.8%] of adolescents were exposed to tobacco smoke from others in public places. In the multivariate analysis parent smoking, peer smoking, exposure to movie with actors smoking, not being exposed to anti-smoking media messages, not discussing in the class about danger of smoking, were significantly associated with current cigarette smoking among adolescents. Conclusions: The prevalence rate is increasing in its spread, exposure to environmental tobacco exposure is widespread. Moreover adolescents should be enriched with the knowledge on the dangers of tobacco use. 


Author(s):  
Nawel Zammit ◽  
Jihen Maatoug ◽  
Rim Ghammam ◽  
Sana Bhiri ◽  
Hassen Ghannem

Abstract Introduction Early adolescence is a critical period usually associated with experimentation with illicit substances. In Tunisia few studies explored these risk behaviors among young adolescents. Aims To evaluate the prevalence and the predictors of the use of illicit substances among the young adolescents of Sousse. Methods A cross-sectional study was conducted in the region of Sousse, Tunisia during the 2013/2014 school year among 4272 schoolchildren in 16 public middle schools. Data about psychosocial characteristics and risk behaviors among the schoolchildren, their parents, their siblings and their friends were collected anonymously using a self-administrated questionnaire. Results Females represented 50.5% of participants. The mean age of schoolchildren was 13.3 (±1.2) years. Lifetime illicit substances use prevalence was 2.9% [confidence interval (CI) 95%: (2.4%–3.4%)] and lifetime use of tobacco prevalence was 12.9% [CI 95%: (11.9%–13.9%)]. The age of tobacco onset was significantly younger to the age of experimentation with illicit substances. Insomnia, sadness and illicit substances use among peers were associated with illicit substances use among participants. While the most influential risk factor on illicit substances use was current cigarette smoking with an adjusted odds ratio (OR) of 7.2 [CI 95%: (4.5–11.2)]. Conclusion A national substances use prevention program should be implemented in the schools of Tunisia with an emphasis on tobacco use prevention.


2015 ◽  
Vol 13 (1) ◽  
pp. 3-7 ◽  
Author(s):  
R Koju ◽  
K Manandhar ◽  
A Risal ◽  
TJ Steiner ◽  
A Holen ◽  
...  

Background Hypertension (HTN), a major risk factor for cardiovascular diseases (CVDs), is a substantial global public health problem. Occasional studies indicate a high prevalence of HTN in the Nepalese population, but no nationwide population-based data exist so far. We opportunistically used a survey of major disorders of the brain in Nepal to measure blood pressure (BP) in participants selected randomly from the adult general population.Objective To establish the prevalence of elevated BP (eBP), and factors associated with it, regardless of any antihypertensive therapy being taken. We took this to be indicative of unmet health-care need.Method This was a cross-sectional study, conducted by unannounced household visits, employing multistage random cluster sampling. To achieve representativeness, 15 districts out of 75 in the country were investigated: one district from each of the three physiographic divisions in each of the five development regions of Nepal. One adult aged 18-65 years was selected from each household and interviewed by structured questionnaire. BP was recorded in a standardised manner by digital device (Microlife 3BM1-3®).Result From 2,109 eligible households, 2,100 adults (99.6%) participated. The prevalence of eBP (>140/90 mmHg on ?2 readings) was found to be 15.1%. Multivariate logistic regression showed significant and independent associations with demographic variables (higher age, male gender), with life-style factors (daily alcohol consumption, BMI ?25), and with living at high altitude (?2000 m).Conclusion In the context of the survey we could not collect data on antihypertensive therapy being taken but, clearly, whatever this might have been, it was failing to meet treatment needs. Almost one in six adults met criteria for hypertension, carrying risk implications for CVDs and their substantial public-health consequences. Two remediable associated factors were identified, although in a cross-sectional survey we could not prove causation.Kathmandu University Medical Journal Vol.13(1) 2015; 3-7


2020 ◽  
Vol 11 (1) ◽  
pp. 54-58
Author(s):  
AKM Farhad Hossain ◽  
Md Mahmudur Rahman Siddiqui ◽  
Sayada Fatema Khatun

Background: Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital. Methods: This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23. Results: This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients. Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58


Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.


Author(s):  
Chutima Rattanawan ◽  
Suraiya Cheloh ◽  
Asma Maimahad ◽  
Malatee Tayeh

Anemia is a global public health problem. The prevalence of anemia among different ages, genders or ethnic groups must be clarified in order to solve problems. This study proposed to determine the prevalence and factors related to anemia among the Muslim school-age population in Nakhon Si Thammarat, Thailand. Socio-demographic and anthropometric data were collected by a structured questionnaire. Blood samples were collected from 200 school-age subjects. The thalassemia screening was performed with KKU-OF and KKU-DCIP reagents. The prevalence of anemia in this study was 36.5%, divided into males and females, 33.3% and 39.1%, respectively. The means of Hb, Hct, MCV, MCH, and MCHC in the anemic group were significantly lower. The positive results for KKU-OF or KKU-DCIP or both were 15.0%, 2.5%, and 1.0%, respectively. The result of positive OF test was a significantly independent factor for anemia. The number of family members was 5 to 7 and more than 7 persons are related factors for anemia in this study. In summary, the contribution of thalassemia and socio-economic factor are associated factors to anemia in this population. These findings should be addressed in public health strategies for the control of anemia of school-aged Muslims in the region.


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