Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey
Introduction: Tobacco use typically begins during adolescence. There is a lack of comprehensive evidence on the use of different tobacco products among adolescents in Africa. Aims and Methods: We used the most recent Global Youth Tobacco Surveys from 53 African countries, covering 2003–2020, to esti...
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Elsevier
2025-06-01
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| Series: | Addictive Behaviors Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853224000580 |
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| author | Retselisitsoe Pokothoane Terefe Gelibo Agerfa Christus Cito Miderho Noreen Dadirai Mdege |
| author_facet | Retselisitsoe Pokothoane Terefe Gelibo Agerfa Christus Cito Miderho Noreen Dadirai Mdege |
| author_sort | Retselisitsoe Pokothoane |
| collection | DOAJ |
| description | Introduction: Tobacco use typically begins during adolescence. There is a lack of comprehensive evidence on the use of different tobacco products among adolescents in Africa. Aims and Methods: We used the most recent Global Youth Tobacco Surveys from 53 African countries, covering 2003–2020, to estimate the overall and gender-specific prevalence of each type of tobacco product by country, Africa region, World Bank income group, and age group among adolescents aged 11–17 years. We further used Logit regressions to assess the determinants of using different tobacco products. Results: The overall prevalence of any tobacco use among adolescents was 14.3 % [95 % CI: 13.5, 15.3]. Specifically, the prevalence for cigarettes was 6.4 % [95 % CI: 5.9, 7.0], for other smoked tobacco was 6.7 % [95 % CI: 6.0, 7.4], for smokeless tobacco use was 6.4 % [95 % CI: 5.9, 6.9], and for shisha smoking was 5.2 % [95 % CI: 4.4, 6.1]. The prevalence of dual use of smoked and smokeless tobacco was 3.0 % [95 % CI: 2.8, 3.2], and that of shisha and cigarettes was 1.5 % [95 % CI: 1.2, 2.0]. Any tobacco use prevalence was higher among boys (17.4 %) than girls (10.6 %). Seeing health warnings about tobacco dangers, exposure to smoking at home and school, the age restriction to tobacco purchases, and peer pressure were positively associated with the use of all tobacco products. Being a female was negatively associated with tobacco use across all products. Conclusions: Policymakers should prioritize implementing large pictorial health warnings about tobacco dangers covering the entire packaging of different products. |
| format | Article |
| id | doaj-art-963ff49a16d046a7b8b02dd331573eac |
| institution | Kabale University |
| issn | 2352-8532 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj-art-963ff49a16d046a7b8b02dd331573eac2025-01-11T06:41:37ZengElsevierAddictive Behaviors Reports2352-85322025-06-0121100581Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco SurveyRetselisitsoe Pokothoane0Terefe Gelibo Agerfa1Christus Cito Miderho2Noreen Dadirai Mdege3Development Gateway: an IREX Venture, Washington, DC, United States; Research Unit on the Economics of Excisable Products (REEP), School of Economics, University of Cape Town, Cape Town, South Africa; Corresponding author at: Retselisitsoe Pokothoane, Research Unit on the Economics of Excisable Products (REEP), School of Economics, University of Cape Town, Cape Town, South Africa.Development Gateway: an IREX Venture, Washington, DC, United States; Public Health, ICAP at Columbia University Mailman School of Public Health, Addis Ababa, EthiopiaDépartement d’Agro-Vétérinaire, Institut Supérieur Pédagogique de Bukavu (ISP/Bukavu), BP 854 Bukavu, Democratic Republic of the CongoDevelopment Gateway: an IREX Venture, Washington, DC, United States; Department of Health Sciences, University of York, York, United Kingdom; Centre for Research in Health and Development, York, United KingdomIntroduction: Tobacco use typically begins during adolescence. There is a lack of comprehensive evidence on the use of different tobacco products among adolescents in Africa. Aims and Methods: We used the most recent Global Youth Tobacco Surveys from 53 African countries, covering 2003–2020, to estimate the overall and gender-specific prevalence of each type of tobacco product by country, Africa region, World Bank income group, and age group among adolescents aged 11–17 years. We further used Logit regressions to assess the determinants of using different tobacco products. Results: The overall prevalence of any tobacco use among adolescents was 14.3 % [95 % CI: 13.5, 15.3]. Specifically, the prevalence for cigarettes was 6.4 % [95 % CI: 5.9, 7.0], for other smoked tobacco was 6.7 % [95 % CI: 6.0, 7.4], for smokeless tobacco use was 6.4 % [95 % CI: 5.9, 6.9], and for shisha smoking was 5.2 % [95 % CI: 4.4, 6.1]. The prevalence of dual use of smoked and smokeless tobacco was 3.0 % [95 % CI: 2.8, 3.2], and that of shisha and cigarettes was 1.5 % [95 % CI: 1.2, 2.0]. Any tobacco use prevalence was higher among boys (17.4 %) than girls (10.6 %). Seeing health warnings about tobacco dangers, exposure to smoking at home and school, the age restriction to tobacco purchases, and peer pressure were positively associated with the use of all tobacco products. Being a female was negatively associated with tobacco use across all products. Conclusions: Policymakers should prioritize implementing large pictorial health warnings about tobacco dangers covering the entire packaging of different products.http://www.sciencedirect.com/science/article/pii/S2352853224000580AdolescentsAfricaCigarettesGYTSShishaTobacco |
| spellingShingle | Retselisitsoe Pokothoane Terefe Gelibo Agerfa Christus Cito Miderho Noreen Dadirai Mdege Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey Addictive Behaviors Reports Adolescents Africa Cigarettes GYTS Shisha Tobacco |
| title | Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey |
| title_full | Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey |
| title_fullStr | Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey |
| title_full_unstemmed | Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey |
| title_short | Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey |
| title_sort | prevalence and determinants of tobacco use among school going adolescents in 53 african countries evidence from the global youth tobacco survey |
| topic | Adolescents Africa Cigarettes GYTS Shisha Tobacco |
| url | http://www.sciencedirect.com/science/article/pii/S2352853224000580 |
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