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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Poly-tobacco use among adults in 44 countries during 2008-2012: Evidence for an integrative and comprehensive approach in tobacco control
Drug and Alcohol Dependence, Volume 139, Year 2014
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Description
Introduction: The concurrent use of multiple tobacco products (i.e., poly-tobacco use) might hinder efforts to reduce overall tobacco use, particularly considering that use of some non-cigarette tobacco products may be popular in some regions due to social, cultural, or economic reasons. This study assessed poly-tobacco use patterns among persons aged ≥15 years old from 44 countries. Methods: Data from 44 countries in all six World Health Organization regions were obtained from the 2008 to 2012 Global Adult Tobacco Surveys (n= 19 countries), and the Special Eurobarometer 385 (77.1) survey, 2012 (n= 25 countries). Correlates of poly-tobacco use were assessed using multivariate logistic regression analyses (p< 0.05). Results: Overall prevalence of poly-tobacco use ranged from 0.8% (Mexico) to 11.9% (Denmark). In 28 countries, 20% or more of current smokers of manufactured cigarettes concurrently used at least one other tobacco product and this proportion was highest in India (66.2%) and lowest in Argentina (4.4%). After adjusting for other factors, the likelihood of being a poly-tobacco user among all respondents was lower among females (aOR = 0.09; 95% CI: 0.08-0.11), and among respondents from upper-middle-income (aOR = 0.53, 95% CI: 0.43-0.66), and lower-middle-income countries (aOR = 0.64; 95% CI: 0.51-0.81) compared to high-income countries. Increased likelihood of poly-tobacco use was observed among respondents from the South-East Asian region compared to those from the European region (aOR = 1.58, 95% CI: 1.35-1.85), as well as among respondents aged ≥65 years (aOR = 2.10; 95% CI: 1.73-2.54), compared to those aged <25 years. Conclusions: The pattern of tobacco use varied widely, underscoring the need for intensified efforts towards implementing policies that address all tobacco products, not only manufactured cigarettes. © 2014 Elsevier Ireland Ltd.
Authors & Co-Authors
Agaku, Israel Terungwa
United States, Boston
Harvard T.h. Chan School of Public Health
Filippidis, Filippos T.
United States, Boston
Harvard T.h. Chan School of Public Health
Vardavas, Constantine I.
United States, Boston
Harvard T.h. Chan School of Public Health
Odukoya, Oluwakemi Ololade
Nigeria, Lagos
University of Lagos
Awopegba, Ayodeji J.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Ayo-Yusuf, Olalekan Abdulwahab
United States, Boston
Harvard T.h. Chan School of Public Health
South Africa, Pretoria
Sefako Makgatho Health Sciences University Smu
Connolly, Gregory N.
United States, Boston
Harvard T.h. Chan School of Public Health
Statistics
Citations: 80
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1016/j.drugalcdep.2014.03.003
ISSN:
03768716
e-ISSN:
18790046
Research Areas
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female