RESEARCH PAPER
Assessment of the use of different forms of tobacco products
among Nigerian adults: Implications for tobacco control policy
| 1 | Department of Health Services,
Saint Joseph’s University,
Philadelphia, United States |
CORRESPONDING AUTHOR
Publish date: 2018-04-12
Submission date: 2017-07-13
Final revision date: 2018-02-27
Acceptance date: 2018-03-21
Tob. Prev. Cessation 2018;4(April):12
KEYWORDS
TOPICS
ABSTRACT
Introduction:
This study assessed the determinants of tobacco use among adults in Nigeria, exploring associations between different types of tobacco products and gender.
Methods:
Study data were derived from the 2013 Nigerian Demographic and Health Survey (NDHS). The NDHS is a nationally representative household survey of 39 902 women, 17 359 men and 38 522 households. Country weighted data were collected on participants’ demographic characteristics and current tobacco use by type. Weighted prevalence estimates and 95% confidence intervals (CI) were performed to examine individual sociodemographic factors and tobacco use. A multivariate logistic regression was also performed to assess the relationship between tobacco use, adjusting for sociodemographic characteristics.
Results:
Overall prevalence of any tobacco use in 2013 was 2.9% (n=1621, 95% CI: 2.8– 3.0). The prevalence of any tobacco use was 8.3% (95%CI: 7.8–8.8, p<0.001) in men and 0.4% (95%CI: 0.3–0.5, p<0.001) in women. Cigarettes and snuff were the most commonly used tobacco products in men and women. Dual (smoking and smokeless tobacco products) use was associated with increased odds among men (AOR=26.1, 95%CI: 11.7–58.5, p<0.001), aged 45-59 years (AOR=5.6, 95%CI: 2.1–15.2, p<0.01) and completely/semi-illiterate (AOR=1.8, 95CI: 1.1–2.9, p<0.05).
Conclusions:
Men and women differed in their preference of type of tobacco product and the associated risk factors. Tobacco control policies need to take these specific differences into consideration for the design and implementation of interventions aimed at addressing tobacco use.
This study assessed the determinants of tobacco use among adults in Nigeria, exploring associations between different types of tobacco products and gender.
Methods:
Study data were derived from the 2013 Nigerian Demographic and Health Survey (NDHS). The NDHS is a nationally representative household survey of 39 902 women, 17 359 men and 38 522 households. Country weighted data were collected on participants’ demographic characteristics and current tobacco use by type. Weighted prevalence estimates and 95% confidence intervals (CI) were performed to examine individual sociodemographic factors and tobacco use. A multivariate logistic regression was also performed to assess the relationship between tobacco use, adjusting for sociodemographic characteristics.
Results:
Overall prevalence of any tobacco use in 2013 was 2.9% (n=1621, 95% CI: 2.8– 3.0). The prevalence of any tobacco use was 8.3% (95%CI: 7.8–8.8, p<0.001) in men and 0.4% (95%CI: 0.3–0.5, p<0.001) in women. Cigarettes and snuff were the most commonly used tobacco products in men and women. Dual (smoking and smokeless tobacco products) use was associated with increased odds among men (AOR=26.1, 95%CI: 11.7–58.5, p<0.001), aged 45-59 years (AOR=5.6, 95%CI: 2.1–15.2, p<0.01) and completely/semi-illiterate (AOR=1.8, 95CI: 1.1–2.9, p<0.05).
Conclusions:
Men and women differed in their preference of type of tobacco product and the associated risk factors. Tobacco control policies need to take these specific differences into consideration for the design and implementation of interventions aimed at addressing tobacco use.
REFERENCES (36)
1.
Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA. 2014;311(2):183-192. doi:10.1001/jama.2013.284692
2.
Word Health Organization. WHO report on the global tobacco epidemic, 2011. Geneva: World Health Organization, 2011.
3.
Mbulo L, Palipudi KM, Andes L, Morton J, Bashir R, Fouad H, et al. Secondhand smoke exposure at home among one billion children in 21 countries: findings from the Global Adult Tobacco Survey (GATS). Tob Control. 2016;e2(25):e95-e100. doi:10.1136/tobaccocontrol-2015-052693
4.
Jha P, Chaloupka FJ. Tobacco control in developing countries. Oxford University Press, 2000.
5.
Eriksen M, Mackay J, Schluger N, Farhad I, Drope J. The Tobacco Atlas. 5th ed. Atlanta, GA: American Cancer Society; 2015.
6.
World Health Organization. Gender, women and the tobacco epidemic. Manilla Philippines: World Health Organization; 2010.
7.
Ernster V, Kaufman N, Nichter M, Samet J, Yoon SY. Women and tobacco: moving from policy to action. Bull. World Health Organ. 2000; 78(7): 891-901.
8.
Méndez, D, Alshanqeety O, Warner KE. The potential impact of smoking control policies on future global smoking trends. Tob Control. 2013;22(1):46-51. doi:10.1136/tobaccocontrol-2011-050147
9.
Blecher E, Ross H. Tobacco use in Africa: Tobacco control through prevention. Atlanta: American Cancer Society; 2013.
10.
Warner KE. The economics of tobacco control: myths and realities. Tob Control. 2000; 9, 78e89. doi:10.1136/tc.9.1.78.
11.
World Health Organization. Report on Global Tobacco Epidemic. Geneva: World Health Organization; 2008.
12.
World Health Organization. The WHO Framework Convention on Tobacco Control. Geneva: World Health Organization; 2003.
13.
Bollyky T J, Glassman, A. Incentives for Life. Washington DC: Council on Foreign Relations, Inc., and the Center for Global Development; 2012.
14.
World Health Organization. 43 Parties to the WHO Framework Convention on Tobacco Control. World Health Organization Regional Office for Africa Website. www.afro.who.int. Published, 2015. Accessed April 6, 2016.
15.
World Health Organization. WHO report on the global tobacco epidemic, 2013: Enforcing bans on tobacco advertising, promotion and sponsorship. Geneva: World Health Organization; 2013.
16.
John RM, Mamudu HM, Liber AC. Socioeconomic implications of tobacco use in Ghana. Nicotine Tob Res. 2013; nts013. doi:10.1093/ntr/ntro13
17.
Agaku IT, Filippidis FT, Vardavas CI, Odukoya OO, Awopegba AJ, Ayo-Yusuf OA, Connolly GN. Poly-tobacco use among adults in 44 countries during 2008–2012: evidence for an integrative and comprehensive approach in tobacco control. Drug Alcohol Depend. 2014;139:60-70. doi: 10.1016/j.drugalcdep.2014.03.003.
18.
NBS. Global Adult Tobacco Survey, Nigeria – Country, 2012. Abuja: National Bureau of Statistics; 2012.
19.
Tafawa AO, Viswanath K, Kawachi I, Williams DR. Mass media exposure, social stratification, and tobacco consumption among Nigerian adults. Cancer Causes Control. 2012; 23(1): 45-55. doi:10.1007/s10552-012-9898-9
20.
Uguru NP, Mbachu C, Ibe OP, Uguru C.C,Odukoya O, Okwuosa C et al. Investigating male tobacco use and expenditure patterns across socio-economic groups in Nigeria. PloS One. 2015;10(4): e0122021. doi: 10.1371/journal.pone.0122021.
21.
Sreeramareddy CT, Pradhan PM, Sin S. Prevalence, distribution, and social determinants of tobacco use in 30 sub-Saharan African countries. BMC Med. 2014; 12(1):243-255. doi: 10.1186/s12916-014-0243-x.
22.
Ayo-Yusuf OA, Odukoya OO, Olutola BG. Sociodemographic correlates of exclusive and concurrent use of smokeless and smoked tobacco products among Nigerian men. Nicotine Tob Res. 2014; 16(6):641-646. doi:10.1093/ntr/ntt199.
23.
Pampel F. Tobacco use in sub-Sahara Africa: estimates from the demographic health surveys. Soc Sci Med. 2008;66(8):1772-1783. doi:10.1016/j.socscimed.2007.12.003.
24.
Fawibe AE, Shittu AO. Prevalence and characteristics of cigarette smokers among undergraduates of the University of Ilorin, Nigeria. Niger J Clin Pract. 2011;14(2): 201-205. doi:10.4103/1119-3077.84016.
25.
Egbe CO, Meyer-Weitz A, Asante KO, Petersen I. “A Woman is not Supposed To Smoke”: Exploring Gendered Stereotypes in Smoking Patterns in a Nigerian Setting. J Psychology. 2014; 5(1):1-7. doi: 10.1080/09764224.2014.11885500
26.
Nwhato SO. (2012). Nigeria’s costly complacency and the global tobacco epidemic. J Public Health Policy. 2012; 33(1): 16-33. doi:10.1057/jphp.2011.58.
27.
Desalu OO, Iseh KR, Olokoba AB, Salawu FK, Danburam A. Smokeless tobacco use in adult Nigerian population. Niger J Clin Pract. 2010;13(4):382-387.
28.
Caleyachetty R, Tait CA, Kengne AP, Corvalan C, Uauy R, Echouffo-Tcheugui JB. Tobacco use in pregnant women: analysis of data from Demographic and Health Surveys from 54 low-income and middle-income countries. Lancet Glob Health. 2014; 2(9), e513-e520. doi:10.1016/S2214-109X(14)70283-9.
29.
Agaku I, Akinyele A, Oluwafemi A. Tobacco control in Nigeria-policy recommendations. Tob. Induc. Dis. 2012: 10(1), p.8. doi:10.1186/1617-9625-10-8.
30.
Noar SM, Hall MG, Francis DB, Ribisl KM, Pepper JK, Brewer NT. Pictorial cigarette pack warnings: a meta-analysis of experimental studies. Tob Control. 2015: pp.tobaccocontrol-2014. doi: 10.1136/tobaccocontrol-2014-051978
31.
Achia TN. Tobacco Use and Mass Media Utilization in Sub-Saharan Africa. PloS One. 2015;10(2): e0117219. doi:10.1371/journal.pone.0117219.
32.
Onyeonoro UU, Chukwuonye II, Madukwe OO, Ukegbu AU, Akhimien MO, Ogah OS. Awareness and perception of harmful effects of smoking in Abia State, Nigeria. Nig J Cardiol. 2015; 12(1), 27. doi: 10.4103/0189-7969.148483
33.
NBS. The National Literacy Survey, June 2010. National Bureau of Statistics. http://www.nigerianstat.gov.ng....
34.
NOI Poll. Radio Remains The Most Common Source Of Information to Nigerians; Social Media Experiences A Tremendous Leap Over Two Years [Internet]. NOI Polls Nigeria. 2015 [cited 17 January 2018]. http://www.noi-polls.com/root/....
35.
Euromonitor International. Country Market Insight, Tobacco in Nigeria; Executive Summary. 2010. London: Euromonitor International.
36.
Agaku IT, Alpert HR, Vardavas CI, Adisa AO, Connolly GN. Use of smokeless tobacco and cigarettes among Nigerian youths: implications for tobacco control policies in Africa. Journal of Substance Use. 2014 Mar 1;19(1-2):75-80. doi:10.3109/14659891.2012.734542
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