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Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveys

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  • Pampel, Fred

Abstract

Despite the growing problem of global tobacco use, accurate information on the prevalence and patterns in the world's poorest nations remains sparse. For sub-Sahara Africa, in particular, a weak knowledge base limits the targeting of strategies to combat the potential growth of tobacco use and its harmful effect on future mortality. To describe the prevalence and social patterns of the use of cigarettes and other tobacco in Africa, this study examines population-based data from 16 Demographic Health Surveys (DHS) of men aged 15-54 years and women aged 15-49 years in 14 nations. Descriptive statistics show the highest cigarette use among men in several nations of east central Africa and Madagascar, lowest use in nations of west central Africa, and medium use in nations of southern Africa. Multinomial logistic regression results for men show highest cigarette use among urban, less educated, and lower status workers. Results for women show much lower prevalence than men but similar social patterns of use. The DHS results thus give new and comparable information about tobacco use in low-income nations, disadvantaged social groups, and an understudied region of the world.

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  • Pampel, Fred, 2008. "Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveys," Social Science & Medicine, Elsevier, vol. 66(8), pages 1772-1783, April.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:8:p:1772-1783
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    2. Ameerah M.N. Qattan & Micheal Kofi Boachie & Mustapha Immurana & Mohammed Khaled Al-Hanawi, 2021. "Socioeconomic Determinants of Smoking in the Kingdom of Saudi Arabia," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    3. Frida Ngalesoni & George Ruhago & Mary Mayige & Tiago Cravo Oliveira & Bjarne Robberstad & Ole Frithjof Norheim & Hideki Higashi, 2017. "Cost-effectiveness analysis of population-based tobacco control strategies in the prevention of cardiovascular diseases in Tanzania," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.
    4. Yudhie Andriyana & Rinda Fitriani & Bertho Tantular & Neneng Sunengsih & Kurnia Wahyudi & I Gede Nyoman Mindra Jaya & Annisa Nur Falah, 2023. "Modeling the Cigarette Consumption of Poor Households Using Penalized Zero-Inflated Negative Binomial Regression with Minimax Concave Penalty," Mathematics, MDPI, vol. 11(14), pages 1-13, July.
    5. Lindsay C. Kobayashi & Sarah Frank & Carlos Riumallo-Herl & David Canning & Lisa Berkman, 2019. "Socioeconomic gradients in chronic disease risk behaviors in a population-based study of older adults in rural South Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 135-145, January.
    6. Alissa C. Kress & Carlen Stadnik & Masauso Moses Phiri & Fastone M. Goma & Evelyn Twentyman, 2022. "Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018," IJERPH, MDPI, vol. 19(7), pages 1-16, March.
    7. Juliet Addo & Liam Smeeth & David A. Leon, 2009. "Smoking Patterns in Ghanaian Civil Servants: Changes Over Three Decades," IJERPH, MDPI, vol. 6(1), pages 1-9, January.
    8. Rebecca Katz & Sangeeta Mookherji & Morgan Kaminski & Vibhuti Haté & Julie E. Fischer, 2012. "Urban Governance of Disease," Administrative Sciences, MDPI, vol. 2(2), pages 1-13, April.
    9. Sreenivas P. Veeranki & Rijo M. John & Abdallah Ibrahim & Divya Pillendla & James F. Thrasher & Daniel Owusu & Ahmed E. O. Ouma & Hadii M. Mamudu, 2017. "Age of smoking initiation among adolescents in Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 63-72, January.
    10. Hadii M. Mamudu & Pooja Subedi & Ali E. Alamin & Sreenivas P. Veeranki & Daniel Owusu & Amy Poole & Lazarous Mbulo & A.E. Ogwell Ouma & Adekunle Oke, 2018. "The Progress of Tobacco Control Research in Sub-Saharan Africa in the Past 50 Years: A Systematic Review of the Design and Methods of the Studies," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
    11. Ahmad Reza Hosseinpoor & Lucy Anne Parker & Edouard Tursan d'Espaignet & Somnath Chatterji, 2011. "Social Determinants of Smoking in Low- and Middle-Income Countries: Results from the World Health Survey," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-7, May.

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