Abstract
BackgroundTobacco is a leading cause of death globally. There are limited reports on current cigarette smoking prevalence and its associated-antismoking messages among adolescents in conflict zones of the world. We, therefore, conducted secondary analysis of data to estimate the prevalence of current cigarette smoking, and to determine associations of antismoking messages with smoking status.MethodsWe used data from the Somaliland Global Youth Tobacco Survey (GYTS) of 2004 to estimate the prevalence of smoking. We also assessed whether being exposed to anti-smoking media, education and having discussed with family members on the harmful effects of smoking were associated with smoking. Logistic regression analysis was used to assess these associations. Current smoking was defined as having reported smoking cigarettes, even a single puff, in the last 30 days preceding the survey (main outcome).ResultsAltogether 1563 adolescents participated in the survey. However, 1122 had data on the main outcome. Altogether, 15.8% of the respondents reported having smoked cigarettes (10.3% among males, and 11.1% among females). Factors that were associated with reported non-smoking were: discussing harmful effects of smoking cigarettes with their family members (OR = 0.61, 95% CI 0.52, 0.71); being taught that smoking makes teeth yellow, causes wrinkles and smokers smell badly (OR = 0.62, 95% CI 0.52, 0.74); being taught that people of the respondent's age do not smoke (OR = 0.81, 95% CI 0.69, 0.95); and having reported that religious organizations discouraged young people smoking (OR = 0.70, 95% CI 0.60, 0.82). However, exposure to a lot many antismoking messages at social gatherings was associated with smoking. Exposure to antismoking print media was not associated with smoking status.ConclusionA combination of school and home based antismoking interventions may be effective in controlling adolescent smoking in Somaliland.
Highlights
IntroductionThere are limited reports on current cigarette smoking prevalence and its associated-antismoking messages among adolescents in conflict zones of the world
Tobacco is a leading cause of death globally
Much of the research on the estimate of the prevalence and associated factors of adolescent smoking has been driven by the Global Youth Tobacco Survey (GYTS); an initiative spearheaded by the United States' Centers for Diseases Control and Prevention (CDC), the World Health Organization (WHO) and the Canadian Public Health Association [2], and a group of authors who have been conducting secondary analysis of GYTS data [3]
Summary
There are limited reports on current cigarette smoking prevalence and its associated-antismoking messages among adolescents in conflict zones of the world. We conducted secondary analysis of data to estimate the prevalence of current cigarette smoking, and to determine associations of antismoking messages with smoking status. Tobacco use is a leading cause of morbidity and mortality globally. Much of the research on the estimate of the prevalence and associated factors of adolescent smoking has been driven by the Global Youth Tobacco Survey (GYTS); an initiative spearheaded by the United States' Centers for Diseases Control and Prevention (CDC), the World Health Organization (WHO) and the Canadian Public Health Association [2], and a group of authors who have been conducting secondary analysis of GYTS data [3]. Traditional reporting of results from the GYTS has concentrated on ages 13 to 15 years, and estimates of prevalence and the general socio-environment that may be associated with teenage smoking
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