Abstract
Smoking is currently considered one of the greatest problems in public health worldwide, and it is one of the most avoidable causes of death. Cigarette consumption killed more than 6 million people, nearly 80% in low and middle income countries in 2011. The objective of the current study was to assess the prevalence of cigarette smoking and its determinant factors among psychiatric outpatients in Jimma University Specialized Hospital (JUSH). A facility based cross-sectional study was carried out in persons with mental disorders from 1st to 15th of August 2013 in Jimma zone, south-west Ethiopia. The data were collected by interviewing all persons with mental disorders coming for treatment at JUSH by using an interviewer administered questionnaire. The overall current prevalence of cigarette smoking was 20.5%. The prevalence of cigarette smoking in persons with schizophrenia, bipolar I disorders and major depressive disorders were 28.2, 17.8 and 16.3%, respectively. Cigarette smoking was strongly associated with male gender, khat use and alcohol use disorders. The current prevalence of cigarette smoking was high amongst persons with mental disorders. Attention should be given routine screening for cigarette smoking in psychiatric patients and consequent management of smoking along with psychiatric management. Key words: Cigarette smoking, determinants, Schizophrenia.
Highlights
Cigarette use is the most preventable cause of death worldwide and is accountable for the deaths of approximately half of its long-term users
A 33.3% prevalence of cigarette smoking was detected in College/University students whereas only 5.4% prevalence was reported by illiterate participants (Table 2)
This study revealed that there is substantial burden of cigarette smoking in persons with mental disorders in Jimma University specialized hospital
Summary
Cigarette use is the most preventable cause of death worldwide and is accountable for the deaths of approximately half of its long-term users. Health approximately 47% of men and 12% of women smoke cigarettes worldwide in 2010 (Tobacco free initiative, 2010). Studies revealed that national smoking prevalence among men in sub- Sahara Africa varies from 20 to 60% and the yearly cigarette consumption rates are on the rise for both men and women (Warren et al, 2000-2007). Cigarette smoking is well known as a risk factor for many of health problems such as lung cancer, cardiovascular diseases, intrauterine growth retardation, spontaneous abortion, antepartum hemorrahage, female infertility, peptic ulcer disease, chronic obstructive lung disease, sexual dysfunction in men, and so on. Passive smokers can get diseases associated with cigarette smoking (Kassay et al, 1994; Wong and Bauman, 1997; Guslandi et al, 1997; Jee et al, 1999)
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