Prevalence and correlates of tobacco use among school-going adolescents in Madagascar

Sreenivas P. Veeranki; Hadii M. Mamudu; Rijo M. John; Ahmed E.O. Ouma

doi:10.1016/j.jegh.2014.12.005

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Volume 5, Issue 3, September 2015, Pages 239 - 247

Prevalence and correlates of tobacco use among school-going adolescents in Madagascar

Authors

Sreenivas P. Veeranki^a^{, *}^,drveeranki@gmail.com spveeran@utmb.edu, Hadii M. Mamudu^b, Rijo M. John^c, Ahmed E.O. Ouma^d

^aDepartment of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, USA

^bDepartment of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN, USA

^cIndian Institute of Technology, Jodhpur, Rajasthan, India

^dTobacco Control Division, WHO Regional Office for Africa, Brazzaville, Congo

^*Corresponding author at: Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Ewing Hall 1.128, 301 University Blvd., Galveston, TX 77555-1150, USA. Tel.: +1 409 772 2535; fax: +1 409 772 5272.

Corresponding Author

Sreenivas P. Veerankidrveeranki@gmail.com spveeran@utmb.edu

Received 3 June 2014, Revised 8 December 2014, Accepted 14 December 2014, Available Online 30 January 2015.

DOI: 10.1016/j.jegh.2014.12.005 How to use a DOI?
Keywords: Tobacco use; Adolescents; Madagascar; Tobacco control; Low- and middle-income countries; Africa
Abstract: Approximately 90% of adults start smoking during adolescence, with limited studies conducted in low-and-middle-income countries where over 80% of global tobacco users reside. The study aims to estimate prevalence and identify predictors associated with adolescents’ tobacco use in Madagascar. We utilized tobacco-related information of 1184 school-going adolescents aged 13–15 years, representing a total of 296,111 youth from the 2008 Madagascar Global Youth Tobacco Survey to determine the prevalence of tobacco use. Gender-wise multivariable logistic regression models were conducted to identify key predictors.

Approximately 19% (30.7% males; 10.2% females) of adolescents currently smoke cigarettes, and 7% (8.5% males and 5.8% females) currently use non-cigarette tobacco products. Regardless of sex, peer smoking behavior was significantly associated with increased tobacco use among adolescents. In addition, exposures to tobacco industry promotions, secondhand smoke (SHS) and anti-smoking media messages were associated with tobacco use. The strong gender gap in the use of non-cigarette tobacco products, and the role of peer smoking and industry promotions in adolescent females’ tobacco use should be of major advocacy and policy concern. A comprehensive tobacco control program integrating parental and peer education, creating social norms, and ban on promotions is necessary to reduce adolescents’ tobacco use.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 5 - 3
Pages: 239 - 247
Publication Date: 2015/01/30
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2014.12.005 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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ris enw bib

TY  - JOUR
AU  - Sreenivas P. Veeranki
AU  - Hadii M. Mamudu
AU  - Rijo M. John
AU  - Ahmed E.O. Ouma
PY  - 2015
DA  - 2015/01/30
TI  - Prevalence and correlates of tobacco use among school-going adolescents in Madagascar
JO  - Journal of Epidemiology and Global Health
SP  - 239
EP  - 247
VL  - 5
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.12.005
DO  - 10.1016/j.jegh.2014.12.005
ID  - Veeranki2015
ER  -

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