WTS database

Title	Pub Year	Author Sort descending	SearchLink
Waterpipe smoking among middle and high school Jordanian students: patterns and predictors	2013	Department of Community and Mental Health, Faculty of Nursing, Hashemite University, Zarqa, P.O. Box 150459, 13115, Jordan. sukaina-alzyoud@hu.edu.jo.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of environmental research and public health Periodical, Abbrev. Int.J.Environ.Res.Public.Health. Pub Date Free Form 12-Dec Volume 10 Issue 12 Start Page 7068 Other Pages 7082 Notes LR: 20151119; JID: 101238455; OID: NLM: PMC3881154; 2013/10/21 [received]; 2013/11/27 [revised]; 2013/11/28 [accepted]; epublish Place of Publication Switzerland ISSN/ISBN 1660-4601; 1660-4601 Accession Number PMID: 24351734 Language eng SubFile Journal Article; IM DOI 10.3390/ijerph10127068 [doi] Output Language Unknown(0) PMID 24351734 Abstract Despite the increase in attention to waterpipe tobacco smoking, the patterns and predictors of this method of tobacco use among Jordanian youth are not well known. The current study was conducted to assess the patterns and the predictors of waterpipe tobacco smoking among school aged students in one of Jordan's Central Governorates. A cross-sectional survey was conducted to investigate the patterns and predictors of waterpipe tobacco smoking among youth (grades 6, 8, 10 and 12). Using a multistage random sampling more than 1,000 students was selected. Data were collected using the Arabic Youth Tobacco Use Composite Measure (YTUCM). Waterpipe smoking was assessed for "past 12 months", "past month" and "past week". Students' ages ranged from 11 to 18 years, (mean age +/- 14.7; SD +/- 1.9 years). The percentage of girls who smoked waterpipe was greater for all frequencies of use than it was for boys. Age, gender, and belief that smoking makes more friends were predictors of smoking among study participants. This is the first known study to examine waterpipe smoking among youth aged 11 and 12. Our findings illustrate the need for public health campaigns to reach and educate youth, their families, teachers and school systems regarding the growing recognized health risks of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Alzyoud,S., Weglicki,L.S., Kheirallah,K.A., Haddad,L., Alhawamdeh,K.A. Original/Translated Title URL Date of Electronic 20131212 PMCID PMC3881154 Editors
Patterns of dual use of cigarettes and smokeless tobacco among US males: findings from national surveys	2010	Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Suite 5180, Gainesville, Florida 32610-3628, USA. stomar@dental.ufl.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Apr Volume 19 Issue 2 Start Page 104 Other Pages 109 Notes LR: 20151119; GR: R01CA87477/CA/NCI NIH HHS/United States; JID: 9209612; 6M3C89ZY6R (Nicotine); K5161X06LL (Cotinine); OID: NLM: PMC2989167; 2009/12/11 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 20008157 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1136/tc.2009.031070 [doi] Output Language Unknown(0) PMID 20008157 Abstract BACKGROUND: In the USA, consumption of moist snuff continues to increase and cigarette manufacturers now control nearly its entire market. Manufacturers have developed new products that represent cigarette brand extension and in test marketing are promoting dual use of cigarettes and snuff. This study examined patterns of concurrent use of smokeless tobacco (ST) and cigarettes among young people and adults in the USA just before cigarette companies' control of the nation's ST market. METHODS: Data were drawn from four US nationally representative surveys. Stratified analyses applied sampling weights and accounted for the complex sample designs. RESULTS: Cigarette smoking was substantially more prevalent among young males who used ST than among those who did not. Among adult males, those who smoked daily were less likely than others to have used snuff every day. Men who used moist snuff daily had the lowest prevalence of daily smoking, but the prevalence of daily smoking was relatively high among men who used moist snuff less than daily. Unsuccessful past-year attempts by daily smokers to quit smoking were more prevalent among non-daily snuff users (41.2%) than among those who had never used snuff (29.6%). CONCLUSIONS: Although dual daily use of ST and cigarettes is relatively uncommon in the USA, concurrent ST use is more common among adolescent and young adult male smokers than among more mature tobacco users. Among adult males, daily smoking predominates and non-daily ST use is very strongly associated with current smoking. Adult male smokers who also use ST daily tend to have relatively high levels of serum cotinine and high prevalence of a major indicator for tobacco dependence. Descriptors Adolescent, Adult, Cotinine/blood, Data Collection, Data Interpretation, Statistical, Humans, Male, Nicotine/blood, Smoking/epidemiology, Smoking Cessation, Socioeconomic Factors, Substance-Related Disorders/psychology, Tobacco Use Disorder/complications/epidemiology/psychology, Tobacco, Smokeless, United States/epidemiology, Young Adult Links Book Title Database Publisher Data Source Authors Tomar,S. L., Alpert,H. R., Connolly,G. N. Original/Translated Title URL Date of Electronic 20091211 PMCID PMC2989167 Editors
'Roll-your-own' cigarette smoking in South Africa between 2007 and 2010	2013	Department of Community Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. lekan.ayoyusuf@up.ac.za.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 24-Jun Volume 13 Issue Start Page 597 Other Pages 2458-13-597 Notes LR: 20151119; JID: 100968562; OID: NLM: PMC3694453; 2013/01/02 [received]; 2013/06/14 [accepted]; 2013/06/24 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 23800007 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-13-597 [doi] Output Language Unknown(0) PMID 23800007 Abstract BACKGROUND: The prevalence of smoking and consumption of cigarettes have decreased in South Africa over the last 20 years. This decrease is a result of comprehensive tobacco control legislation, particularly large cigarette tax increases. However, little attention has been given to the potential use of 'roll-your-own' cigarettes as cheaper alternatives, especially among the socio-economically disadvantaged population. This study therefore sought to determine socio-demographic correlates of 'roll-your-own' cigarette use among South African adults (2007-2010). METHODS: This secondary data analysis used a merged dataset from two nationally representative samples of 2 907 and 3 112 South African adults (aged >/=16 years) who participated in the 2007 and 2010 annual South African Social Attitude Surveys respectively. The surveys used a face-to-face interviewer-administered questionnaire. The overall response rates were 83.1% for 2007 and 88.9% for 2010. Data elicited included socio-demographic data, current smoking status, type of tobacco products used, past quit attempts and self-efficacy in quitting. Data analysis included chi-square statistics and multi-variable adjusted logistic regression analysis. RESULTS: Of the 1 296 current smokers in this study, 24.1% (n = 306) reported using roll-your-own cigarettes. Some of whom also smoked factory-made cigarettes. Roll-your-own cigarette smoking was most common among black Africans and was more common among male smokers than among female smokers (27% vs 15.8%; p Descriptors Links Book Title Database Publisher Data Source Authors Ayo-Yusuf,O.A., Olutola,B.G. Original/Translated Title URL Date of Electronic 20130624 PMCID PMC3694453 Editors
Socio-economic position, smoking, and plaque: a pathway to severe chronic periodontitis	2011	Department of Community Dentistry, Hadassah School of Dental Medicine, Hebrew University, Jerusalem, Israel. aviz@hadassah.org.il	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of clinical periodontology Periodical, Abbrev. J.Clin.Periodontol. Pub Date Free Form Mar Volume 38 Issue 3 Start Page 229 Other Pages 235 Notes CI: (c) 2010; JID: 0425123; 2010/12/28 [aheadofprint]; ppublish Place of Publication Denmark ISSN/ISBN 1600-051X; 0303-6979 Accession Number PMID: 21198768 Language eng SubFile Journal Article; D; IM DOI 10.1111/j.1600-051X.2010.01689.x [doi] Output Language Unknown(0) PMID 21198768 Abstract AIM: To report periodontal status and elucidate the relationship among socio-economic position (SEP), plaque accumulation, tobacco smoking, and periodontitis in a representative sample of adult Jewish people, aged 35-44 years, living in Jerusalem. METHODS: This cross-sectional study was conducted using a stratified sample of two hundred and fifty-four 35-44-year-old adults in Jerusalem (limited to the Jewish population). A clinical examination (Community Periodontal Index and Plaque Index) and a self-administered questionnaire were applied. RESULTS: Two hundred and fifty-four adults, mean age 38.6 (SD=3.3) years, participated. The response rate was 88%; intra-examiner kappa values were above 0.87. The average number of healthy sextants was 1.18, while the average number of sextants with bleeding, calculus, shallow periodontal pockets, and deep periodontal pockets was 1.3, 2.6, 0.7, and 0.1, respectively. Lower level of education was associated with severe chronic periodontitis (SCP, p=0.012) and also with smoking (p=0.030) and higher level of plaque (p Descriptors Links Book Title Database Publisher John Wiley & Sons A/S Data Source Authors Zini,A., Sgan-Cohen,H.D., Marcenes,W. Original/Translated Title URL Date of Electronic 20101228 PMCID Editors
Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys	2012	Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY 14214-8028, USA. ggiovino@buff alo.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Lancet (London, England) Periodical, Abbrev. Lancet Pub Date Free Form 18-Aug Volume 380 Issue 9842 Start Page 668 Other Pages 679 Notes LR: 20150708; CI: Copyright (c) 2012; GR: G0701732/Medical Research Council/United Kingdom; GR: MC_U137686857/Medical Research Council/United Kingdom; JID: 2985213R; CIN: Lancet. 2012 Dec 1;380(9857):1906; author reply 1906-7. PMID: 23200498; CIN: Lancet. Place of Publication England ISSN/ISBN 1474-547X; 0140-6736 Accession Number PMID: 22901888 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; Review; AIM; IM DOI 10.1016/S0140-6736(12)61085-X [doi] Output Language Unknown(0) PMID 22901888 Abstract BACKGROUND: Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). METHODS: Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006-07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. FINDINGS: In countries participating in GATS, 48.6% (95% CI 47.6-49.6) of men and 11.3% (10.7-12.0) of women were tobacco users. 40.7% of men (ranging from 21.6% in Brazil to 60.2% in Russia) and 5.0% of women (0.5% in Egypt to 24.4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55-64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25-34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low ( Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Giovino,G.A., Mirza,S.A., Samet,J.M., Gupta,P.C., Jarvis,M.J., Bhala,N., Peto,R., Zatonski,W., Hsia,J., Morton,J., Palipudi,K.M., Asma,S., GATS Collaborative Group Original/Translated Title URL Date of Electronic PMCID Editors
Deficiencies in public understanding about tobacco harm reduction: results from a United States national survey	2015	Department of Community Health and Health Behavior, University at Buffalo, State University of New York, School of Public Health and Health Professions, 3425 Main Street, Buffalo, NY, 14214, USA. mtk8@buffalo.edu.; Department of Community Health and Healt	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Harm reduction journal Periodical, Abbrev. Harm Reduct J. Pub Date Free Form 2-Jul Volume 12 Issue Start Page 21 Other Pages 015-0055-0 Notes LR: 20150707; JID: 101153624; OID: NLM: PMC4487951; 2015/03/13 [received]; 2015/06/25 [accepted]; 2015/07/02 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1477-7517; 1477-7517 Accession Number PMID: 26135116 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1186/s12954-015-0055-0 [doi] Output Language Unknown(0) PMID 26135116 Abstract BACKGROUND: Tobacco products differ in their relative health harms. The need for educating consumers about such harms is growing as different tobacco products enter the marketplace and as the FDA moves to regulate and educate the public about different products. However, little is known about the patterns of the public's knowledge of relative harms. METHODS: Data were analyzed from the Health Information National Trends Survey (HINTS) 4 Cycle 2, a population-representative survey of US adults conducted between October 2012 and January 2013 (N = 3630). Participants reported their perceptions of the relative risks of e-cigarettes, smokeless tobacco, and different types of cigarettes compared to "traditional" cigarettes. Relative risk perceptions for each product type, as well as the consistency and accuracy of harm reduction beliefs, were analyzed. RESULTS: About 65% of the respondents accurately reported that no cigarettes were less harmful than any others. Slightly more than half of U.S. adults perceived e-cigarettes to be safer than regular cigarettes, a belief in line with current scientific evidence. By contrast, only 9% of respondents perceived some smokeless tobacco products to be safer, a belief strongly supported by the evidence. Only 3.5% of respondents had patterns of relative risk perceptions in line with current scientific evidence for all three modalities. CONCLUSIONS: The discrepancy between current evidence and public perceptions of relative risk of various tobacco/nicotine products was marked; for most tobacco types, a large proportion of the population held inaccurate harm reduction beliefs. Although there was substantial awareness that no cigarettes were safer than any other cigarettes, there could be benefits from increasing the percentage of the public that appreciates this fact, especially among current smokers. Given the potential benefits of tobacco risk reduction strategies, public health education efforts to increase understanding of basic harm reduction principles are needed to address these misperceptions. Descriptors Links Book Title Database Publisher Data Source Authors Kiviniemi,M.T., Kozlowski,L.T. Original/Translated Title URL Date of Electronic 20150702 PMCID PMC4487951 Editors
Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia	1996	Department of Community Health Sciences, College Of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Autumn Volume 5 Issue 3 Start Page 215 Other Pages 219 Notes LR: 20081120; JID: 9209612; OID: NLM: PMC1759520; ppublish Place of Publication ENGLAND ISSN/ISBN 0964-4563; 0964-4563 Accession Number PMID: 9035357 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI Output Language Unknown(0) PMID 9035357 Abstract OBJECTIVE: To measure the smoking behaviour and attitudes among Saudi adults residing in Riyadh City, the capital of the Kingdom of Saudi Arabia. DESIGN: Cross-sectional survey. SETTING AND SUBJECTS: Primary health care centres (PHCCs) in Riyadh City were selected by stratified random sampling. Subjects resident in each PHCC catchment area were selected by systematic sampling from their records in the PHCCs; 1534 adults aged 15 years and older were interviewed during January to April 1994. MAIN OUTCOME MEASURES: Self-reported smoking prevalence; age of smoking initiation; daily cigarette consumption; duration of smoking; reasons for smoking, not smoking, and quitting smoking; intentions to smoke in the future; and attitudes toward various tobacco control measures. RESULTS: 25.3% of respondents were current smokers, 10.2% were ex-smokers, and 64.5% had never smoked. About 79% of all smokers started smoking between the ages of 15 and 30 years, and 19.5% before age 15. Significantly higher smoking prevalence and daily cigarette consumption were associated with being male, single, and being more highly educated. Relief of psychological tension, boredom, and imitating others were the most important reasons for smoking, whereas health and religious considerations were the most important reasons for not smoking among never-smokers, for quitting among ex-smokers, and for attempting to quit or thinking about quitting among current smokers. About 90% of all subjects thought that they would not smoke in the future. Physicians and religious men were identified as the most effective anti-smoking advocates by a much higher proportion of respondents (44%) than nurses, health educators, and teachers (each less than 5%). Health and religious education were generally cited as more effective in deterring smoking than tobacco control laws and policies. CONCLUSIONS: Cigarette smoking is prevalent among Saudi adults in Riyadh, particularly males, most of whom begin to smoke rather early in life and continue for many years. Health and religious education should be the cornerstone for any organised tobacco control activities, which are urgently needed to combat the expected future epidemic of smoking-related health problems. Descriptors Adolescent, Adult, Age of Onset, Attitude to Health, Female, Humans, Incidence, Male, Middle Aged, Random Allocation, Saudi Arabia/epidemiology, Smoking/epidemiology/prevention & control Links Book Title Database Publisher Data Source Authors Saeed,A. A., Khoja,T. A., Khan,S. B. Original/Translated Title URL Date of Electronic PMCID PMC1759520 Editors
Knowledge, attitude and perception of water pipe smoking (Shisha) among adolescents aged 14-19 years	2008	Department of Community Health Sciences, Ziauddin University, Karachi.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full JPMA.The Journal of the Pakistan Medical Association Periodical, Abbrev. J.Pak.Med.Assoc. Pub Date Free Form Jun Volume 58 Issue 6 Start Page 312 Other Pages 317 Notes LR: 20151119; JID: 7501162; ppublish Place of Publication Pakistan ISSN/ISBN 0030-9982; 0030-9982 Accession Number PMID: 18988390 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 1419 [pii] Output Language Unknown(0) PMID 18988390 Abstract OBJECTIVE: To study the impact of educational intervention on knowledge, attitude and practices with regard to water pipe smoking among adolescents (14-19 years old) in Karachi. METHODS: A cross-sectional survey of adolescents aged 14-19 years studying at different educational institutions of Karachi, Pakistan was conducted through multistage sampling on a pre-tested self-administered questionnaire. They were divided into high, middle and lower socioeconomic strata on the basis of monthly fee structure. The impact of health messages was assessed two months after education sessions through post-test of only high and middle socioeconomic strata. RESULTS: A total of 646 students were surveyed for the pre test and 250 students for the post test. A significant association was found for water pipe smoking among the socioeconomic class (p < 0.001). Water pipe is more addictive as compared to cigarettes was marked by more students after the sessions (54% vs 68%; p < 0.001). A significant difference was seen for water pipe being more socially acceptable (58% vs 80%; p < 0.001), it is part of our cultural heritage (29% vs 58%; p < 0.001). CONCLUSION: Shisha smoking was more prevalent among the high socio economic group, which might be because of the cost, accessibility and availability. The knowledge of the students regarding water pipe smoking improved after the health awareness sessions. Descriptors Adolescent, Age Factors, Cross-Sectional Studies, Female, Health Education, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Male, Pakistan/epidemiology, Prevalence, Risk-Taking, Smoking/epidemiology, Social Perception, Socioeconomic Factors, Surveys and Questionnaires, Young Adult Links Book Title Database Publisher Data Source Authors Anjum,Q., Ahmed,F., Ashfaq,T. Original/Translated Title URL Date of Electronic PMCID Editors
Risk factors for childhood asthma and wheezing. Importance of maternal and household smoking	1996	Department of Community Health, University of Cape Town, South Africa.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American journal of respiratory and critical care medicine Periodical, Abbrev. Am.J.Respir.Crit.Care Med. Pub Date Free Form Sep Volume 154 Issue 3 Pt 1 Start Page 681 Other Pages 688 Notes LR: 20151119; JID: 9421642; 0 (Sodium Chloride, Dietary); 0 (Tobacco Smoke Pollution); AYI8EX34EU (Creatinine); K5161X06LL (Cotinine); ppublish Place of Publication UNITED STATES ISSN/ISBN 1073-449X; 1073-449X Accession Number PMID: 8810605 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; AIM; IM DOI 10.1164/ajrccm.154.3.8810605 [doi] Output Language Unknown(0) PMID 8810605 Abstract To identify modifiable risk factors for wheezing illness in childhood, the associations between current asthma or wheezing and factors such as household smoking, damp and dietary salt preference were measured in a questionnaire-based prevalence study of schoolchildren 7 to 9 yr of age in Cape Town. In a random sample of 15 schools, questionnaires were completed by parents of 1,955 children, from which 368 cases and 294 controls were selected on the basis of reported asthma diagnosis or symptoms. Urinary cotinine concentrations were measured, and the parents were interviewed. An exposure-response relationship between the urinary cotinine creatinine ratio and asthma/wheeze was observed. In multivariate analysis, predictors of asthma/wheeze were hay fever (odds ratio [OR] - 5.30; 95% confidence interval [CI] = 3.16 to 8.89), eczema (OR = 2.19; 95% CI = 1.33-3.62), parental asthma (OR = 1.77; 95% CI = 1.11 to 2.84), absence of paternal contribution to income (OR = 1.72; 95% CI = 1.17 to 2.54), maternal smoking in pregnancy (OR = 1.87; 95% CI = 1.25 to 2.81), and each additional household smoker (OR = 1.15; 95% CI = 1.01 to 1.30). Findings were similar, with higher odds ratios for most variables, except number of household smokers, when the group was restricted to children with parent-reported asthma. The findings confirm that household smoking is an important modifiable risk factor in asthma/wheeze among young schoolchildren, and they suggest that maternal smoking in pregnancy and current household exposure are independent contributors to this effect. Descriptors Asthma/epidemiology/etiology/genetics, Child, Cotinine/urine, Creatinine/urine, Female, Humans, Male, Multivariate Analysis, Pregnancy, Prenatal Exposure Delayed Effects, Prevalence, Random Allocation, Respiratory Sounds/etiology, Risk Factors, Sampling Studies, Smoking/epidemiology, Socioeconomic Factors, Sodium Chloride, Dietary/adverse effects, South Africa/epidemiology, Surveys and Questionnaires, Tobacco Smoke Pollution/adverse effects Links Book Title Database Publisher Data Source Authors Ehrlich,R. I., Du Toit,D., Jordaan,E., Zwarenstein,M., Potter,P., Volmink,J. A., Weinberg,E. Original/Translated Title URL Date of Electronic PMCID Editors
Tobacco use in older adults in Ghana: sociodemographic characteristics, health risks and subjective wellbeing	2013	Department of Community Health, University of Ghana Medical School, College of Health Sciences, Room 46, P, O, Box 4236, Korle-Bu, Accra, Ghana. aeyawson@yahoo.com.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 20-Oct Volume 13 Issue Start Page 979 Other Pages 2458-13-979 Notes GR: OGHA 04034785/PHS HHS/United States; GR: R01 AG034479-64401A1/AG/NIA NIH HHS/United States; GR: Y1-AG-1005-01/AG/NIA NIH HHS/United States; GR: YA1323-08-CN-0020/CN/NCI NIH HHS/United States; JID: 100968562; OID: NLM: PMC3924352; 2013/08/14 [received] Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 24138966 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-13-979 [doi] Output Language Unknown(0) PMID 24138966 Abstract BACKGROUND: Tobacco use over the life-course threatens to increase disease burden in older adulthood, including lower income countries like Ghana. This paper describes demographic, socioeconomic, health risks and life satisfaction indices related to tobacco use among older adults in Ghana. METHODS: This work was based on the World Health Organization's multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. Wave one of SAGE in Ghana was conducted in 2007-2008 as collaboration between WHO and the University of Ghana Medical School through the Department of Community Health. A nationally representative sample of 4305 older adults aged 50 years and above were interviewed. Associations between tobacco consumption and sociodemographic, socioeconomic, health risk and life satisfaction were evaluated using chi-square and odds ratio (OR). Logistic regression analyses, adjusted for age, sex and other variables, were conducted to determine predictors of tobacco consumption in older persons. RESULTS: Overall prevalence of current daily smokers among older adults in Ghana was 7.6%. Tobacco use (i.e. ever used tobacco) was associated with older males, (AOR = 1.10, CI 1.05-1.15), older adults residing in rural locations (AOR = 1.37, CI 1.083-1.724), and older adults who used alcohol (AOR = 1.13, CI 0.230-2.418). Tobacco use was also associated (although not statistically significant per p-values) with increased self-reporting of angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, and stroke. Older adults who used tobacco and with increased health risks, tended to be without health insurance (AOR = 1.41, CI 1.111-1.787). Satisfaction with life and daily living was much lower for those who use tobacco. Regional differences existed in tobacco use; the three northern regions (Upper East, Northern and Upper West) had higher proportions of tobacco use among older adults in the country. Quitting tobacco use was higher in the 70+ years age group, in women, among urban residents and in those with at least secondary education. Quitting tobacco use also increased with increasing income levels. CONCLUSIONS: Tobacco use among older adults in Ghana was associated with older men living in rural locations, chronic ill-health and reduced life satisfaction. A high proportion of older adults have stopped using tobacco, demonstrating the possibilities for effective public health interventions. Health risk reduction strategies through targeted anti-smoking health campaigns, improvement in access to health and social protection (such as health insurance) will reduce health risks among older persons who use tobacco. Descriptors Links Book Title Database Publisher Data Source Authors Yawson,A.E., Baddoo,A., Hagan-Seneadza,N.A., Calys-Tagoe,B., Hewlett,S., Dako-Gyeke,P., Mensah,G., Minicuci,N., Naidoo,N., Chatterji,S., Kowal,P., Biritwum,R. Original/Translated Title URL Date of Electronic 20131020 PMCID PMC3924352 Editors

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