Patterns of tobacco use in low and middle income countries by tobacco product and sociodemographic characteristics: nationally representative survey data from 82 countries

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dc.contributor.authorMichaela Theilmann
dc.contributor.authorJulia M Lemp
dc.contributor.authorVolker Winkler
dc.contributor.authorJennifer Manne-Goehler
dc.contributor.authorMaja E Marcus
dc.contributor.authorCharlotte Probst
dc.contributor.authorWilliam A Lopez-Arboleda
dc.contributor.authorCara Ebert
dc.contributor.authorChristian Bommer
dc.contributor.authorMaya Mathur
dc.contributor.authorGlennis Andall-Brereton
dc.contributor.authorSilver K Bahendeka
dc.contributor.authorPascal Bovet
dc.contributor.authorFarshad Farzadfar
dc.contributor.authorErfan Ghasemi
dc.contributor.authorMary T Mayige
dc.contributor.authorSahar Saeedi Moghaddam
dc.contributor.authorKibachio J Mwangi
dc.contributor.authorShohreh Naderimagham
dc.contributor.authorLela Sturua
dc.contributor.authorRifat Atun
dc.contributor.authorJustine I Davies
dc.contributor.authorTill Bärnighausen
dc.contributor.authorSebastian Vollmer
dc.contributor.authorPascal Geldsetzer
dc.date.accessioned2024-04-30T06:56:08Z
dc.date.available2024-04-30T06:56:08Z
dc.date.issued2022-07-01
dc.description.abstractObjectives To determine the prevalence and frequency of using any tobacco product and each of a detailed set of tobacco products, how tobacco use and frequency of use vary across countries, world regions, and World Bank country income groups, and the socioeconomic and demographic gradients of tobacco use and use frequency within countries. Design Secondary analysis of nationally representative, crosssectional, household survey data from 82 low and middle income countries collected between 1 January 2015 and 31 December 2020. Setting Population based survey data. Participants 1231068 individuals aged 15 years and older. Main outcome measures Self-reported current smoking, current daily smoking, current smokeless tobacco use, current daily smokeless tobacco use, pack years, and current use and use frequencies of each tobacco product. Products were any type of cigarette, manufactured cigarette, hand rolled cigarette, water pipe, cigar, oral snuff, nasal snuff, chewing tobacco, and betel nut (with and without tobacco). Results The smoking prevalence in the study sample was 16.5% (95% confidence interval 16.1% to 16.9%) and ranged from 1.1% (0.9% to 1.3%) in Ghana to 50.6% (45.2% to 56.1%) in Kiribati. The user prevalence of smokeless tobacco was 7.7% (7.5% to 8.0%) and prevalence was highest in Papua New Guinea (daily user prevalence of 65.4% (63.3% to 67.5%)). Although variation was wide between countries and by tobacco product, for many low and middle income countries, the highest prevalence and cigarette smoking frequency was reported in men, those with lower education, less household wealth, living in rural areas, and higher age. Co nclusions Both smoked and smokeless tobacco use and frequency of use vary widely across tobacco products in low and middle income countries. This study can inform the design and targeting of efforts to reduce tobacco use in low and middle income countries and serve as a benchmark for monitoring progress towards national and international goals.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38401
dc.language.isoen
dc.schoolPublic Health
dc.titlePatterns of tobacco use in low and middle income countries by tobacco product and sociodemographic characteristics: nationally representative survey data from 82 countries
dc.typeArticle
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