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Early smoking initiation and associated factors among in-school male and female adolescents in seven African countries

Identifieur interne : 001562 ( Pmc/Corpus ); précédent : 001561; suivant : 001563

Early smoking initiation and associated factors among in-school male and female adolescents in seven African countries

Auteurs : K. Peltzer

Source :

RBID : PMC:3261015

Abstract

Objective

This report examines the prevalence and common correlates of early smoking initiation among male and female school children across seven African countries.

Method

The total sample included 17,725 school children aged 13 to 15 years from nationally representative samples in seven African countries. Univariate and multivariate analyses were conducted to assess the relationship between early smoking initiation, health compromising behaviours, mental distress, protective factors and socio-economic status variables.

Results

Overall 15.5% had experienced smoking initiation before age 14, with the percentages 20.1% among boys and 10.9% among girls. In multivariable analysis, early smoking initiation was among boys associated with ever drunk from alcohol use (OR=4.73, p=0.001), ever used drugs (OR=2.36, p=0.04) and ever had sex (OR=1.63, p=0.04). Among girls, it was associated with higher education (OR=5.77, p=0.001), ever drunk from alcohol use (OR=4.76, p=0.002), parental or guardian tobacco use (OR=2.83, p=0.001) and suicide ideation (OR=2.05, p=0.02).

Conclusion

The study found a high prevalence of early smoking initiation among 13–15 year-olds in seven African countries. Various risk factors have been identified in boys and girls who initiate smoking before age 14, forming a distinct risk group in this setting. Specific interventions are needed for boys and girls in the preteen years, before smoking initiation.


Url:
PubMed: 22275919
PubMed Central: 3261015

Links to Exploration step

PMC:3261015

Le document en format XML

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<nlm:aff id="A2">Department of Psychology, University of Limpopo, South Africa</nlm:aff>
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<title>Objective</title>
<p>This report examines the prevalence and common correlates of early smoking initiation among male and female school children across seven African countries.</p>
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<sec sec-type="methods">
<title>Method</title>
<p>The total sample included 17,725 school children aged 13 to 15 years from nationally representative samples in seven African countries. Univariate and multivariate analyses were conducted to assess the relationship between early smoking initiation, health compromising behaviours, mental distress, protective factors and socio-economic status variables.</p>
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<title>Results</title>
<p>Overall 15.5% had experienced smoking initiation before age 14, with the percentages 20.1% among boys and 10.9% among girls. In multivariable analysis, early smoking initiation was among boys associated with ever drunk from alcohol use (OR=4.73, p=0.001), ever used drugs (OR=2.36, p=0.04) and ever had sex (OR=1.63, p=0.04). Among girls, it was associated with higher education (OR=5.77, p=0.001), ever drunk from alcohol use (OR=4.76, p=0.002), parental or guardian tobacco use (OR=2.83, p=0.001) and suicide ideation (OR=2.05, p=0.02).</p>
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<sec sec-type="conclusions">
<title>Conclusion</title>
<p>The study found a high prevalence of early smoking initiation among 13–15 year-olds in seven African countries. Various risk factors have been identified in boys and girls who initiate smoking before age 14, forming a distinct risk group in this setting. Specific interventions are needed for boys and girls in the preteen years, before smoking initiation.</p>
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<subject>Non Communicable diseases</subject>
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<article-title>Early smoking initiation and associated factors among in-school male and female adolescents in seven African countries</article-title>
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HIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, 134 Pretorius Street, Pretoria 0002, South Africa</aff>
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Department of Psychology, University of Limpopo, South Africa</aff>
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<bold>*Correspondence author</bold>
Karl Peltzer Research Director HIV/AIDS, STIs & TB (HAST) Research Programme Human Sciences Research Council Private Bag X41 Pretoria 0001, South Africa 134 Pretorius Street, PRETORIA 0002 Email:
<email>KPeltzer@hsrc.ac.za</email>
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<issue>3</issue>
<fpage>320</fpage>
<lpage>328</lpage>
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<copyright-statement>Copyright © Makerere Medical School, Uganda 2011</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract abstract-type="executive-summary">
<sec>
<title>Objective</title>
<p>This report examines the prevalence and common correlates of early smoking initiation among male and female school children across seven African countries.</p>
</sec>
<sec sec-type="methods">
<title>Method</title>
<p>The total sample included 17,725 school children aged 13 to 15 years from nationally representative samples in seven African countries. Univariate and multivariate analyses were conducted to assess the relationship between early smoking initiation, health compromising behaviours, mental distress, protective factors and socio-economic status variables.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>Overall 15.5% had experienced smoking initiation before age 14, with the percentages 20.1% among boys and 10.9% among girls. In multivariable analysis, early smoking initiation was among boys associated with ever drunk from alcohol use (OR=4.73, p=0.001), ever used drugs (OR=2.36, p=0.04) and ever had sex (OR=1.63, p=0.04). Among girls, it was associated with higher education (OR=5.77, p=0.001), ever drunk from alcohol use (OR=4.76, p=0.002), parental or guardian tobacco use (OR=2.83, p=0.001) and suicide ideation (OR=2.05, p=0.02).</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>The study found a high prevalence of early smoking initiation among 13–15 year-olds in seven African countries. Various risk factors have been identified in boys and girls who initiate smoking before age 14, forming a distinct risk group in this setting. Specific interventions are needed for boys and girls in the preteen years, before smoking initiation.</p>
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