Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries
Introduction Examining gender differences in youth tobacco use is important as it aligns tobacco control within the context of broader human development goals seeking to eliminate gender inequalities. In this study, we examined gender differences in adolescent use of cigarettes, smokeless tobacco, s...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Gender-differences-in-use-of-cigarette-and-non-cigarette-tobacco-products-among-adolescents,169753,0,2.html |
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| author | Israel T. Agaku Rose Sulentic Adriana Dragicevic Gibril Njie Candace K. Jones Satomi Odani Tina Tsafa Joy Gwar Constantine I. Vardavas Olalekan Ayo-Yusuf |
| author_facet | Israel T. Agaku Rose Sulentic Adriana Dragicevic Gibril Njie Candace K. Jones Satomi Odani Tina Tsafa Joy Gwar Constantine I. Vardavas Olalekan Ayo-Yusuf |
| author_sort | Israel T. Agaku |
| collection | DOAJ |
| description | Introduction
Examining gender differences in youth tobacco use is important as it
aligns tobacco control within the context of broader human development goals
seeking to eliminate gender inequalities. In this study, we examined gender
differences in adolescent use of cigarettes, smokeless tobacco, shisha, and
e-cigarettes in Africa.
Methods
This was a cross-sectional study using data from the Global Youth Tobacco
Survey. Our analytical sample comprised 56442 adolescents aged 13–15 years
from 20 African countries. Weighted, country-specific prevalence estimates
were computed overall and by gender. Adjusted prevalence ratios (APRs) were
calculated in a multivariable Poisson regression model to examine whether
correlates of tobacco use differed between boys and girls.
Results
Ever cigarette smoking prevalence was significantly higher among boys
than girls in 16 of the 20 countries, but a significantly higher percentage of
girls reported earlier age of cigarette smoking initiation than boys within pooled
analysis. Some of the largest gender differences in current cigarette smoking
were seen in Algeria (12.2% vs 0.8%, boys and girls, respectively), Mauritius
(21.2% vs 6.6%), and Madagascar (15.0% vs 4.1%). Current use of e-cigarettes,
shisha, and smokeless tobacco was generally comparable between boys and girls
where data existed. Among girls, higher levels of reported exposure to tobacco
advertisement were positively associated with shisha smoking whereas perceived
tobacco harm was inversely associated with current cigarette and shisha smoking.
Among boys, perceived social acceptability of smoking at parties was associated
with an increased likelihood of cigarette smoking (APR=2.27; 95% Cl: 1.20–4.30).
Conclusions
The prevalence of cigarette smoking among boys was higher than that
of girls in many countries. However, girls who smoke tend to start at an earlier
age than boys. Differential gender patterns of cigarette and non-cigarette tobacco
product use among youth may have implications for future disease burden. As the
tobacco control landscape evolves, tobacco prevention efforts should focus on all
tobacco products, not just cigarettes. |
| first_indexed | 2024-03-08T03:05:51Z |
| format | Article |
| id | doaj.art-56818702a0554cf6af41383542bf3d10 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-08T03:05:51Z |
| publishDate | 2024-01-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-56818702a0554cf6af41383542bf3d102024-02-13T09:09:30ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11710.18332/tid/169753169753Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countriesIsrael T. Agaku0https://orcid.org/0000-0002-5116-2961Rose Sulentic1Adriana Dragicevic2Gibril Njie3Candace K. Jones4Satomi Odani5https://orcid.org/0000-0002-6263-4952Tina Tsafa6Joy Gwar7Constantine I. Vardavas8https://orcid.org/0000-0003-0171-9570Olalekan Ayo-Yusuf9School of Health Systems and Public Health, University of Pretoria, Pretoria, South AfricaCenters for Disease Control and Prevention Foundation, Atlanta, United StatesCenters for Disease Control and Prevention Foundation, Atlanta, United StatesOffice on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, United StatesOffice on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, United StatesOsaka International Cancer Institute, Cancer Control Center, Osaka, JapanDepartment of Mass Communication, Benue State University, Makurdi, NigeriaDepartment of Clinical Psychology, Federal Medical Centre Makurdi, Makurdi, NigeriaDepartment of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, United StatesSchool of Health Systems and Public Health, University of Pretoria, Pretoria, South AfricaIntroduction Examining gender differences in youth tobacco use is important as it aligns tobacco control within the context of broader human development goals seeking to eliminate gender inequalities. In this study, we examined gender differences in adolescent use of cigarettes, smokeless tobacco, shisha, and e-cigarettes in Africa. Methods This was a cross-sectional study using data from the Global Youth Tobacco Survey. Our analytical sample comprised 56442 adolescents aged 13–15 years from 20 African countries. Weighted, country-specific prevalence estimates were computed overall and by gender. Adjusted prevalence ratios (APRs) were calculated in a multivariable Poisson regression model to examine whether correlates of tobacco use differed between boys and girls. Results Ever cigarette smoking prevalence was significantly higher among boys than girls in 16 of the 20 countries, but a significantly higher percentage of girls reported earlier age of cigarette smoking initiation than boys within pooled analysis. Some of the largest gender differences in current cigarette smoking were seen in Algeria (12.2% vs 0.8%, boys and girls, respectively), Mauritius (21.2% vs 6.6%), and Madagascar (15.0% vs 4.1%). Current use of e-cigarettes, shisha, and smokeless tobacco was generally comparable between boys and girls where data existed. Among girls, higher levels of reported exposure to tobacco advertisement were positively associated with shisha smoking whereas perceived tobacco harm was inversely associated with current cigarette and shisha smoking. Among boys, perceived social acceptability of smoking at parties was associated with an increased likelihood of cigarette smoking (APR=2.27; 95% Cl: 1.20–4.30). Conclusions The prevalence of cigarette smoking among boys was higher than that of girls in many countries. However, girls who smoke tend to start at an earlier age than boys. Differential gender patterns of cigarette and non-cigarette tobacco product use among youth may have implications for future disease burden. As the tobacco control landscape evolves, tobacco prevention efforts should focus on all tobacco products, not just cigarettes.https://www.tobaccoinduceddiseases.org/Gender-differences-in-use-of-cigarette-and-non-cigarette-tobacco-products-among-adolescents,169753,0,2.htmltobaccocigarettespolicynovel tobacco productse-cigarettes |
| spellingShingle | Israel T. Agaku Rose Sulentic Adriana Dragicevic Gibril Njie Candace K. Jones Satomi Odani Tina Tsafa Joy Gwar Constantine I. Vardavas Olalekan Ayo-Yusuf Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries Tobacco Induced Diseases tobacco cigarettes policy novel tobacco products e-cigarettes |
| title | Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries |
| title_full | Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries |
| title_fullStr | Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries |
| title_full_unstemmed | Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries |
| title_short | Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries |
| title_sort | gender differences in use of cigarette and non cigarette tobacco products among adolescents aged 13 15 years in 20 african countries |
| topic | tobacco cigarettes policy novel tobacco products e-cigarettes |
| url | https://www.tobaccoinduceddiseases.org/Gender-differences-in-use-of-cigarette-and-non-cigarette-tobacco-products-among-adolescents,169753,0,2.html |
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