Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia
Abstract Background In developed countries, there was an overall decrease in tobacco use over the last decades. In Tunisia, a national strategy to reduce tobacco use was set up since 2008. However, this strategy was rarely evaluated. The objective of the current study was to examine the trends in to...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14416-x |
| _version_ | 1797984678392627200 |
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| author | Nawel Zammit Jihene Maatoug Rim Ghammam Sihem Ben Fredj Wafa Dhouib Imen Ayouni Amani Maatouk Waad Ben Belgacem Mohamed Ouertani Hassen Ghannem |
| author_facet | Nawel Zammit Jihene Maatoug Rim Ghammam Sihem Ben Fredj Wafa Dhouib Imen Ayouni Amani Maatouk Waad Ben Belgacem Mohamed Ouertani Hassen Ghannem |
| author_sort | Nawel Zammit |
| collection | DOAJ |
| description | Abstract Background In developed countries, there was an overall decrease in tobacco use over the last decades. In Tunisia, a national strategy to reduce tobacco use was set up since 2008. However, this strategy was rarely evaluated. The objective of the current study was to examine the trends in tobacco use among the middle schoolchildren of the governorate of Sousse (Tunisia) between 2014 and 2016 and to determine predictors of its experimentation. Methods Three cross-sectional studies were conducted in 2014, 2015 and 2016 school years among middle schoolchildren randomly selected from the governorate of Sousse-Tunisia. The required sample size for each study was 760 participants. Each year, the same procedure was used to recruit pupils from the same middle schools. The same pre-established and pre-tested questionnaire was self-administered anonymously to participants in their classrooms. Results Lifetime tobacco use rose from 11% in 2014 to 17.3% in 2016 (p = 0.001). Across the 3 years of survey, predictors of lifetime tobacco use were: The male sex (OR, 95% CI: 4.4 [3.2-6.1]), age above 13 (OR, 95% CI: 2.3 [1.7-3.1]), lifetime illicit substances use (OR, 95% CI: 3.9 [1.1- 13.8), lifetime inhalant products use (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among the father (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among siblings (OR, 95% CI: 1.7 [1.2-2.4]) and current anxiety symptoms (OR, 95% CI: 1.8 [1.4-2.4]). Conclusion Lifetime tobacco use is in expansion among the young adolescents of Sousse. The current national tobacco prevention program should be strengthened and expanded to cover other substances use issues with emphasis on secondhand smoking and mental health problems. |
| first_indexed | 2024-04-11T07:06:57Z |
| format | Article |
| id | doaj.art-7f98241bbb654ff7b812cf7345199611 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-11T07:06:57Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7f98241bbb654ff7b812cf73451996112022-12-22T04:38:22ZengBMCBMC Public Health1471-24582022-11-0122111010.1186/s12889-022-14416-xSurveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, TunisiaNawel Zammit0Jihene Maatoug1Rim Ghammam2Sihem Ben Fredj3Wafa Dhouib4Imen Ayouni5Amani Maatouk6Waad Ben Belgacem7Mohamed Ouertani8Hassen Ghannem9Department of Epidemiology (LR19SP03), Farhat Hached University HospitalDepartment of Epidemiology (LR19SP03), Farhat Hached University HospitalDepartment of Epidemiology (LR19SP03), Farhat Hached University HospitalDepartment of Epidemiology (LR19SP03), Farhat Hached University HospitalDepartment of Epidemiology, Farhat Hached University HospitalDepartment of Epidemiology, Farhat Hached University HospitalDepartment of Epidemiology, Farhat Hached University HospitalDepartment of Epidemiology, Farhat Hached University HospitalDepartment of Epidemiology, Farhat Hached University HospitalDepartment of Epidemiology (LR19SP03), Farhat Hached University HospitalAbstract Background In developed countries, there was an overall decrease in tobacco use over the last decades. In Tunisia, a national strategy to reduce tobacco use was set up since 2008. However, this strategy was rarely evaluated. The objective of the current study was to examine the trends in tobacco use among the middle schoolchildren of the governorate of Sousse (Tunisia) between 2014 and 2016 and to determine predictors of its experimentation. Methods Three cross-sectional studies were conducted in 2014, 2015 and 2016 school years among middle schoolchildren randomly selected from the governorate of Sousse-Tunisia. The required sample size for each study was 760 participants. Each year, the same procedure was used to recruit pupils from the same middle schools. The same pre-established and pre-tested questionnaire was self-administered anonymously to participants in their classrooms. Results Lifetime tobacco use rose from 11% in 2014 to 17.3% in 2016 (p = 0.001). Across the 3 years of survey, predictors of lifetime tobacco use were: The male sex (OR, 95% CI: 4.4 [3.2-6.1]), age above 13 (OR, 95% CI: 2.3 [1.7-3.1]), lifetime illicit substances use (OR, 95% CI: 3.9 [1.1- 13.8), lifetime inhalant products use (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among the father (OR, 95% CI: 2.2 [1.2-4.3]), tobacco use among siblings (OR, 95% CI: 1.7 [1.2-2.4]) and current anxiety symptoms (OR, 95% CI: 1.8 [1.4-2.4]). Conclusion Lifetime tobacco use is in expansion among the young adolescents of Sousse. The current national tobacco prevention program should be strengthened and expanded to cover other substances use issues with emphasis on secondhand smoking and mental health problems.https://doi.org/10.1186/s12889-022-14416-xEpidemiological monitoringTobacco useAdolescent |
| spellingShingle | Nawel Zammit Jihene Maatoug Rim Ghammam Sihem Ben Fredj Wafa Dhouib Imen Ayouni Amani Maatouk Waad Ben Belgacem Mohamed Ouertani Hassen Ghannem Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia BMC Public Health Epidemiological monitoring Tobacco use Adolescent |
| title | Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia |
| title_full | Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia |
| title_fullStr | Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia |
| title_full_unstemmed | Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia |
| title_short | Surveillance of tobacco use among young adolescents: trends and predictors across three years in Sousse, Tunisia |
| title_sort | surveillance of tobacco use among young adolescents trends and predictors across three years in sousse tunisia |
| topic | Epidemiological monitoring Tobacco use Adolescent |
| url | https://doi.org/10.1186/s12889-022-14416-x |
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