Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria
Background and challenges to implementation Nationally representative prevalence studies have consistently reported higher rates of tobacco use in the South-Eastern parts of Nigeria but little is known about the pattern and perceptions and predictors of smokeless tobacco use in these parts of the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Prevalence-perceptions-and-predictors-of-smokeless-tobacco-use-in-a-rural-community,84234,0,2.html |
| _version_ | 1819050031969206272 |
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| author | Uzochukwu Ofonakara T Kotey Odukoya Oluwakemi |
| author_facet | Uzochukwu Ofonakara T Kotey Odukoya Oluwakemi |
| author_sort | Uzochukwu Ofonakara |
| collection | DOAJ |
| description | Background and challenges to implementation
Nationally
representative prevalence studies have consistently reported higher rates of
tobacco use in the South-Eastern parts of
Nigeria but little is known about the pattern and perceptions and predictors of smokeless tobacco use in these parts of the country.
The aim of this study was to determine the pattern and predictors of smokeless
tobacco use, their health related knowledge and social attitudes towards
its use among residents of Ukpo community of Dunukofia LGA of Anambra State,
Nigeria.
Intervention or response
Across-sectional
descriptive study was carried out among 490 residents of Ukpo
using a two-stage sampling method. Data was collected using anonymous pre-tested
interviewer administered questionnaires adapted from GATS. Odd ratio and 95% confidence intervals were computed and P values of <
0.05 were considered statistically significant.
Results and lessons learnt
The
results showed that respondents were mostly male 300(61.2%), aged between 20
and 70 years, mean of 42.2 ± 15.4 years. Almost half of the respondents,
210 (42.9%) were ever-users of smokeless tobacco with majority of them 188
(89.5%) remaining as current users. Dry snuff 155 (73.8%) was the most common
form of smokeless tobacco used. The primary reasons for use were: to relieve
stress 115(61.2%); to increase levels of alertness 106(56.4%); for personal pleasure
105(55.9%) and social acceptance 98 (52.1%). Age (p< 0.0001), male gender
(p< 0.0001), being single (p< 0.0001) and lower educational attainment
(p< 0.0001) were associated with smokeless tobacco use. Only about half of
the respondents were aware that smokeless tobacco is dangerous to human health
and many 254(51%) people believed that that it is safer than cigarettes, a way of promoting
friendship (65%) and should be used within their community (73%).
Conclusions and key recommendations
Efforts
targeted at raising community awareness of the health effects of smokeless
tobacco use are needed in rural communities. Programs should be directed at young males with lower
levels of education. |
| first_indexed | 2024-12-21T11:41:35Z |
| format | Article |
| id | doaj.art-9a3c85af618f48c9aef5fadeec26aa0a |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T11:41:35Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-9a3c85af618f48c9aef5fadeec26aa0a2022-12-21T19:05:18ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8423484234Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern NigeriaUzochukwu Ofonakara0T Kotey1Odukoya Oluwakemi2Federal Teaching Hospital Abakaliki, Community Medicine, NigeriaLuth Teaching Hospital, Department of Community Medicine, NigeriaUniversity of Lagos, Community Health and Primary Care, College of Medicine, NigeriaBackground and challenges to implementation Nationally representative prevalence studies have consistently reported higher rates of tobacco use in the South-Eastern parts of Nigeria but little is known about the pattern and perceptions and predictors of smokeless tobacco use in these parts of the country. The aim of this study was to determine the pattern and predictors of smokeless tobacco use, their health related knowledge and social attitudes towards its use among residents of Ukpo community of Dunukofia LGA of Anambra State, Nigeria. Intervention or response Across-sectional descriptive study was carried out among 490 residents of Ukpo using a two-stage sampling method. Data was collected using anonymous pre-tested interviewer administered questionnaires adapted from GATS. Odd ratio and 95% confidence intervals were computed and P values of < 0.05 were considered statistically significant. Results and lessons learnt The results showed that respondents were mostly male 300(61.2%), aged between 20 and 70 years, mean of 42.2 ± 15.4 years. Almost half of the respondents, 210 (42.9%) were ever-users of smokeless tobacco with majority of them 188 (89.5%) remaining as current users. Dry snuff 155 (73.8%) was the most common form of smokeless tobacco used. The primary reasons for use were: to relieve stress 115(61.2%); to increase levels of alertness 106(56.4%); for personal pleasure 105(55.9%) and social acceptance 98 (52.1%). Age (p< 0.0001), male gender (p< 0.0001), being single (p< 0.0001) and lower educational attainment (p< 0.0001) were associated with smokeless tobacco use. Only about half of the respondents were aware that smokeless tobacco is dangerous to human health and many 254(51%) people believed that that it is safer than cigarettes, a way of promoting friendship (65%) and should be used within their community (73%). Conclusions and key recommendations Efforts targeted at raising community awareness of the health effects of smokeless tobacco use are needed in rural communities. Programs should be directed at young males with lower levels of education.http://www.journalssystem.com/tid/Prevalence-perceptions-and-predictors-of-smokeless-tobacco-use-in-a-rural-community,84234,0,2.htmlWCTOH |
| spellingShingle | Uzochukwu Ofonakara T Kotey Odukoya Oluwakemi Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria Tobacco Induced Diseases WCTOH |
| title | Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria |
| title_full | Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria |
| title_fullStr | Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria |
| title_full_unstemmed | Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria |
| title_short | Prevalence, perceptions and predictors of smokeless tobacco use in a rural community in South Eastern Nigeria |
| title_sort | prevalence perceptions and predictors of smokeless tobacco use in a rural community in south eastern nigeria |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Prevalence-perceptions-and-predictors-of-smokeless-tobacco-use-in-a-rural-community,84234,0,2.html |
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