Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014
Background Tobacco is a major risk factor for pulmonary and cardiovascular diseases. The Global Adult Tobacco Survey (GATS) has been conducted in 25 countries. Kenya conducted its first GATS in 2014. Our secondary analysis aimed to describe background characteristics and identify factors associated...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Characteristics-and-factors-associated-with-tobacco-use-findings-of-Kenya-Global,83982,0,2.html |
| _version_ | 1818353187175792640 |
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| author | Valerian Mwenda Gladwell Gathecha Anne Kendagor Joseph Kibachio Eric Macharia |
| author_facet | Valerian Mwenda Gladwell Gathecha Anne Kendagor Joseph Kibachio Eric Macharia |
| author_sort | Valerian Mwenda |
| collection | DOAJ |
| description | Background
Tobacco is a major risk factor for pulmonary and
cardiovascular diseases. The Global Adult Tobacco Survey (GATS) has been
conducted in 25 countries. Kenya conducted its first GATS in 2014. Our
secondary analysis aimed to describe background characteristics and identify factors
associated with adult tobacco use for Tobacco control planning within Kenya.
Methods
Kenya GATS was a multi-stage, clustered, nationally representative survey
of persons above 15 years. We conducted
secondary analysis of the dataset, with age, sex, education level,
residence, occupation as exposure variables and tobacco use the outcome
variable. Accounting for complex survey sampling, we calculated descriptive
statistics for tobacco use. We used logistic regression to calculate prevalence
odds ratios (POR) and confidence intervals (CI) to identify factors
independently associated with tobacco use.
Results
Of the 4408 persons surveyed, 2258 (51%) were female. The mean age was 33.6
years (±16.0 years) while mean age at tobacco use initiation was 19 years (±3.2
years); 2867 (65%) were rural residents and 2628 (60%) had primary or no formal
education. Among smokers, 60% reported initiating smoking within 30 minutes of
waking up. Among non-smokers, 88% knew second-hand smoke causes illness, and 55%
were aware of legal prohibition of smoking in public places. Sixty-five percent
of smokers who had quit in the preceding 12 months did so because of health
concerns, with 62% reporting no assistance. Forty-three percent of smokers would
quit if cigarette price was doubled. Tobacco use was associated with being aged
above 35 years (POR 2.95, 95% CI 2.17, 4.0) and having primary or no formal education
(POR 2.04, 95% CI 1.50, 3.96).
Conclusions
Nicotine addiction and young initiation age may hamper
cessation efforts. Advocacy on existing legal protections from tobacco harms, price
increases, supporting users to quit and targeted campaigns among older, less
educated individuals should constitute control planning. |
| first_indexed | 2024-12-13T19:05:32Z |
| format | Article |
| id | doaj.art-c180234a200d453b98fb08b208a60b20 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-13T19:05:32Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-c180234a200d453b98fb08b208a60b202022-12-21T23:34:33ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8398283982Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014Valerian Mwenda0Gladwell Gathecha1Anne Kendagor2Joseph Kibachio3Eric Macharia4Field Epidemiology and Laboratory Training Programme, Ministry of Health, KenyaNon-Communicable Diseases Division, Ministry of Health, KenyaNon-Communicable Diseases Division, Ministry of Health, KenyaNon-Communicable Diseases Division, Ministry of Health, KenyaInternational Livestock Research Institute, Statistics department, KenyaBackground Tobacco is a major risk factor for pulmonary and cardiovascular diseases. The Global Adult Tobacco Survey (GATS) has been conducted in 25 countries. Kenya conducted its first GATS in 2014. Our secondary analysis aimed to describe background characteristics and identify factors associated with adult tobacco use for Tobacco control planning within Kenya. Methods Kenya GATS was a multi-stage, clustered, nationally representative survey of persons above 15 years. We conducted secondary analysis of the dataset, with age, sex, education level, residence, occupation as exposure variables and tobacco use the outcome variable. Accounting for complex survey sampling, we calculated descriptive statistics for tobacco use. We used logistic regression to calculate prevalence odds ratios (POR) and confidence intervals (CI) to identify factors independently associated with tobacco use. Results Of the 4408 persons surveyed, 2258 (51%) were female. The mean age was 33.6 years (±16.0 years) while mean age at tobacco use initiation was 19 years (±3.2 years); 2867 (65%) were rural residents and 2628 (60%) had primary or no formal education. Among smokers, 60% reported initiating smoking within 30 minutes of waking up. Among non-smokers, 88% knew second-hand smoke causes illness, and 55% were aware of legal prohibition of smoking in public places. Sixty-five percent of smokers who had quit in the preceding 12 months did so because of health concerns, with 62% reporting no assistance. Forty-three percent of smokers would quit if cigarette price was doubled. Tobacco use was associated with being aged above 35 years (POR 2.95, 95% CI 2.17, 4.0) and having primary or no formal education (POR 2.04, 95% CI 1.50, 3.96). Conclusions Nicotine addiction and young initiation age may hamper cessation efforts. Advocacy on existing legal protections from tobacco harms, price increases, supporting users to quit and targeted campaigns among older, less educated individuals should constitute control planning.http://www.journalssystem.com/tid/Characteristics-and-factors-associated-with-tobacco-use-findings-of-Kenya-Global,83982,0,2.htmlWCTOH |
| spellingShingle | Valerian Mwenda Gladwell Gathecha Anne Kendagor Joseph Kibachio Eric Macharia Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 Tobacco Induced Diseases WCTOH |
| title | Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 |
| title_full | Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 |
| title_fullStr | Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 |
| title_full_unstemmed | Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 |
| title_short | Characteristics and factors associated with tobacco use: findings of Kenya Global Adult Tobacco Survey, 2014 |
| title_sort | characteristics and factors associated with tobacco use findings of kenya global adult tobacco survey 2014 |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Characteristics-and-factors-associated-with-tobacco-use-findings-of-Kenya-Global,83982,0,2.html |
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