Support for ban on smoking in public places among adults in Sub-Saharan Africa

Background Secondhand smoke (SHS) exposure continues to be a major problem across Sub-Saharan Africa (SSA). Studies have called for immediate steps to address SHS exposure in SSA. Although several SSA countries are implementing smoke-free policies (SFPs), public support of these policies can affect...

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Main Authors: Bossman Asare, Daniel Owusu, Hadii M. Mamudu, Rijo M. John, Abdallah Ibrahim, Edward Brenya, Ahmed E.O. Ouma
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Support-for-ban-on-smoking-in-public-places-among-adults-in-Sub-Saharan-Africa,84627,0,2.html
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author Bossman Asare
Daniel Owusu
Hadii M. Mamudu
Rijo M. John
Abdallah Ibrahim
Edward Brenya
Ahmed E.O. Ouma
author_facet Bossman Asare
Daniel Owusu
Hadii M. Mamudu
Rijo M. John
Abdallah Ibrahim
Edward Brenya
Ahmed E.O. Ouma
author_sort Bossman Asare
collection DOAJ
description Background Secondhand smoke (SHS) exposure continues to be a major problem across Sub-Saharan Africa (SSA). Studies have called for immediate steps to address SHS exposure in SSA. Although several SSA countries are implementing smoke-free policies (SFPs), public support of these policies can affect their success. While support for SFPs has been studied in other countries, there is limited literature on SFPs in SSA. This study estimated the prevalence and factors associated with support for SPFs in four SSA countries. Methods Data from 27,952 participants of the Global Adult Tobacco Survey conducted in Nigeria (2012), Cameroon (2013), Uganda (2013) and Kenya (2014) were analyzed. Supports for smoking ban in eight public places were assessed. Descriptive analysis was conducted to estimate prevalence of support for SPF for the eight places and any support (defined as a support for SFP in at least one public place) for each country and pooled data. A multivariable logistic regression was used to examine factors associated with any support for SFPs. We report odds ratios and 95% confidence intervals (CI). Results Support for any SFP was 99.3% ,99.4%, 99.8%, and 99.8% in Kenya, Uganda, Cameroon and Nigeria, respectively. In the pooled data, support for SFPs ranged from 64.4% in restaurants to 98.8% in worship places. Adjusting for covariates, support for SFPs was significantly increased in participants who were aware of SHS harm, believed smoking causes serious illness, lived in homes where smoking is restricted, lived in smoke-free homes, resided in countries where three to five public places were completely smoke-free, and those aged 15-44 years. Conclusions The results suggest that support for SFPs increases as the number of smoke-free public places in a country increases. Implementing complete SFPs as described in the WHO FCTC in the SSA countries will likely succeed due to the prevailing high support for these policies.
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spelling doaj.art-cf8f6ac42f214991b7c2086b5ef1f6cc2022-12-22T02:40:35ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8462784627Support for ban on smoking in public places among adults in Sub-Saharan AfricaBossman Asare0Daniel Owusu1Hadii M. Mamudu2Rijo M. John3Abdallah Ibrahim4Edward Brenya5Ahmed E.O. Ouma6University of Ghana, Political Science, GhanaGeorgia State University, School of Public Health, United States of AmericaEast Tennessee State University, Health Services Management and Policy, United States of AmericaIndian Institute of Technology, IndiaUniversity of Ghana, School of Public Health, GhanaKwame Nkrumah University of Science and Technology, GhanaWorld Health Organization, SwitzerlandBackground Secondhand smoke (SHS) exposure continues to be a major problem across Sub-Saharan Africa (SSA). Studies have called for immediate steps to address SHS exposure in SSA. Although several SSA countries are implementing smoke-free policies (SFPs), public support of these policies can affect their success. While support for SFPs has been studied in other countries, there is limited literature on SFPs in SSA. This study estimated the prevalence and factors associated with support for SPFs in four SSA countries. Methods Data from 27,952 participants of the Global Adult Tobacco Survey conducted in Nigeria (2012), Cameroon (2013), Uganda (2013) and Kenya (2014) were analyzed. Supports for smoking ban in eight public places were assessed. Descriptive analysis was conducted to estimate prevalence of support for SPF for the eight places and any support (defined as a support for SFP in at least one public place) for each country and pooled data. A multivariable logistic regression was used to examine factors associated with any support for SFPs. We report odds ratios and 95% confidence intervals (CI). Results Support for any SFP was 99.3% ,99.4%, 99.8%, and 99.8% in Kenya, Uganda, Cameroon and Nigeria, respectively. In the pooled data, support for SFPs ranged from 64.4% in restaurants to 98.8% in worship places. Adjusting for covariates, support for SFPs was significantly increased in participants who were aware of SHS harm, believed smoking causes serious illness, lived in homes where smoking is restricted, lived in smoke-free homes, resided in countries where three to five public places were completely smoke-free, and those aged 15-44 years. Conclusions The results suggest that support for SFPs increases as the number of smoke-free public places in a country increases. Implementing complete SFPs as described in the WHO FCTC in the SSA countries will likely succeed due to the prevailing high support for these policies.http://www.journalssystem.com/tid/Support-for-ban-on-smoking-in-public-places-among-adults-in-Sub-Saharan-Africa,84627,0,2.htmlWCTOH
spellingShingle Bossman Asare
Daniel Owusu
Hadii M. Mamudu
Rijo M. John
Abdallah Ibrahim
Edward Brenya
Ahmed E.O. Ouma
Support for ban on smoking in public places among adults in Sub-Saharan Africa
Tobacco Induced Diseases
WCTOH
title Support for ban on smoking in public places among adults in Sub-Saharan Africa
title_full Support for ban on smoking in public places among adults in Sub-Saharan Africa
title_fullStr Support for ban on smoking in public places among adults in Sub-Saharan Africa
title_full_unstemmed Support for ban on smoking in public places among adults in Sub-Saharan Africa
title_short Support for ban on smoking in public places among adults in Sub-Saharan Africa
title_sort support for ban on smoking in public places among adults in sub saharan africa
topic WCTOH
url http://www.journalssystem.com/tid/Support-for-ban-on-smoking-in-public-places-among-adults-in-Sub-Saharan-Africa,84627,0,2.html
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