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Poly-tobacco use among adults in 44 countries during 2008-2012: evidence for an integrative and comprehensive approach in tobacco control.

Creator:

Israel T Agaku, Fillipos T Filippidis, Constantine I Vardavas, Oluwakemi O Odukoya, Ayodeji J Awopegba, Olalekan A Ayo-Yusuf, Gregory N. Connolly

Catalogue: Research and Evaluation
Report
Type: Report
Region: Republic of Ireland
Northern Ireland
Description:

Introduction The concurrent use of multiple tobacco products (i.e., poly-tobacco use) might hinder efforts to reduce overall tobacco use, particularly considering that use of some non-cigarette tobacco products may be popular in some regions due to social, cultural, or economic reasons. This study assessed poly-tobacco use patterns among persons aged â?¥15 years old from 44 countries. Methods Data from 44 countries in all six World Health Organization regions were obtained from the 2008-2012 Global Adult Tobacco Surveys (n = 19 countries), and the Special Eurobarometer 385 (77.1) survey, 2012 (n = 25 countries). Correlates of poly-tobacco use were assessed using multivariate logistic regression analyses (p < 0.05). Results Overall prevalence of poly-tobacco use ranged from 0.8% (Mexico) to 11.9% (Denmark). In 28 countries, 20% or more of current smokers of manufactured cigarettes concurrently used at least one other tobacco product and this proportion was highest in India (66.2%) and lowest in Argentina (4.4%). After adjusting for other factors, the likelihood of being a poly-tobacco user among all respondents was lower among females (aOR = 0.09; 95%CI:0.08-0.11), and among respondents from upper-middle-income (aOR = 0.53, 95%CI:0.43-0.66), and lower-middle-income countries (aOR = 0.64; 95%CI:0.51-0.81) compared to high income countries. Increased likelihood of poly-tobacco use was observed among respondents from the South-East Asian region compared to those from the European region (aOR = 1.58, 95%CI:1.35-1.85), as well as among respondents aged â?¥65 years (aOR = 2.10; 95%CI:1.73-2.54), compared to those aged <25 years. Conclusions The pattern of tobacco use varied widely, underscoring the need for intensified efforts towards implementing policies that address all tobacco products, not only manufactured cigarettes.

Date:

01/01/2014

Rights: Public
Suggested citation:

Israel T Agaku, Fillipos T Filippidis, Constantine I Vardavas, Oluwakemi O Odukoya, Ayodeji J Awopegba, Olalekan A Ayo-Yusuf, Gregory N. Connolly. (2014) Poly-tobacco use among adults in 44 countries during 2008-2012: evidence for an integrative and comprehensive approach in tobacco control. [Online]. Available from: http://publichealthwell.ie/node/751911 [Accessed: 23rd July 2019].

  

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Contributor:

National Drugs Library
 
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