Smoker characteristics and trends in tobacco smoking in Rakai, Uganda, 2010-2018.
Smoker characteristics and trends in tobacco smoking in Rakai, Uganda, 2010-2018.
复制标题
DOI：
10.18332/tid/144623
复制
发表时间：
2022
影响因子：
3.7
通讯作者：
Chang LW
中科院分区：
文献类型：
--
作者：
Nalugoda F;Nabukalu D;Ssekasanvu J;Ssekubugu R;Hoe C;Kagaayi J;Sewankambo NK;Serwadda DM;Wawer MJ;Grabowski KM;Reynolds SJ;Kigozi G;Gray RH;Yeh PT;Chang LW
烟草使用是一个主要的公共卫生问题，特别是在世界上80%的吸烟者居住的低收入和中等收入国家。非洲农村关于吸烟模式和吸烟者特征的人口数据有限。我们评估了吸烟率的趋势，吸烟者的特征，以及与吸烟相关的因素，使用重复的人口为基础的横断面调查在乌干达中南部。Rakai社区队列研究（RCCS）的五轮调查（2010-2018年）从年龄在15-49岁之间的同意个体中收集数据，包括社会人口统计学和行为特征以及吸烟状况。使用χ2检验比较每次调查的吸烟者比例的趋势，并通过多变量logistic回归评估与吸烟相关的因素。一般人群的吸烟率从2010-2011年的7.3%下降到2016-2018年的5.1%，p<0.001。从2010-2011年到2016-2018年，男性（13.9-9.2%）和女性（2.2-1.8%）的吸烟率下降。从2010-2011年到2016-2018年，已婚者的吸烟率（11.8-11.7%）高于目前（8.4-5.3%）和从未结婚的人（3.1-1.8%）。年龄较大（≥35岁）与吸烟几率较高相关（2010-2011年AOR=8.72; 95%CI：5.68-13.39; 2016-2018年AOR=9.03; 95%CI：5.42-15.06）与年龄<35岁的患者相比（2010-2011年AOR=4.73; 95%CI：3.15-7.12; 2016-2018年AOR=4.83; 95%CI：2.95-7.91）。小学和中学/高等教育水平与较低的吸烟几率显著相关（2010-2011年AOR=0.20; 95%CI：0.14-0.29; 2016-2018年AOR=0.26; 95%CI：0.18-0.39）与未接受教育相比（AOR=0.43; 2010-2011年95%CI：0.31-0.59，AOR=0.48; 2016-2018年95%CI：0.34-0.68）。性伴侣的数量和艾滋病毒感染状况与吸烟无关。我们观察到乌干达农村Rakai地区吸烟人数呈下降趋势。吸烟在男性、老年人、已婚者和受教育程度较低的人中更为普遍。吸烟率下降可能是由于烟草控制工作，但仍有必要针对吸烟率较高的亚群体。
Tobacco use is a major public health concern, particularly in low- and middle-income countries where 80% of the world’s smokers reside. There is limited population-based data from rural Africa on patterns of tobacco smoking and smoker characteristics. We assessed trends in rates of smoking, characteristics of smokers, and factors associated with smoking using repeat population-based cross-sectional surveys in south-central Uganda. Data accrued over five survey rounds (2010–2018) of the Rakai Community Cohort Study (RCCS) from consenting individuals aged 15–49 years including sociodemographic and behavioral characteristics and smoking status. Proportions of smokers per survey were compared using χ2 test for trends, and factors associated with smoking were assessed by multivariable logistic regression. The prevalence of tobacco smoking in the general population declined from 7.3% in 2010–2011 to 5.1% in 2016–2018, p<0.001. Smoking rates declined among males (13.9–9.2%) and females (2.2–1.8%) from 2010–2011 to 2016–2018. Smoking prevalence was higher among previously married (11.8–11.7%) compared to currently (8.4–5.3%) and never married persons (3.1–1.8%) from 2010–2011 to 2016–2018. Older age (≥35 years) was associated with higher odds of smoking (AOR=8.72; 95% CI: 5.68–13.39 in 2010–2011 and AOR=9.03; 95% CI: 5.42–15.06 in 2016–2018) compared to those aged <35 years (AOR=4.73; 95% CI: 3.15–7.12 in 2010–2011 and AOR=4.83; 95% CI: 2.95–7.91 in 2016–2018). Primary and secondary/higher education level was significantly associated with lower odds of smoking (AOR=0.20; 95% CI: 0.14–0.29 in 2010–2011 and AOR=0.26; 95% CI: 0.18–0.39 in 2016–2018) compared to no education (AOR=0.43; 95% CI: 0.31–0.59 in 2010–2011 and AOR=0.48; 95% CI: 0.34–0.68 in 2016–2018). Number of sexual partners and HIV status were not associated with smoking. We observed declining trends in tobacco smoking in the Rakai region of rural Uganda. Smoking was more prevalent in men, older individuals, individuals who were previously married, and individuals with lower education. The decline in smoking may be due to tobacco control efforts, but there is a continued need to target sub-populations with higher smoking prevalence.
登录
查看更多内容
影响因子：
1.8
作者：
Buettner-Schmidt, Kelly;Miller, Donald R.;Maack, Brody
通讯作者：
Maack, Brody
影响因子：
5.1
作者：
Doogan, N. J.;Roberts, M. E.;Higgins, S. T.
通讯作者：
Higgins, S. T.
DOI：
10.1016/s2352-3018(16)30034-0
发表时间：
2016-08
期刊：
The lancet. HIV
影响因子：
--
作者：
Chang LW;Grabowski MK;Ssekubugu R;Nalugoda F;Kigozi G;Nantume B;Lessler J;Moore SM;Quinn TC;Reynolds SJ;Gray RH;Serwadda D;Wawer MJ
通讯作者：
Wawer MJ
影响因子：
3.7
作者：
Kabwama, Steven Ndugwa;Ndyanabangi, Sheila;Guwatudde, David
通讯作者：
Guwatudde, David
DOI：
10.18697/ajfand.77.16065
发表时间：
2017-01-01
影响因子：
--
作者：
Agol, D.;Newton, R.;Seeley, J.
通讯作者：
Seeley, J.