Socioeconomic Implications of Tobacco Use in Ghana
Socioeconomic Implications of Tobacco Use in Ghana
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DOI：
10.1093/ntr/nts013
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发表时间：
2012-10-01
影响因子：
4.7
通讯作者：
Liber, Alex C.
中科院分区：
文献类型：
--
作者：
John, Rijo M.;Mamudu, Hadii M.;Liber, Alex C.
非洲国家一级关于烟草使用流行率以及人口和社会经济因素对烟草制品使用的影响的证据很少。本文分析了加纳烟草使用的决定因素，并探讨了烟草使用与该国贫困之间的关联。2008年加纳人口与健康调查（一项全国代表性的家庭调查，n = 12，323）的数据被用来生成描述性统计数据，并描述该国烟草使用的特征。使用logistic回归模型评估烟草使用与年龄、居住地、地区、教育状况、财富、婚姻状况、饮酒以及是否有子女之间的关系。计算了烟草使用者和非使用者购买表明生活水平的选定商品的可能性的未经调整和调整的比值比。生活在贫困地区、教育程度较低、财富水平较低、父母和饮酒者的烟草使用率明显较高。男性吸烟率（7%）明显高于女性（0.4%），在41.4岁达到高峰后才下降。吸烟也与购买健康保险的可能性较低有关。烟草使用与加纳的贫困密不可分。应针对烟草流行率较高的人口和区域制定政策，以便同时消除贫穷和烟草使用。
Country-level evidence from Africa on the prevalence of tobacco use and the role played by both demographic and socioeconomic factors, as influences on the use of tobacco products, is sparse. This paper analyzes the determinants of tobacco use in Ghana and explores the association between tobacco use and poverty in the country.Data from the 2008 Ghana Demographic and Health Survey, a nationally representative survey of households (n = 12,323), were used to generate descriptive statistics and characterize tobacco use in the country. A logistic regression model was used to evaluate the relationships between tobacco use and age, place of residence, region, education status, wealth, marital status, alcohol use, and whether the person has children. Unadjusted and adjusted odds ratios were calculated for tobacco users and nonusers on the likelihood of their purchase of selected commodities indicative of living standards.Tobacco use was significantly higher among those living in poverty stricken regions, those with less education, lower levels of wealth, parents, and alcohol users. Tobacco use was significantly higher among men (7%) than women (0.4%), and it increased to a peak age of 41.4 years before it declined. Using tobacco was also associated with a lower likelihood of purchasing health insurance.Tobacco use is inextricably related to poverty in Ghana. Policies should be formulated to target populations and regions with higher tobacco prevalence to combat both poverty and tobacco use simultaneously.