Tobacco use and associated factors among Adults in Uganda: Findings from a nationwide survey
Tobacco use and associated factors among Adults in Uganda: Findings from a nationwide survey
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DOI：
10.1186/s12971-016-0093-8
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发表时间：
2016-08-11
影响因子：
3.7
通讯作者：
Guwatudde, David
中科院分区：
文献类型：
--
作者：
Kabwama, Steven Ndugwa;Ndyanabangi, Sheila;Guwatudde, David
烟草使用和烟草烟雾暴露是全球最可预防的死亡和残疾原因之一。每天吸烟者的风险更高。世界卫生组织（世卫组织）建议，必须监测烟草使用等非传染性疾病的主要风险因素，以预测非传染性疾病的未来负担，确定减少未来负担的干预措施，并监测新出现的模式和趋势。2014年，乌干达进行了第一次全国非传染性疾病风险因素调查，以估计主要非传染性疾病风险因素的流行程度。我们分析了这项调查的数据，估计日常烟草使用的流行率和相关的危险因素。方法：一个全国代表性的样本被划分为四个地区的国家。世卫组织的STEPwise工具用于收集人口和行为特征数据，包括烟草使用、物理和生化测量。烟草使用分为三类：每日烟草使用、每日吸烟和每日无烟烟草使用。结果：在3983名受试者中，9.2%（366人）为每日吸烟者，7.4%（294人）为每日吸烟者，2.9%（115人）为每日无烟烟草使用者。与女性参与者相比，男性参与者更有可能成为每日吸烟者AOR 5.51 [3.81-7.95]。与18-29岁的参与者相比，30-49岁的参与者更有可能成为每日吸烟者，AOR 2.47 [1.54-3.94]，50-69岁的参与者AOR 2.82 [1.68-4.74]。与没有受过任何教育的参与者相比，受过小学教育的人不太可能成为每日吸烟者AOR 0.43 [0.29-0.65]，受过中学教育的人AOR 0.21 [0.14-0.33]和受过大学教育的人AOR 0.23 [0.11-0.48]。与中部地区的参与者相比，东部地区的参与者更有可能成为每日吸烟者，AOR为2.14 [1.33-3.45]，北方地区的参与者为4.31 [2.79-6.45]，西部地区的参与者为1.87 [1.18-2.97]。与BMI正常的人相比，体重过轻的参与者更有可能是每日烟草使用者AOR 2.19 [1.48-3.24].结论：与以前的烟草使用调查一致，乌干达的烟草使用率很高，几乎每10个乌干达人中就有1个每天使用烟草制品。年龄较大、男性、没有受过正规教育、居住在东部、北部和西部地区以及BMI较低的人与每日吸烟显著相关。这些信息为国家烟草控制计划提供了一个有用的基准，用于设计乌干达控制和预防烟草使用的公共卫生干预措施。
Background: Tobacco use and the exposure to tobacco smoke is one of the most preventable causes of death and disability globally. The risk is even higher among daily tobacco users. The World Health Organization (WHO) has recommended that surveillance of major risk factors for Non Communicable Diseases (NCDs) such as tobacco use is imperative to predict the future burden of NCDs, identify interventions to reduce future burden and monitor emerging patterns and trends. In 2014 the first Uganda nation-wide NCD risk factor survey was carried out to estimate the prevalence of major NCD risk factors. We analyzed data from this survey to estimate the prevalence of daily tobacco use and associated risk factors.Methods: A nationally representative sample was drawn stratified by the four regions of the country. The WHO's STEPwise tool was used to collect data on demographic and behavioral characteristics including tobacco use, physical and biochemical measurements. Tobacco use was divided into three categories; daily tobacco use, daily smoked tobacco use and daily smokeless tobacco use. Weighted logistic regression analysis was used to identify factors associated with daily tobacco use.Results: Of the 3983 participants, 9.2 % (366) were daily tobacco users, 7.4 % (294) were daily smoked tobacco users and 2.9 % (115) were daily smokeless tobacco users. Male participants were more likely to be daily tobacco users compared with female participants AOR 5.51 [3.81-7.95]. Compared with participants aged 18-29 years, those aged 30-49 years were more likely to be daily tobacco users AOR 2.47 [1.54-3.94] as were those aged 50-69 years AOR 2.82 [1.68-4.74]. Compared with participants without any education, those with primary education were less likely to be daily tobacco users AOR 0.43 [0.29-0.65], as were those with secondary education AOR 0.21 [0.14-0.33] and those with university level of education AOR 0.23 [0.11-0.48]. Compared with participants in the central region, those in the eastern region were more likely to be daily tobacco users AOR 2.14 [1.33-3.45] as were those in the northern region AOR 4.31 [2.79-6.45] and those in the western region AOR 1.87 [1.18-2.97]. Participants who were underweight were more likely to be daily tobacco users compared with people with normal BMI AOR 2.19 [1.48-3.24].Conclusions: In agreement with previous surveys on tobacco use, there is a high prevalence of tobacco use in Uganda with almost 1 in every 10 Ugandans using tobacco products daily. Being older, male, having no formal education, residing in the east, north and western regions and having low BMI were significantly associated with daily tobacco use. This information provides a useful benchmark to the National Tobacco Control Program for the designing of public health interventions for the control and prevention of tobacco use in Uganda.