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Prevalence and Predictors of Smoking among Gambian Men: A Cross-Sectional National WHO STEP Survey

Cham, B; Scholes, S; Groce, NE; Mindell, JS; (2019) Prevalence and Predictors of Smoking among Gambian Men: A Cross-Sectional National WHO STEP Survey. International Journal of Environmental Research and Public Health , 16 (23) , Article 4719. 10.3390/ijerph16234719. Green open access

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Abstract

BACKGROUND: Tobacco use is the leading cause of preventable death in the world, with a higher burden in low- and middle-income countries. The aim of this study was to quantify the prevalence and predictors of smoking among Gambian men using nationally representative data. METHODS: Data was collected in 2010 from a random, nationally representative sample of 4111 adults aged 25-64 years (78% response rate) using the World Health Organization (WHO) STEPwise cross-sectional survey methods. Our analyses focused on men with valid information on smoking status (n = 1766) because of the low prevalence of smoking among women (1%). RESULTS: The prevalence of current smoking among men was 31.4% (95% CI: 27.2-35.9). The median age of starting smoking was 19 years; 25% started before the age of 18 years and 10% started aged 8-10 years. Rural residence, underweight, and hypertension were significantly associated with smoking. CONCLUSION: The study reveals a high prevalence of smoking among Gambian men. It is evident that cigarettes are obtained by minors in The Gambia, as a high proportion of current smokers started at a young age. Advice and support to quit smoking should be extended to all smokers regardless of their age and whether or not they have any underlying health conditions.

Type: Article
Title: Prevalence and Predictors of Smoking among Gambian Men: A Cross-Sectional National WHO STEP Survey
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijerph16234719
Publisher version: https://doi.org/10.3390/ijerph16234719
Language: English
Additional information: © 2019 by the Authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Smoking, The Gambia, Tobacco use, WHO STEP survey
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10086908
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