Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa
Background Tobacco use and tobacco-induced diseases are rapidly increasing in Sub-Saharan Africa (SSA). Addressing this problem requires both tobacco use prevention and cessation. This study examined the rate of smoking cessation and assessed effects of tobacco control policies (TCPs) on cessation...
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doaj-368464511cfc43f39f3a91171921029c2020-11-25T00:02:45ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8465184651Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan AfricaHadii Mamudu0Liang Wang1Daniel Owusu2Rijo John3Bossman Asare4Abdallah Ibrahim5Edward Brenya6Ahmed Ouma7East Tennessee State University, Health Services Management and Policy, United States of AmericaEast Tennessee State University, United States of AmericaGeorgia State University, United States of AmericaIndependent Consultant, IndiaUniversity of Ghana, GhanaUniversity of Ghana, GhanaKwame Nkrumah University of Science and Technology, GhanaWorld Health Organisation HQ, SwitzerlandBackground Tobacco use and tobacco-induced diseases are rapidly increasing in Sub-Saharan Africa (SSA). Addressing this problem requires both tobacco use prevention and cessation. This study examined the rate of smoking cessation and assessed effects of tobacco control policies (TCPs) on cessation among adults in SSA. Methods During 2012 and 2014, Global Adult Tobacco Survey data were collected in Cameroon, Kenya, Nigeria, and Uganda and analyzed, with smoking cessation as the outcome. The exposure variable consisted of a composite index of the number of TCPs that participants have been exposed to. Covariates included participants' characteristic, knowledge of tobacco harm, exposure to anti-smoking messages, and tobacco industry promotions. Descriptive analyses were conducted for prevalence of smokers who had quit in the past year (i.e., ex-smokers) for each country and pooled data. A multivariable logistic regression was used to examine whether the number of TCPs a participant has been exposed to increase the likelihood of cessation. The odds ratios and associated 95% confidence intervals were ascertained. Results Of 27,952 participants, 48%, 32.1%, 17.5%, 81.2% had been exposed to anti-smoking media messages, health warning labels, smoke-free workplace, and smoke-free homes, respectively. Approximately 14.1% of the participants were ex-smokers, of which 7.1%, 6.1%, 5.0%, and 10.6% had been exposed to anti-smoking media messages, health warning labels, and smoke-free workplace, and smoke-free homes, respectively. Preliminary logistic regression analyses suggest that likelihood of smoking cessation increases with increase in exposure to TCPs. Conclusions As of 2014, only 41 countries had comprehensive tobacco control programs, with < 10 of the 47 SSA countries having national tobacco control laws. This study suggests that the number of TCPs in a country facilitates smoking cessation, suggesting that achieving the WHO FCTC goal of reduced tobacco use requires adoption of many TCPs, even in absence of a national law.http://www.journalssystem.com/tid/Exposure-to-the-number-of-tobacco-control-policies-and-tobacco-use-cessation-among,84651,0,2.htmlWCTOH |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hadii Mamudu Liang Wang Daniel Owusu Rijo John Bossman Asare Abdallah Ibrahim Edward Brenya Ahmed Ouma |
spellingShingle |
Hadii Mamudu Liang Wang Daniel Owusu Rijo John Bossman Asare Abdallah Ibrahim Edward Brenya Ahmed Ouma Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa Tobacco Induced Diseases WCTOH |
author_facet |
Hadii Mamudu Liang Wang Daniel Owusu Rijo John Bossman Asare Abdallah Ibrahim Edward Brenya Ahmed Ouma |
author_sort |
Hadii Mamudu |
title |
Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa |
title_short |
Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa |
title_full |
Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa |
title_fullStr |
Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa |
title_full_unstemmed |
Exposure to the number of tobacco control policies and tobacco use cessation among adults in Sub-Saharan Africa |
title_sort |
exposure to the number of tobacco control policies and tobacco use cessation among adults in sub-saharan africa |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2018-03-01 |
description |
Background
Tobacco
use and tobacco-induced diseases are rapidly increasing in Sub-Saharan Africa
(SSA). Addressing this problem requires both tobacco use prevention and
cessation. This study examined the rate of smoking cessation and assessed effects
of tobacco control policies (TCPs) on cessation among adults in SSA.
Methods
During 2012 and 2014,
Global Adult Tobacco Survey data were collected in Cameroon, Kenya, Nigeria, and
Uganda and analyzed, with smoking cessation as the outcome. The exposure
variable consisted of a composite index of the number of TCPs that participants
have been exposed to. Covariates included participants' characteristic,
knowledge of tobacco harm, exposure to anti-smoking messages, and tobacco
industry promotions. Descriptive analyses were conducted for prevalence of
smokers who had quit in the past year (i.e., ex-smokers) for each country and
pooled data. A multivariable logistic regression was used to examine whether
the number of TCPs a participant has been exposed to increase the likelihood of
cessation. The odds ratios and associated 95% confidence intervals were
ascertained.
Results
Of 27,952 participants, 48%, 32.1%, 17.5%, 81.2% had been exposed to
anti-smoking media messages, health warning labels, smoke-free workplace, and
smoke-free homes, respectively. Approximately 14.1% of the participants were ex-smokers, of which 7.1%, 6.1%, 5.0%,
and 10.6% had been exposed to anti-smoking media messages, health warning
labels, and smoke-free workplace, and smoke-free homes, respectively. Preliminary
logistic regression analyses suggest that likelihood of smoking cessation
increases with increase in exposure to TCPs.
Conclusions
As of 2014, only 41
countries had comprehensive tobacco control programs, with < 10 of the 47 SSA
countries having national tobacco control laws. This study suggests that the
number of TCPs in a country facilitates smoking cessation, suggesting that
achieving the WHO FCTC goal of reduced tobacco use requires adoption of many TCPs,
even in absence of a national law. |
topic |
WCTOH |
url |
http://www.journalssystem.com/tid/Exposure-to-the-number-of-tobacco-control-policies-and-tobacco-use-cessation-among,84651,0,2.html |
work_keys_str_mv |
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