scholarly journals Tobacco use and associated factors among Rwandan youth aged 15-34 years: Findings from a nationwide survey, 2013

2019 ◽  
Author(s):  
François Habiyaremye ◽  
Samuel Rwunganira ◽  
Clarisse Musanabaganwa ◽  
Marie Aimée Muhimpundu

AbstractIntroductionTobacco use is the single most preventable cause of death in the world. The objective of this study was to determine the prevalence of current tobacco use and identify associated factors among Rwandans aged 15-34 years.MethodsThis cross-sectional analytical study analysed secondary data collected during the nationally representative Non-Communicable Disease Risk Factors Surveillance survey conducted in 2013 to explore the prevalence of tobacco use in Rwanda and identify factors associated with tobacco use. This study analysed data collected from 3,900 youth participants (15-34 years old), selected using multistage cluster sampling technique. The overall proportion of current smokers, as well as demographic and socioeconomic characteristics of the sample were determined and multivariable logistic regression employed to identify factors independently associated with current tobacco use.ResultsThe prevalence (weighted) of current tobacco use (all forms) was 8% (95%CI: 7.08-9.01). Prevalence statistically significant was found in the following group: higher prevalence was found among males, young adults aged 24-34, youth with primary school education or less, those from Southern province, people with income (work in public, private organizations and self-employed) and young married adults.There was no statistically significant difference in prevalence of tobacco use between participants from urban or rural areas (7.8% vs. 8.0%). Factors that were found to be associated with current tobacco use through the multivariate analysis included being a male, aged 25 years and above, having an income, and residing in Eastern, Kigali City and Southern Province compared to Western province.ConclusionThe association between smoking and sociodemographic characteristics among Rwandan youth identified in this study provides an opportunity for policy makers to tailor future policies, and implement coordinated, high-impact interventions to prevent initiation of tobacco use among the youth.

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048167
Author(s):  
Supa Pengpid ◽  
Karl Peltzer

ObjectiveThis study aimed to assess the prevalence and associated factors of self-reported ischaemic heart disease (IHD) and/or stroke among adults in Malawi.DesignPopulation-based cross-sectional study.SettingNationally representative sample of general adult population in Malawi.ParticipantsThe sample included 4187 persons aged 18–69 years (32 years of median age) that participated in the ‘2017 Malawi STEPwise Approach to Non-Communicable Disease Risk-Factor Surveillance survey.’Primary and secondary outcome measuresSelf-reported history of IHD and/or stroke, along with biological, behavioural, psychosocial stress and sociodemographic covariates. Multivariable logistic regression calculated OR with 95% CI for IHD and/or stroke.ResultsThe prevalence of IHD and/or stroke was 6.5%, 4.4% among men and 8.4% among women. In adjusted logistic regression analysis, older age (50–69 years) (adjusted OR (AOR) 3.49, 95% CI 1.75 to 6.94), female sex (AOR 2.09, 95% CI 1.45 to 3.01), Chewa speaking (AOR 4.62, 95% CI 1.32 to 16.22), English speaking (AOR 5.63, 95% CI 1.43 to 22.19), suicidal ideation, plan and/or attempt (AOR 1.87, 95% CI 1.11 to 3.13) and sedentary behaviour (AOR 2.00, 95% CI 1.12 to 3.59) were associated with IHD and/or stroke. In addition, in unadjusted analysis, non-paid or unemployed, urban residence, overweight, obesity and having hypertension were associated with IHD and/or stroke.ConclusionsAlmost 1 in 10 women and 1 in 20 men aged 18–69 years had IHD and/or stroke in Malawi. Several risk and protective factors were found that can be targeted in population health interventions.


2018 ◽  
Vol 16 (3) ◽  
pp. 307-312
Author(s):  
Dipendra Kumar Yadav ◽  
Bhoopendra Sharma ◽  
Naveen Shrestha ◽  
Isha Karmacharya ◽  
Saroj Yadav

Background: The main aim of this study is to determine the prevalence of major Non communicable disease risk factors among higher secondary school students.Methods: A cross-sectional study was conducted among higher secondary students of grade 11 and 12 of Kaski district in Nepal. The study period was from July 2016 to June 2017. Total sample 640 higher secondary students were recruited through two-stage cluster sampling. Self-administrated questionnaire was used for the data collection tool along with other tools which were used such as UNICEF electronic weighing scale, stature meter and mechanical aneroid sphygmomanometer. Ethical approval was obtained from IRC, Pokhara University. Data were entered into EpiData software and analysis was performed with the help of the Statistical Package for Social Science (SPSS).Results:  The prevalence of smoking was 6.1% which was high in male (11.9%) than female (0.6%). Alcohol consumption practice among the adolescents was 18.9%. Family history of hypertension was seen higher than family history of diabetes.The prevalence of hypertension was 11.7%.High prevalence of abnormal values of systolic and diastolic BP was found in male than female students. Overweight was seen in 6.1% students. Prevalence of obesity was almost equal in both groups.Conclusions: There is high prevalence of smoking, alcoholism among adolescents. Hypertension was more common than diabetes among adolescents.


2017 ◽  
Vol 15 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Jitendra Kumar Singh ◽  
Dilaram Acharya ◽  
Rajendra Kadel ◽  
Samaj Adhikari ◽  
Daniel Lombard ◽  
...  

Background: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal.Methods: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use.Results: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers’ group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts.Conclusions: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.


2021 ◽  
Vol 6 (2) ◽  
pp. 156
Author(s):  
Lini Anisfatus Sholihah

Stunting is one under-nutrition condition that might be caused by inadequate nutrition consumption or frequent infection. Stunting prevalence in primary school-age children (PSAC) is still high in the third world and Indonesia. This present paper aimed to study the prevalence and the associated factors such as sex, school-area, and food intakes of stunting in PSAC in Sidoarjo, 2018. This study is cross-sectional research using secondary data from baseline data of emotional demonstration projects in primary school students. Two hundred students were recruited from four schools representing urban and rural areas in Sidoarjo. Food intake was interviewed using SQ-FFQ. Children height was measured using microtoice. HAZ-score was calculated using WHO Anthro Plus software. Student t-test was done to test any differences in stunting prevalence between sex and school areas. The Chi-square test was used to check the difference in proportion for categories. Our results suggested the stunting prevalence among PSAC in Sidoarjo was 18% and was significantly greater in the rural area (p= 0,010). School location has association with stunting (OR= 2,7; 95%CI 1,25-5,8). In conclusion, we did not find any significant difference in food intakes, although stunted children were more likely to consume energy and carbohydrate. This condition must be considered to prevent obesity in stunted children


2014 ◽  
Vol 26 (2) ◽  
pp. 267-273 ◽  
Author(s):  
Asma Nouira ◽  
Jihen Maatoug ◽  
Imed Harrabi ◽  
Sonia Hmad ◽  
Mmyléne Belkacem ◽  
...  

Abstract Background: In Tunisia, little is known about the association between tobacco use and other chronic disease risk factors. This is the case for both adults and children. It is important to know the characteristics of young smokers to facilitate the creation and implementation of future programs for tobacco prevention. Aim: The aim of this study was to determine the association between tobacco use and other lifestyle factors among schoolchildren in Tunisia. Methods: We conducted a 2009/2010 cross-sectional questionnaire survey of 4003 randomly selected school children aged 13 years old (7th and 9th grades) to evaluate their knowledge, attitudes towards, and beliefs about the three risk factors for chronic disease (unhealthy diet, physical inactivity, and tobacco use). Written informed consent was obtained from each child’s parents who allowed their child to participate. Results: The mean age of our sample was 13.36±1.28 years. The proportions of daily smokers were 2.2% and 0.1% among boys and girls, respectively. The proportions of irregular smokers were 9.1% and 1.5% among boys and girls, respectively. In our population, 19.1% (n=767) had ever experimented to smoke, with 29.8% among boys and 9% among girls (p<0.001). The proportions of schoolchildren who reported daily participation in physical activity were different between smokers and nonsmokers with 17.7% and 11.5%, respectively (p=0.03). Concerning eating habits, there was no significant difference in the consumption of fruits and vegetables; however, smokers frequently ate more high fat foods and in fast food restaurants. Similar results were found while comparing regular smoking children with those who experimented but who never became hooked on smoking. Conclusion: This study and previous research suggest the importance of early intervention in adolescents on smoking and combing these efforts with interventions focusing on physical activity and dietary habits.


Aim: High prevalence of child undernutrition is a well-known issue in rural areas of Si Lanka. Identification of real burden, underlying specific causes and addressing those issues will help to improve the nutritional status of those children. Objective: To describe the prevalence of undernutrition and associated factors among children aged one to five years in Siyambalanduwa MOH area. Methodology: A community based cross-sectional study was conducted among 421 child-mother pairs in Siyambalanduwa MOH area using two stage cluster sampling method. Data collection done by using pre tested interviewer administered questionnaire. Relevant anthropometric measurements were done according to WHO slandered guidelines. Statistical analysis was done using SPSS 20. The chi-square test was used, and P<0.05 was considered for statistically significant. Results: Overall 41% of children aged 1-5 years were undernourished in Siyambalanduwa MOH area. Among the study subjects 24% were underweight, 25.7% were stunted, 16.4% were wasted, 9.2% were both underweight & stunted, 6.8% were both, underweight & wasted, 0.5% were both stunted & wasted and 9.9% were underweight & stunted g & wasted. Only the low total monthly income (P<0.001) and low birth weight (P<0.001) were significantly associated with child undernutrition. Conclusions and recommendations: Prevalence of undernutrition among children aged 1-5 years is unacceptably high and urgent efforts to reduce undernutrition should be a priority. Future studies should focus on assessing how to reduce the burden of undernutrition with low cost interventions.


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Kefyalew Amogne Azanaw ◽  
Abebaw Addis Gelagay ◽  
Ayenew Molla Lakew ◽  
Destaw Fetene Teshome

Background. Violence against women and girls continues to be a global epidemic, including Ethiopia. Housemaids are a neglected segment of the population, and there are no sufficient findings in our country. This study aimed to assess the magnitude of physical violence and associated factors among housemaids aged 15 years and above living in Debre Tabor town, northwest Ethiopia. Methods. A community-based cross-sectional study was conducted in Debre Tabor town, northwest Ethiopia from April 1 to 30, 2018. A total of 634 housemaids were selected using cluster sampling method. Data were entered into Epi info version 7.2.2.6 and analyzed with SPSS version 20 using descriptive and analytic statistics. Binary logistic regression analysis was carried out to identify independent significant factors. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to report the strength of associations. Results. From 634 housemaids that participated in the study, 235 (37.1%, 95% CI: 33.1−41.0) of them experienced at least one type of physical violence in their lifetime. Housemaids who previously lived in rural areas (AOR=2.82, 95% CI: 1.61, 4.94), had high working experience (AOR=2.17, 95% CI: 1.27, 3.71), not having parents (AOR=2.02, 95% CI: 1.18, 3.46), being divorced (AOR=2.23, 95% CI: 1.31, 4.20), employer alcohol consumption (AOR=4.97, 95% CI: 2.81, 8.79), and presence of extended family with employers (AOR=2.26, 95% CI: 1.42, 3.59) were independently associated with the probability of housemaid physical violence. Conclusion. High prevalence of housemaid physical violence has been reported. Socio-demographic characteristics of both employers and employees and the behavioral characteristics of employers contributed to physical violence. It is important to give special attention to housemaids who came from rural areas and do not have parents. It is also important to make work experience of housemaids as short as possible.


2018 ◽  
Vol 08 (03) ◽  
pp. 130-144
Author(s):  
Alexandrine Houinato ◽  
Roch Christian Johnson ◽  
Alphonse Kpozehouen ◽  
Fernand Guedou ◽  
Christophe Houssou ◽  
...  

Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Mohammad Saeed Jadgal ◽  
Iraj Zareban ◽  
Hossein Fallahzadeh

Purpose: Use of smokeless tobacco is a major preventable cause of premature death and diseases. It leads to over 5 million deaths annually worldwide. This study aimed to investigate the status of smokeless tobacco use and its associated factors among the business guilds population of Chabahar City, Iran. Method: The present descriptive cross-sectional study was conducted on 320 users of various types of smokeless tobacco selected by simple random sampling method. Data were collected using a researcher-made demographic questionnaire, smokeless tobacco inventory, attitude questionnaire, and behavior questionnaire. The validity and reliability of these tools were confirmed in the previous studies. Data were analyzed in SPSS using descriptive (mean, standard deviation, frequency, and %age) and inferential statistics (Kruskal-Wallis and Exact Fisher test). Results: Most of the participants used the chewing tobaccos Gutkha and Pan-Parag (24%, 95% CI= 28.7-19.4 and 23%, 95% CI= 27.7-18.5, respectively). The mean scores (standard deviations) of the participants' behavior and attitude were 7.71 (2.59) and 22.34 (7.60), respectively. The results of bivariate analysis indicated no significant difference among different smokeless tobacco groups regarding the attitude scores (P = 0.104). A significant association was observed among different groups of smokeless tobacco regarding the behavioral scores (P = 0.007). Conclusion: The scores of attitude and behavior were significantly low among the business guilds population of Chabahar City regarding consumption of smokeless tobacco. Therefore, effective steps should be taken urgently to launch social awareness programs to educate people about the consequences of tobacco use and effectiveness in curbing the problem.


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