Waterpipe use among the youth in Ghana: Lessons from the Global Youth Tobacco Survey (GYTS) 2017

被引:9
作者
Logo, Divine D. [1 ,2 ]
Kyei-Faried, Sardick [3 ]
Oppong, Felix B. [4 ]
Ae-Ngibise, Kenneth A. [4 ,5 ]
Ansong, Joana [6 ]
Amenyaglo, Seidu [2 ]
Ankrah, Sampson T. [2 ]
Singh, Arti [2 ]
Owusu-Dabo, Ellis [2 ]
机构
[1] Ghana Hlth Serv, Res & Dev Div, Accra, Ghana
[2] Kwame Nkrumah Univ Sci & Technol, Coll Hlth Sci, Sch Publ Hlth, Dept Global & Int Hlth, Kumasi, Ghana
[3] Ghana Hlth Serv, Dis Control & Prevent Div, Accra, Ghana
[4] Kintampo Hlth Res Ctr, Ghana Hlth Serv, Kintampo, Ghana
[5] Univ Newcastle, Fac Hlth & Med, Sch Med & Publ Hlth, Newcastle, NSW, Australia
[6] WHO, Ghana Country Off, Accra, Ghana
关键词
tobacco; waterpipe; youth; junior high school; Ghana; CIGARETTE-SMOKING; STUDENTS; ASSOCIATIONS; PATTERNS; REGION; PIPE;
D O I
10.18332/tid/120937
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
INTRODUCTION The Global Youth Tobacco Survey's findings have been used to support Ghana's tobacco control legislation, monitor tobacco use among the youth and also used in meeting various Articles of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC). These Articles include: Article 8 (Protection for exposure to tobacco smoke); Article 12 (Education, communication, training and public awareness); Article 13 (Tobacco advertising, promotion, and sponsorship); Article 14 (Demand reduction measures concerning tobacco dependence and cessation); and Article 16 (Sales to and by minors). Among the four waves of GYTS in Ghana, the 2017 GYTS was the first to assess waterpipe smoking, through optional questions included in the GYTS questionnaire. We assessed sex, age and regional differentials in waterpipe smoking among the youth in Ghana, and also explored the association between the use of other tobacco products and waterpipe use. METHODS The GYTS employs a standardized methodology with self-administered questionnaires, consisting of core, optional, and country specific questions. Fourteen questions, out of the seventy-four (74) questions administered for the entire GYTS, assessed waterpipe tobacco smoking (WTS). Chi-squared test was used to assess sex, age, grade/form and regional differentials in waterpipe use. Furthermore, the association between smoking cigarettes, smokeless tobacco, electronic cigarettes and waterpipe smoking, was explored by employing a chi-squared test with a 5% significance level. RESULTS Of a total of 5664 students who participated in the study, 90.9% were aged 13-15 years. The respondents were almost equally distributed among males and females. Overall, 3.1% of the respondents had ever smoked waterpipe. The overall prevalence of current waterpipe use was 1.7%; with 2.1% in girls (95% CI: 0.9-4.7%) and 0.9% in boys (95% CI: 0.5-1.6%), p=0.033. Additionally, more than half (55.0%) of the current waterpipe users smoked three or more sessions per day. Surprisingly, close to half (46.9%) of the current waterpipe users smoked at home. CONCLUSIONS Waterpipe use, particularly among the female student population, represents an emerging tobacco epidemic and hence deserves immediate attention from authorities. This study revealed that waterpipe is being used among Junior High students in Ghana. Education on the health implications of waterpipe use should be intensified among the youth, to help minimize its use and to prevent its associated health harms.
引用
收藏
页数:11
相关论文
共 50 条
[41]   Temporal Trends in Tobacco Product Use Among US Middle and High School Students: National Youth Tobacco Survey, 2011-2020 [J].
Jebai, Rime ;
Osibogun, Olatokunbo ;
Li, Wei ;
Gautam, Prem ;
Bursac, Zoran ;
Ward, Kenneth D. ;
Maziak, Wasim .
PUBLIC HEALTH REPORTS, 2023, 138 (03) :483-492
[42]   Youth tobacco use: A global perspective for child health care clinicians [J].
Prokhorov, Alexander V. ;
Winickoff, Jonathan P. ;
Ahluwalia, Jasjit S. ;
Ossip-Klein, Deborah ;
Tanski, Susanne ;
Lando, Harry A. ;
Moolchan, Eric T. ;
Muramoto, Myra ;
Klein, Jonathan D. ;
Weitzman, Michael ;
Ford, Kentya H. .
PEDIATRICS, 2006, 118 (03) :E890-E903
[43]   Coaches' knowledge and awareness of spit tobacco use among youth athletes: results of a 2009 Ontario survey [J].
Skinner, J. H. C. ;
Bobbili, S. J. .
CHRONIC DISEASES AND INJURIES IN CANADA, 2012, 32 (03) :149-155
[44]   Results of the Global Youth Tobacco Survey and implementation of WHO Framework Convention on Tobacco Control in former Soviet Union countries [J].
Usmanova, Gulnoza ;
Mokdad, Ali H. .
INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 2013, 58 (02) :217-226
[45]   Importance of Survey Design for Studying the Epidemiology of Emerging Tobacco Product Use Among Youth [J].
Delnevo, Cristine D. ;
Gundersen, Daniel A. ;
Manderski, Michelle T. B. ;
Giovenco, Daniel P. ;
Giovino, Gary A. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2017, 186 (04) :405-410
[46]   Socioeconomic Status and Tobacco Consumption Among Adolescents: A Multilevel Analysis of Argentina's Global Youth Tobacco Survey [J].
Linetzky, Bruno ;
Mejia, Raul ;
Ferrante, Daniel ;
De Maio, Fernando G. ;
Roux, Ana V. Diez .
NICOTINE & TOBACCO RESEARCH, 2012, 14 (09) :1092-1099
[47]   Geographic isolation predicts tobacco product use among youth: A latent class analysis [J].
Blank, Melissa D. ;
Ozga, Jenny E. ;
Romm, Katelyn F. ;
Douglas, Ashley ;
Alexander, Linda ;
Doogan, Nathan J. ;
Wilson, Michael ;
Dino, Geri .
JOURNAL OF RURAL HEALTH, 2022, 38 (02) :373-381
[48]   Waterpipe Use Predicts Progression to Regular Cigarette Smoking Among Danish Youth [J].
Jensen, Poul Dengsoe ;
Cortes, Rikke ;
Engholm, Gerda ;
Kremers, Stef ;
Gislum, Mette .
SUBSTANCE USE & MISUSE, 2010, 45 (7-8) :1245-1261
[49]   Tobacco use among youth and related characteristics, Turkey [J].
Ergüder, T ;
Soydal, T ;
Ugurlu, M ;
Çakir, B ;
Warren, CW .
SOZIAL-UND PRAVENTIVMEDIZIN, 2006, 51 (02) :91-98
[50]   NICOTINE AND TOBACCO USE PREVENTION AMONG YOUTH AND FAMILIES [J].
Prokhorov, Alexander V. ;
Calabro, Karen S. ;
Tami-Maury, Irene .
SEMINARS IN ONCOLOGY NURSING, 2016, 32 (03) :197-205