Tezera Nega, Endalamaw Aklilu
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Int J Pediatr. 2019 May 8;2019:4769820. doi: 10.1155/2019/4769820. eCollection 2019.
In developing countries, tobacco smoking has its own contribution to the burden of noncommunicable causes of morbidity and mortality. Studies estimated the burden of cigarette smoking among school-going adolescents in different geographical areas of East Africa. However, due to discrepancies found among those different findings, there is no representative data about the burden of smoking in the continent.
This systematic review and meta-analysis aimed to assess the pooled prevalence of current cigarette smoking and its associated factors among school-going adolescents in East Africa.
PubMed, Google Scholar, and the Web of Science Library were searched to access included articles. A weighted inverse-variance random-effects model was used to estimate the prevalence of current cigarette smoking. Variations in the pooled estimates of the prevalence were adjusted through subgroup analysis according to the specific country, where the study was conducted. Funnel plot and Egger's regression test were used to check publication bias. STATA version 14 statistical software was used for meta-analysis.
A total of 26,875 school-going adolescents were included. The pooled prevalence of current cigarette smoking among school-going adolescents in East Africa was found to be 9.02% (95%CI: 6.34-11.70). Based on the subgroup analysis, current cigarette smoking among school-going adolescents was estimated at 9.8% in Kenya, 7.72% in Ethiopia, 10.83% in Uganda, 13.6% in Sudan, and 4% in Tanzania.
This meta-analysis revealed that the prevalence of current cigarette smoking is increasing among school-going adolescents in East Africa. Therefore, countries have to realize sale prevention policies, establishing and/or strengthening antismoking campaigners designed for school-going adolescents, and providing training for teachers to be antismoking campaigners.
在发展中国家，吸烟对非传染性疾病导致的发病和死亡负担有一定影响。研究估算了东非不同地理区域在校青少年中吸烟的负担。然而，由于这些不同研究结果之间存在差异，该大陆缺乏关于吸烟负担的代表性数据。
本系统评价和荟萃分析旨在评估东非在校青少年当前吸烟的合并患病率及其相关因素。
检索了PubMed、谷歌学术和科学网图书馆以获取纳入的文章。采用加权逆方差随机效应模型估算当前吸烟的患病率。根据开展研究的具体国家，通过亚组分析调整患病率合并估计值的差异。采用漏斗图和埃格回归检验来检查发表偏倚。使用STATA 14版统计软件进行荟萃分析。
共纳入26875名在校青少年。东非在校青少年当前吸烟的合并患病率为9.02%（95%CI：6.34 - 11.70）。根据亚组分析，肯尼亚在校青少年当前吸烟率估计为9.8%，埃塞俄比亚为7.72%，乌干达为10.83%，苏丹为13.6%，坦桑尼亚为4%。
该荟萃分析表明，东非在校青少年当前吸烟率正在上升。因此，各国必须实施销售预防政策，建立和/或加强针对在校青少年的反吸烟活动，并为教师提供培训使其成为反吸烟活动者。
