James Peter B, Kabba John A, Bah Abdulai J, Idriss Ayesha, Kitchen Chenai, Conteh Eugene B, Lahai Michael, Dalinjong Philip A
National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, Australia.
Faculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Tob Induc Dis. 2023 Jan 30;21:16. doi: 10.18332/tid/157091. eCollection 2023.
Tobacco use is a global health threat associated with a high disease burden and death. Current tobacco use and susceptibility to using tobacco products among adolescents who are potential adult tobacco users have not been explored in Sierra Leone. Thus, we aimed to estimate the prevalence and correlates of current tobacco use and tobacco non-users susceptibility to using tobacco amongst high school students in Sierra Leone.
We used data obtained from the 2017 Sierra Leone Global Youth Tobacco Survey (GYTS), which presented information collected from 6680 students aged 11-17 years nationwide. Gender-based correlates of current use and susceptibility to using tobacco among non-tobacco users were determined by complex sample logistic regression analyses. Adjusted odds ratios (AOR) and respective 95% confidence intervals (CIs) are reported. A p<0.05 was considered significant.
The prevalence of current tobacco use among high school adolescents in Sierra Leone was 24.6%, higher in males (27.9%) than in females (18.6%). Male (AOR=1.50; 95% CI: 1.18-1.91), parental smoking (AOR=1.73; 95% CI: 1.32-2.26) exposure to household secondhand smoke (AOR=1.82; 95% CI: 1.27-2.62), having peers who smoke (AOR=2.24; 95% CI: 1.51-3.31) were more likely to be currently using tobacco. The overall tobacco non-users susceptibility to using tobacco among adolescents in Sierra Leone was 18.2% (males 18.0%, females 18.5%). Exposure to tobacco promotion (AOR=1.50; 95% CI: 1.06-2.10) and non-exposure to anti-smoking education (AOR=1.39; 95% CI: 1.05-1.86) were significantly associated with tobacco non-users' susceptibility to using tobacco.
Our study suggests that one in four school-going adolescents currently uses tobacco, with nearly one in five non-users susceptible to using tobacco. Given the high prevalence of tobacco product use among adults in Sierra Leone, our findings highlight the need for policies and interventions to prevent tobacco use behavior among adolescents, aimed at averting tobacco use in adulthood.
烟草使用是一项全球性的健康威胁，与高疾病负担和死亡相关。在塞拉利昂，尚未对当前烟草使用情况以及潜在成年烟草使用者中青少年使用烟草产品的易感性进行研究。因此，我们旨在估计塞拉利昂高中生中当前烟草使用的患病率及其相关因素，以及非烟草使用者使用烟草的易感性。
我们使用了从2017年塞拉利昂全球青少年烟草调查（GYTS）中获得的数据，该调查提供了全国范围内6680名11至17岁学生的信息。通过复杂样本逻辑回归分析确定了当前使用情况以及非烟草使用者中使用烟草易感性的性别相关因素。报告了调整后的优势比（AOR）和相应的95%置信区间（CI）。p<0.05被认为具有统计学意义。
塞拉利昂高中青少年中当前烟草使用的患病率为24.6%，男性（27.9%）高于女性（18.6%）。男性（AOR=1.50；95%CI：1.18-1.91）、父母吸烟（AOR=1.73；95%CI：1.32-2.26）、接触家庭二手烟（AOR=1.82；95%CI：1.27-2.62）、有吸烟的同伴（AOR=2.24；95%CI：1.51-3.31）的人更有可能当前正在使用烟草。塞拉利昂青少年中总体非烟草使用者使用烟草的易感性为18.2%（男性18.0%，女性18.5%）。接触烟草促销（AOR=1.50；95%CI：1.06-2.10）和未接受反吸烟教育（AOR=1.39；95%CI：1.05-1.86）与非烟草使用者使用烟草的易感性显著相关。
我们的研究表明，四分之一的在校青少年当前使用烟草，近五分之一的非使用者易使用烟草。鉴于塞拉利昂成年人中烟草产品使用率很高，我们的研究结果凸显了制定政策和采取干预措施以预防青少年烟草使用行为的必要性，旨在避免成年后使用烟草。
