Cham Bai, Popova Lucy, Badjie Omar, Weaver Scott R
School of Public Health, Georgia State University, Atlanta, United States.
Disease Control and Elimination Theme, Medical Research Council Unit The Gambia at London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Tob Induc Dis. 2023 Aug 10;21:103. doi: 10.18332/tid/168669. eCollection 2023.
Access to tobacco plays a strong role in smoking initiation among youth. This study aimed to quantify successful purchase of cigarettes and assess the factors associated with cigarette purchase access among students aged 11-17 years in The Gambia.
We used the 2017 Global Youth Tobacco Survey (GYTS) of 12585 students, aged 11-17 years from The Gambia. The analysis was restricted to 2951 students aged 11-17 years who bought and/or attempted to buy cigarettes within the past 30 days regardless of smoking status. Our outcome was purchasing access, defined as successfully purchasing cigarettes within the past 30 days. We report a weighted prevalence of successful purchase attempt. Multivariable logistic regression assessed the factors associated with successful purchase of cigarettes and was adjusted for non-response and the complex survey design.
Most students (59.4%, 95% CI: 55.4-63.3) who attempted to purchase cigarettes were successful, most of whom were boys (61.3%, 95% CI: 57.8-64.6). However, there was no significant difference in successful attempts to purchase cigarettes between boys (59.3%, 95% CI: 54.2-64.2) and girls (59.4%, 95% CI: 55.4-63.3). Older age (AOR=2.45; 95% CI: 1.25-4.78), higher school grade (AOR=1.53; 95% CI: 1.09-2.16) and current cigarettes smoking (AOR=1.41; 95% CI: 1.08-1.85) were significantly associated with successful attempt to purchase cigarettes. Sex, parents' smoking status and students' weekly pocket money were not associated with successful cigarettes purchase attempt. Among students who currently smoke cigarettes, 55.6% (95% CI: 47.7-63.2) bought them from a store, shop, street vendor, or canteen; 12.2% (95% CI: 8.3-17.5) obtained them from someone else, and 6.7% (95% CI: 4.4-10.0) used other means the last time they smoked.
Students in The Gambia can purchase cigarettes without much hinderance despite the restrictions. Our research findings can guide the implementation of policies, programs, and public health strategies including more efforts toward implementing tobacco control laws and regulations that protect children from exposure and use of all forms of tobacco products.
能否获得烟草对青少年开始吸烟起着重要作用。本研究旨在量化香烟的成功购买情况，并评估冈比亚11至17岁学生中与购买香烟的可及性相关的因素。
我们采用了2017年对冈比亚12585名11至17岁学生进行的全球青少年烟草调查（GYTS）。分析仅限于过去30天内购买和/或试图购买香烟的2951名11至17岁学生，无论其吸烟状况如何。我们的结果是购买可及性，定义为在过去30天内成功购买香烟。我们报告了成功购买尝试的加权患病率。多变量逻辑回归评估了与成功购买香烟相关的因素，并针对无应答和复杂的调查设计进行了调整。
大多数试图购买香烟的学生（59.4%，95%可信区间：55.4 - 63.3）成功买到了香烟，其中大多数是男孩（61.3%，95%可信区间：57.8 - 64.6）。然而，男孩（59.3%，95%可信区间：54.2 - 64.2）和女孩（59.4%，95%可信区间：55.4 - 63.3）在成功购买香烟的尝试上没有显著差异。年龄较大（调整后比值比[AOR]=2.45；95%可信区间：1.25 - 4.78）、年级较高（AOR=1.53；95%可信区间：1.09 - 2.16）和当前吸烟（AOR=1.41；95%可信区间：1.08 - 1.85）与成功购买香烟的尝试显著相关。性别、父母的吸烟状况和学生每周的零花钱与成功购买香烟的尝试无关。在当前吸烟的学生中，55.6%（95%可信区间：47.7 - 63.2）是从商店、店铺、街头小贩或食堂购买的；12.2%（95%可信区间：8.3 - 17.5）是从他人处获得的，6.7%（95%可信区间：4.4 - 10.0）是上次吸烟时使用了其他方式。
尽管有限制，冈比亚的学生仍能较顺利地购买香烟。我们的研究结果可为政策、项目和公共卫生策略的实施提供指导，包括加大力度实施保护儿童免受各种形式烟草产品接触和使用的烟草控制法律法规。
