Pokothoane Retselisitsoe, Agerfa Terefe Gelibo, Miderho Christus Cito, Mdege Noreen Dadirai
Development Gateway: an IREX Venture, Washington, DC, United States.
Research Unit on the Economics of Excisable Products (REEP), School of Economics, University of Cape Town, Cape Town, South Africa.
Addict Behav Rep. 2025 Jan 2;21:100581. doi: 10.1016/j.abrep.2024.100581. eCollection 2025 Jun.
Tobacco use typically begins during adolescence. There is a lack of comprehensive evidence on the use of different tobacco products among adolescents in Africa.
We used the most recent Global Youth Tobacco Surveys from 53 African countries, covering 2003-2020, to estimate the overall and gender-specific prevalence of each type of tobacco product by country, Africa region, World Bank income group, and age group among adolescents aged 11-17 years. We further used Logit regressions to assess the determinants of using different tobacco products.
The overall prevalence of any tobacco use among adolescents was 14.3 % [95 % CI: 13.5, 15.3]. Specifically, the prevalence for cigarettes was 6.4 % [95 % CI: 5.9, 7.0], for other smoked tobacco was 6.7 % [95 % CI: 6.0, 7.4], for smokeless tobacco use was 6.4 % [95 % CI: 5.9, 6.9], and for shisha smoking was 5.2 % [95 % CI: 4.4, 6.1]. The prevalence of dual use of smoked and smokeless tobacco was 3.0 % [95 % CI: 2.8, 3.2], and that of shisha and cigarettes was 1.5 % [95 % CI: 1.2, 2.0]. Any tobacco use prevalence was higher among boys (17.4 %) than girls (10.6 %). Seeing health warnings about tobacco dangers, exposure to smoking at home and school, the age restriction to tobacco purchases, and peer pressure were positively associated with the use of all tobacco products. Being a female was negatively associated with tobacco use across all products.
Policymakers should prioritize implementing large pictorial health warnings about tobacco dangers covering the entire packaging of different products.
烟草使用通常始于青少年时期。目前缺乏关于非洲青少年使用不同烟草产品的全面证据。
我们利用了来自53个非洲国家的最新全球青少年烟草调查（涵盖2003 - 2020年），以估算11至17岁青少年中按国家、非洲地区、世界银行收入组和年龄组划分的各类烟草产品的总体及特定性别的流行率。我们还使用逻辑回归来评估使用不同烟草产品的决定因素。
青少年中任何烟草使用的总体流行率为14.3%[95%置信区间：13.5, 15.3]。具体而言，香烟的流行率为6.4%[95%置信区间：5.9, 7.0]，其他烟熏烟草为6.7%[95%置信区间：6.0, 7.4]，无烟烟草使用为6.4%[95%置信区间：5.9, 6.9]，水烟吸食为5.2%[95%置信区间：4.4, 6.1]。烟熏和无烟烟草双重使用的流行率为3.0%[95%置信区间：2.8, 3.2]，水烟和香烟双重使用的流行率为1.5%[95%置信区间：1.2, 2.0]。男孩中任何烟草使用的流行率（17.4%）高于女孩（10.6%）。看到关于烟草危害的健康警告、在家和学校接触吸烟、烟草购买年龄限制以及同伴压力与所有烟草产品的使用呈正相关。女性与所有产品的烟草使用呈负相关。
政策制定者应优先实施关于烟草危害的大幅图片健康警告，覆盖不同产品的整个包装。
