Efio Mariano, Ade Serge, Babio Ismaël A, Togan Roméo M, Harries Anthony D
Faculty of Medicine, University of Parakou, Parakou, Benin.
Department of Internal Medicine, Army Training and Teaching Hospital, Parakou, Benin.
Tob Use Insights. 2025 Sep 10;18:1179173X251377631. doi: 10.1177/1179173X251377631. eCollection 2025.
This study aimed to determine the prevalence and factors associated with consumption of smokeless tobacco (SLT) at Nikki, northern Benin.
This was a cross-sectional interview study carried out from November 2023 to September 2024 among adults aged≥18 years, after a process of two-stage random sampling.
Overall, 688 participants were interviewed. Their mean age was 32.2 ± 13.3 years with a male-female ratio of 4.5:1. The prevalence of current SLT use (defined as currently consumption or consumption in the last 12 months) was 26.9% (95% CI = 23.7-30.3) while that of daily use was 15.1% (95% CI = 12.6-18.0). Factors associated with SLT consumption were age ≥30 years (aPR = 3.7; < 0.001), male gender (aPR = 10.8; < 0.001), not attending school (aPR = 4.1; = 0.035), alcohol consumption (aPR = 4.0; < 0.001), lack of awareness of the harm caused by SLT (aPR = 2.2; < 0.001), a impression of SLT being less harmful compared with smoking tobacco (aPR = 5.2; < 0.001), peer pressure and influence (aPR = 2.9; = 0.001) and exposure to marketing (aPR = 3.5; < 0.001). The possible association of SLT with harmful health risks was known by 399 (58%) participants.
The prevalence of SLT use was high among adults in Nikki, northern Benin. Raising awareness and regulating the sale of SLT products would help to mitigate this scourge; and further qualitative research are needed to determine the socio-cultural determinants of SLT consumption.
本研究旨在确定贝宁北部尼基地区无烟烟草（SLT）消费的患病率及相关因素。
这是一项横断面访谈研究，于2023年11月至2024年9月在≥18岁的成年人中进行，采用两阶段随机抽样方法。
总体而言，共采访了688名参与者。他们的平均年龄为32.2±13.3岁，男女比例为4.5:1。当前SLT使用者（定义为当前消费或在过去12个月内消费）的患病率为26.9%（95%CI = 23.7 - 30.3），而每日使用者的患病率为15.1%（95%CI = 12.6 - 18.0）。与SLT消费相关的因素包括年龄≥30岁（aPR = 3.7；<0.001）、男性（aPR = 10.8；<0.001）、未上学（aPR = 4.1；= 0.035）、饮酒（aPR = 4.0；<0.001）、对SLT造成的危害缺乏认识（aPR = 2.2；<0.001）、认为SLT比吸烟危害小的印象（aPR = 5.2；<0.001）、同伴压力和影响（aPR = 2.9；= 0.001）以及接触营销（aPR = 3.5；<0.001）。399名（58%）参与者知晓SLT与有害健康风险之间可能存在关联。
在贝宁北部尼基地区的成年人中，SLT使用的患病率较高。提高认识和规范SLT产品的销售将有助于减轻这一祸害；还需要进一步的定性研究来确定SLT消费的社会文化决定因素。
