Chandrashekhar T Sreeramareddy|Pranil Mansingh Pradhan|Shwe Sin
Prevalence, distribution, and social determinants of tobacco use in 30 sub-Saharan African countries
Universiti Tunku Abdul Rahman|Patan Academy of Health Sciences|Universiti Tunku Abdul Rahman
although framework convention tobacco control prioritizes monitoring tobacco use populationbased surveys information prevalence patterns tobacco use subsaharan africa limited provide countrylevel prevalence estimates smoking smokeless tobacco slt use assess social determinants analyzed populationbased data recent demographic health surveys performed 2006 2013 involving men women 30 subsaharan african countries weighted countrylevel prevalence rates estimated current smoking cigarettes pipe cigars etc current slt use chewing snuff etc pooled datasets men women social determinants smoking slt use assessed multivariate analyses using dummy country variable control including withincountry sample weight country among men smoking prevalence rates high sierra leone 377 lesotho 341 madagascar 285 low 10 ethiopia benin ghana nigeria sao tome principe prevalence slt use 10 countries except madagascar 247 mozambique 109 among women smoking slt prevalence rates 5 countries except burundi 99 sierra leone 6 namibia 59 smoking madagascar 196 lesotho 91 slt use proportion females smoked lower slt users countries older age strongly associated smoking slt use among men women smoking among men women weakly associated slt use strongly associated education similarly smoking among men women weakly associated slt use strongly associated wealth index smoking slt use also associated marital status among men women well occupation agriculturists unskilled workers prevalence smoking among women much lower men although social patterns tobacco use similar men tobacco control strategies target poor notleast educated agricultural unskilled workers vulnerable social groups subsaharan africa