Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Tobacco Use, Beliefs and Risk Awareness in University Students from 24 Low, Middle and Emerging Economy Countries

  • Peltzer, Karl (ASEAN Institute for Health Development, Mahidol University) ;
  • Pengpid, Supa (ASEAN Institute for Health Development, Mahidol University)
  • Published : 2014.12.18
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to determine the prevalence of tobacco use, beliefs and risk awareness and psychosocial correlates of tobacco use among university students in 24 low, middle and emerging economy countries. Using anonymous questionnaires, data were collected from 16953 undergraduate university students (mean age 20.9, SD=2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Results indicate that overall 13.3% of the university students were current tobacco users, 22.4% for men and 6.6% for women, ranging from 3.8% in Singapore to 32.5% in Cameroon. The risk awareness of the smoking lung cancer link was 83.6%, while the risk awareness of the smoking heart disease link was 46.5%. Multivariate logistic regression found that older age, male gender, having a wealthy family background, living in a low income country, residing off campus on their own, poor beliefs in the importance not to smoke, awareness of the smoking heart disease link, hit by a sexual partner, depressive symptoms, and substance use (binge drinking and illicit drug use) were associated with current tobacco use.

Keywords

References

  1. Agaku IT, Adisa AO, Akinyamoju AO, Agboola SO (2013). A cross-country comparison of the prevalence of exposure to tobacco advertisements among adolescents aged 13-15 years in 20 low and middle income countries. Tob Induc Dis, 11, 11. https://doi.org/10.1186/1617-9625-11-11
  2. Aldrich MC, Hidalgo B, Widome R, et al (2014). The role of epidemiology in evidence-based policy making: a case study of tobacco use in youth. Ann Epidemiol, 1047-2797(14)00149-5.
  3. Andresen EM, Malmgren JA, Carter WB, Patrick DL (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med, 10, 77-84.
  4. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro M (2001). AUDIT: the alcohol use disorder identification test. geneva, Switzerland: World Health Organization.
  5. Caleyachetty R, Echouffo-Tcheugui JB, Stephenson R, Muennig P (2014). Intimate partner violence and current tobacco smoking in low- to middle-income countries: Individual participant meta-analysis of 231,892 women of reproductive age. Glob Public Health, 9, 570-8. https://doi.org/10.1080/17441692.2014.905616
  6. El Ansari W, Labeeb S, Kotb S, et al (2012). Correlates of smoking, quit attempts and attitudes towards total smoking bans at university: findings from eleven faculties in Egypt. Asian Pac J Cancer Prev, 13, 2547-56. https://doi.org/10.7314/APJCP.2012.13.6.2547
  7. Fawibe AE, Shittu AO (2011). Prevalence and characteristics of cigarette smokers among undergraduates of the University of Ilorin, Nigeria. Niger J Clin Pract, 14, 201-5. https://doi.org/10.4103/1119-3077.84016
  8. Gajalakshmi V, Asma S, Warren CW (2004). Tobacco survey among youth in South India. Asian Pac J Cancer Prev, 5, 273-8.
  9. Gupta B, Kumar N (2014). A cross-country comparison of knowledge, attitudes and practices about tobacco use: findings from the global adult tobacco survey. Asian Pac J Cancer Prev, 15, 5035-42. https://doi.org/10.7314/APJCP.2014.15.12.5035
  10. Halperin AC, Smith SS, Heiligenstein E, Brown D, Fleming MF (2010). Cigarette smoking and associated health risks among students at five universities. Nicotine Tob Res, 12, 96-104. https://doi.org/10.1093/ntr/ntp182
  11. Kamal SM, Islam MA, Rahman MA (2011). Sociopsychological correlates of smoking among male university students in Bangladesh. Asia Pac J Public Health, 23, 555-67. https://doi.org/10.1177/1010539509350495
  12. Khefacha Aissa S, Said Latiri H, Ben Rejeb M, Chebil D, Dhidah L (2014). Smoking behaviour among nursing students in Sousse, Tunisia: a preliminary study. Rev Mal Respir, 31, 248-54. https://doi.org/10.1016/j.rmr.2013.05.005
  13. Kilbourne AM, Justice AC, Rollman BL, et al (2002). Clinical importance of HIV and depressive symptoms among veterans with HIV infection. J Gen Intern Med, 17, 512-20. https://doi.org/10.1046/j.1525-1497.2002.10803.x
  14. Kimerling R, Ouimette P, Prins A, et al (2006). Brief report: Utility of a short screening scale for DSM-IV PTSD in primary care. J Gen Intern Med, 21, 65-7. https://doi.org/10.1111/j.1525-1497.2005.00292.x
  15. Li DX, Guindon GE (2013). Income, income inequality and youth smoking in low- and middle-income countries. Addiction, 108, 799-808. https://doi.org/10.1111/add.12075
  16. Mbatchou Ngahane BH, Luma H, et al (2013). Correlates of cigarette smoking among university students in Cameroon. Int J Tuberc Lung Dis, 17, 270-4. https://doi.org/10.5588/ijtld.12.0377
  17. Mehrotra R, Chaudhary AK, Pandya S, Mehrotra KA, Singh M (2010). Tobacco use by Indian medical students and the need for comprehensive intervention strategies. Asian Pac J Cancer Prev, 11, 349-52.
  18. Merdad LA, Al-Zahrani MS, Farsi JM (2007). Smoking habits among Saudi female university students: prevalence, influencing factors and risk awareness. Ann Saudi Med, 27, 366-9. https://doi.org/10.4103/0256-4947.51474
  19. Mergen H, Mergen BE, Tavli V, Ongel K, Tan S (2011). Assessment of smoking behaviors of 2509 Turkish university students and its correlates: a cross-sectional study. Tuberk Toraks, 59, 126-31. https://doi.org/10.5578/tt.2417
  20. Moosazadeh M, Ziaaddini H, Mirzazadeh A, Ashrafi-Asgarabad A, Haghdoost AA (2013). Meta-analysis of smoking prevalence in Iran. Addict Health, 5, 140-53.
  21. Ndom RJ, Adelekan ML (1996) Psychosocial correlates of substance use among undergraduates in Ilorin University, Nigeria. East Afr Med J, 73, 541-7.
  22. Onal AE, Tumerdem Y, Ozel S (2002). Smoking addiction among university students in Istanbul. Addict Biol, 7, 397-402. https://doi.org/10.1080/1355621021000005982
  23. Peltzer K (2001). Tobacco use among black South African university students: attitudes, risk awareness and health locus of control. Curationis, 24, 4-8.
  24. Rozi S, Butt ZA, Akhtar S (2007). Correlates of cigarette smoking among male college students in Karachi, Pakistan. BMC Public Health, 7, 312. https://doi.org/10.1186/1471-2458-7-312
  25. Samet JM (2013). Tobacco smoking: the leading cause of preventable disease worldwide. Thorac Surg Clin, 23, 103-12. https://doi.org/10.1016/j.thorsurg.2013.01.009
  26. Saravanan C, Heidhy I (2014). Psychological problems and psychosocial predictors of cigarette smoking behavior among undergraduate students in Malaysia. Asian Pac J Cancer Prev, 15, 7629-34. https://doi.org/10.7314/APJCP.2014.15.18.7629
  27. Sen U, Basu A (2000). Factors influencing smoking behavior among adolescents. Asian Pac J Cancer Prev, 1, 305-309.
  28. Sikkema KJ, Watt MH, Meade CS, et al (2011). Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa. J Acquir Immune Defic Syndr, 57, 230-7. https://doi.org/10.1097/QAI.0b013e3182167e7a
  29. Sinha DN, Gupta PC, P G (2007). Tobacco use among students and school personnel in India. Asian Pac J Cancer Prev, 8, 417-21.
  30. Steptoe A, Wardle J, Cui W, et al (2002). An international comparison of tobacco smoking, beliefs and risk awareness in university students from 23 countries. Addiction, 97, 1561-71. https://doi.org/10.1046/j.1360-0443.2002.00269.x
  31. Thakur JS, Prinja S, Bhatnagar N, Rana S, Sinha DN (2013). Socioeconomic inequality in the prevalence of smoking and smokeless tobacco use in India. Asian Pac J Cancer Prev, 14, 6965-9. https://doi.org/10.7314/APJCP.2013.14.11.6965
  32. Wardle J, Steptoe A (1991). The European Health and Behaviour Survey: rationale, methods and initial results from the United Kingdom. Soc Sci Med, 33, 925-36. https://doi.org/10.1016/0277-9536(91)90263-C
  33. Warren CW, Jones NR, Eriksen MP, Asma S; Global Tobacco Surveillance System (GTSS) collaborative group (2006). Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet, 367, 749-53. https://doi.org/10.1016/S0140-6736(06)68192-0
  34. World Bank (2013). New Country Classifications, 2013.
  35. World Health Organization (WHO) (1998). Guidelines for controlling and monitoring the tobacco epidemic. Geneva, Switzerland: WHO.
  36. World Health Organization (WHO) Expert Consultation (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363, 157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
  37. World Health Organization (WHO) (2014a) The International Classification of adult underweight, overweight and obesity according to BMI. Retrieved at http://apps.who.int/bmi/index.jsp?introPage=intro_3.html. Accessed 12 Jan 2014.
  38. World Health Organization (WHO) (2014b). WHO Tobacco control country profiles. Retrieved at www.who.int/tobacco/global_data/country_profiles/en/ Accessed 5 Oct 2014.
  39. Zhu T, Feng B, Wong S, Choi W, Zhu SH (2004). A comparison of smoking behaviors among medical and other college students in China. Health Promot Int, 19, 189-96. https://doi.org/10.1093/heapro/dah206

Cited by

  1. Association of Cigarette Prices with the Prevalence of Smoking in Korean University Students: Analysis of Effects of the Tobacco Control Policy vol.16, pp.13, 2015, https://doi.org/10.7314/APJCP.2015.16.13.5531
  2. Ethnic Variation in Consumption of Traditional Tobacco Products and Lung Cancer Risk in Nepal vol.16, pp.14, 2015, https://doi.org/10.7314/APJCP.2015.16.14.5721
  3. Women and Tobacco Use: Discrepancy in the Knowledge, Belief and Behavior towards Tobacco Consumption among Urban and Rural Women in Chhattisgarh, Central India vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6365
  4. Assessment of Perception of Medical Students in Regard to Links between Tobacco or Alcohol Use and Cancer vol.16, pp.7, 2015, https://doi.org/10.7314/APJCP.2015.16.7.2697
  5. Level of Awareness of Various Aspects of Lung Cancer Among College Teachers in India: Impact of Cancer Awareness Programmes in Prevention and Early Detection vol.31, pp.4, 2016, https://doi.org/10.1007/s13187-015-0960-7
  6. Health communication with parents and teachers and unhealthy behaviours in 15- to 16-year-old Swedes vol.5, pp.1, 2017, https://doi.org/10.1080/21642850.2017.1316666
  7. Educational Intervention on Undergraduate Cancer Awareness and Self-Directed Learning pp.1543-0154, 2018, https://doi.org/10.1007/s13187-017-1210-y
  8. Association between tobacco use, depression, and anxiety: A cross-national study among university students from 30 low- and middle-income countries vol.27, pp.6, 2017, https://doi.org/10.1080/14330237.2017.1347772