Tobacco use and khat chewing among adolescents in Yemen: a large-scale school-based cross-sectional study.

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sadeq Ali Al-Maweri, Mohammed Nasser Alhajj, Walid A Al-Soneidar, Anas Shamala, Baleegh Abdulraoof Alkadasi, Abdullah Ghalib Amran, Faisal Abu-Lohom, Hesham Mohammed Al-Sharani, Mohammed Abdullah Basalamah, Zakarya Al-Muaalemi, Asma Saleh Almeslet, Saleem Abdulrab, Abdulaziz Abdullah Asiri, Saba Kassim, Esam Halboub
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Abstract

Objective: The present study sought to assess the prevalence and determinants of tobacco use (cigarette smoking and shisha use) and khat chewing among Yemeni adolescents, and to evaluate their knowledge and attitudes toward these habits.

Methods: This school-based cross-sectional study was conducted among 13 to 19-year-old students attending middle/high schools (both private and public) across five main cities in Yemen. Data were collected using self-administered questionnaires comprising questions/items related to sociodemographic data, cigarette smoking, shisha use, khat chewing, and knowledge on and attitudes toward these habits. Bivariate and multivariate analyses were used to explore the most determinant factors.

Results: A total of 7505 students were recruited from 42 schools across five major cities in Yemen. The prevalence rates of khat chewing, cigarette smoking, and shisha use were 42.4%, 6.8%, and 19.3%, respectively. Compared to females, male subjects reported significantly higher prevalence of khat chewing (51.4% vs. 23.5%, p < 0.001), shisha use (20.3% vs. 17.2%, p < 0.01), and cigarette smoking (8.8% vs. 2.6%, p < 0.001). Male gender, older age, poor knowledge, khat chewing, parents' low education level, and parents' and peers' smoking habits were significant determinants of adolescents' cigarette smoking status. Private education, male gender, older age, poor knowledge, parents' low education level, and parents' and peers' khat chewing habits were significant determinants of adolescents' khat chewing status. The participant's knowledge of and attitudes toward tobacco use and khat chewing were inadequate.

Conclusion: The prevalence of khat chewing, shisha use, and to lesser extent cigarette smoking among Yemeni adolescents is high that needs immediate intervention. The results highlight the urgent need to implement prevention strategies to tackle these habits among the youth in Yemen.

也门青少年吸烟和咀嚼阿拉伯茶叶的情况:一项大规模校本横断面研究。
研究目的本研究旨在评估烟草使用(吸烟和使用水烟)和咀嚼阿拉伯茶叶在也门青少年中的流行程度和决定因素,并评估他们对这些习惯的认识和态度:这项以学校为基础的横断面研究在也门五个主要城市的初中/高中(包括私立和公立学校)对 13 至 19 岁的学生进行了调查。采用自填式问卷收集数据,问卷包括与社会人口学数据、吸烟、使用水烟、咀嚼阿拉伯茶以及对这些习惯的了解和态度有关的问题/项目。研究采用了二元和多元分析来探讨最主要的决定性因素:也门五个主要城市的 42 所学校共招募了 7505 名学生。咀嚼阿拉伯茶、吸烟和使用水烟的流行率分别为 42.4%、6.8% 和 19.3%。与女性相比,男性受试者咀嚼阿拉伯茶的比例明显更高(51.4% 对 23.5%,p 结论:咀嚼阿拉伯茶、吸烟和使用水烟的比例分别为 42.4%、6.8% 和 19.3%:也门青少年咀嚼阿拉伯茶叶和使用水烟的流行率很高,吸烟的流行率也较低,需要立即采取干预措施。研究结果突出表明,迫切需要实施预防策略来解决也门青少年的这些习惯问题。
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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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