RESEARCH PAPER
Determinants of cigarette smoking among adolescents in Ethiopia: A cross-sectional study
Bereket Duko 1  
,  
Yirdaw Melese 2
,  
 
 
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1
Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
2
Department of Nursing, Rift Valley University, Hawassa, Ethiopia
CORRESPONDING AUTHOR
Bereket Duko   

Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
Publish date: 2019-09-02
 
Tob. Induc. Dis. 2019;17(September):62
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Cigarette smoking is an important health hazard and major preventable cause of morbidity and mortality. This study aimed to assess the prevalence of cigarette smoking among Tabor secondary and preparatory school students in Hawassa City, Ethiopia, 2018.

Methods:
A school-based cross-sectional study was conducted among 564 students aged 15–22 years using simple random sampling techniques, in the period 5–19 March 2018. Global Youth Tobacco Survey (GYTS) was used to assess smoking behaviours. Logistic regression analyses were employed to identify factors associated with cigarette smoking.

Results:
The student prevalence of cigarette smoking was found to be 11% (95% CI: 8.5–13.9) of which 9.4% were current smokers. The proportion of cigarette smoking among male and female students was 8.2% and 2.8%, respectively. An age ≥18 years (AOR = 3.0, 95% CI: 1.29–7.00), students having friends who smoke (AOR= 4.04, 95% CI: 2.04–7.45), khat chewing (AOR=5.57, 95% CI: 2.44–12.76), alcohol consumption (AOR=4.14, 95% CI: 1.84–9.70) and illegal or illicit drug use (AOR=5.84, 95% CI: 1.96–17.36) were found to be significantly associated with cigarette smoking.

Conclusions:
Cost-effective programs that involve the participation of families, teachers and other stakeholders to deliver health education and which restrict accessibility, advertising and use of substances like alcohol, cigarettes, and other illicit drugs, are highly recommended.

ABBREVIATIONS
WHO: World Health Organization, EDHS: Ethiopian Demographic and Health Survey, GYTS: Global Youth Tobacco Survey
ACKNOWLEDGEMENTS
We thank the participating schools and students, and the data collectors for their cooperation in providing the necessary information.
CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
There was no source of funding for this research.
AUTHORS' CONTRIBUTIONS
B.D., Y.M. and J.E. conceived the study and were involved in the study design, reviewed the article and analysis. B.D. was involved in report writing, editing and drafting of the manuscript. All authors read and approved the final manuscript.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
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