Pattern of smoking and nicotine dependence in Lagos State Nigeria
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College of Medicine, University of Lagos, Dept of Preventive Dentistry, Nigeria
College of Medicine, University of Lagos, Dept of Oral and Maxillofacial Surgery, Nigeria
College of Medicine, University of Lagos, Dept of Oral Pathology, Nigeria
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A803
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Tobacco use has been a recognized risk factor for a many diseases including Oral Cancer. Social disparities have been found to exist in smoking patterns in most populations but there has not been a concerted effort to quantify or describe the pattern of tobacco use and Nicotine dependence from tobacco use at the population level in Nigeria.

This was part of a larger population based cross-sectional study in Lagos State Nigeria in which the subjects were selected from the three Senatorial districts of Lagos state in a multistage sampling technique. Data was collected with a structured self-administered or interviewer administered questionnaire, an oral examination and validation of tobacco use with Bedfont Pico smokerlyzer. Fagerstrom test for Nicotine dependence was used to determine level of dependence.

A total of 2429 subjects were interviewed and examined. They were aged between 10 and 86 years with a mean age of 34 (sd 14.29). There were 58.4% males and 42.6% females. Prevalence of ever smoked was 28.55% while prevalence of current smoking was 9.2% of total and 32.25% of ever smoked. Of the current smokers, 57% were males and 43% were females. Nearly half of smokers (49%) commenced the habit by age 18years. Daily smoking was reported by 73.6% while 62.2% smoked 10 sticks or less per day. Public places were the most common sites (28.1%) for smoking. Most (78%) smokers purchased cigarettes as individual sticks. About half (49.7%) of the smokers showed low levels of Nicotine dependence while 75% desired to quit smoking.

The prevalence is higher than national average even though most smokers are light smokers and have low dependence. Health education and strict implementation of anti-smoking policies of the Federal Government of Nigeria is recommended.