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Anusha Manoharan 1 Article
Smokeless tobacco consumption and its association with tobacco control factors in Western Pacific Region- results from Global Youth Tobacco Survey 2015-2019
Chandrashekhar T Sreeramareddy, Anusha Manoharan
Epidemiol Health. 2022;e2022103.   Published online November 8, 2022
DOI: https://doi.org/10.4178/epih.e2022103    [Accepted]
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Abstract
OBJECTIVES
We estimated the prevalence of smokeless tobacco (ST) consumption and its association with tobacco control factors among school-going youth in 18 countries of the Western Pacific Region
METHODS
We analyzed school-based Global Youth Tobacco Survey (2014-2019) microdata from 18 Western Pacific Region countries. We estimated weighted prevalence rates of ST consumption, cigarette smoking, and dual use. Multi-level binary logistic regression was done to examine the associations between ST consumption and dual use with demographic, exposure to pro-tobacco, anti-tobacco factors, country-level incomes, and MPOWER indicators.
RESULTS
Data from 58 263 school-going youth were analyzed. Prevalence of last-30-days ST consumption was higher in Kiribati (42.1%), Marshall Islands (26.1%), Micronesia (21.3%), Palau (16.0%), and Papua New Guinea (15%.2). In adjusted multi-level models, ST consumption and dual-use were associated with sex, age, parental smoking, pro-tobacco factors, country income, and MPOWER score. For each unit increase in score on cessation programs, the odds of ST consumption and dual use among the youth increased by about 1.4 times [(AOR 1.38, 95% CI1.15, 1.66 and AOR 1.47, 95% CI 1.16, 1.86)]. Similarly, for each unit increase in the score about warnings health effects of tobacco use, the odds of both ST consumption and dual use among the youth decreased by about 0.4 times [AOR 0.47, 95% CI 0.42, 0.53 and 0.35, 95% CI 0.30, 0.42].
CONCLUSIONS
ST consumption among the youth was substantial in Pacific Islands and exceeded cigarette smoking in a few countries. Implementing MPOWER measures for ST products could help reduce the prevalence of ST consumption.
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Epidemiol Health : Epidemiology and Health