دورية أكاديمية
أعرض في EDS

Determinants of tobacco use among pregnant women in sub-Saharan Africa. A multilevel mixed-effect logistic regression model.

التفاصيل البيبلوغرافية
العنوان: Determinants of tobacco use among pregnant women in sub-Saharan Africa. A multilevel mixed-effect logistic regression model.
المؤلفون: Aychiluhm SB; Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Mare KU; Department of Nursing, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia., Dagnew B; College of Veterinary Medicine, Samara University, Samara, Ethiopia., Seid AA; Department of Nursing, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia., Melaku MS; Department of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia., Sabo KG; Department of Nursing, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia., Tadesse AW; Curtin School of Population Health, Curtin University, Bentley, Western Australia, Australia., Ahmed KY; Rural Health Research Institute, Charles Sturt University, Orange, New South Wales, Australia.; Translational Health Research Institute, Western Sydney University, Campbelltown, New South Wales, Australia.
المصدر: PloS one [PLoS One] 2024 May 21; Vol. 19 (5), pp. e0297021. Date of Electronic Publication: 2024 May 21 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Tobacco Use*/epidemiology, Humans ; Female ; Pregnancy ; Adult ; Africa South of the Sahara/epidemiology ; Young Adult ; Prevalence ; Logistic Models ; Adolescent ; Pregnant Women ; Smoking/epidemiology ; Socioeconomic Factors ; Health Surveys ; Odds Ratio
مستخلص: Introduction: Although it is known that maternal tobacco use during pregnancy substantially declined in higher-income countries, information on the magnitude and determinants of tobacco use among pregnant women in sub-Saharan Africa (SSA) remains limited. Establishing evidence on maternal tobacco during pregnancy is crucial for guiding targeted interventions in SSA. This study aimed to determine the overall prevalence of tobacco use and its determinants among pregnant women in SSA countries.
Methods: The study used data from Demographic and Health Surveys conducted in 33 countries across SSA from 2010 and 2021. Our analysis included a total weighted sample of 40,291 pregnant women. A multilevel logistic regression model was used to identify factors associated with maternal tobacco use during pregnancy. The measure of association between explanatory variables and the outcome was reported using adjusted odds ratios (AORs) with 95% confidence intervals (CIs).
Results: The pooled prevalence of tobacco use among pregnant women in SSA was 1.76% (95% CI: 1.41, 2.12). Our findings showed that pregnant women in the age groups of 25-34 years (AOR 1.44; 95% CI: 1.14, 1.82) and 35+ years (AOR 2.18; 95% CI: 1.68, 2.83) had higher odds of tobacco use during pregnancy. Pregnant women who attained primary education (AOR 0.57; 95% CI: 0.46, 0.70) and secondary or higher education (AOR 0.39; 95% CI: 0.30, 0.53) were associated with lower odds of tobacco use. Similarly, pregnant women who resided in households with a high wealth index (AOR 0.36; 95% CI: 0.55 0.90) and those with media exposure (AOR 0.81; 95% CI: 0.67, 0.99) were less likely to use tobacco during pregnancy.
Conclusion: This study revealed that the overall prevalence of maternal tobacco use during pregnancy was relatively low in SSA, but some countries exhibited higher estimates. To address this, it is crucial to implement targeted smoking prevention and cessation strategies, particularly for young pregnant women, those facing socioeconomic disadvantages, and those with lower educational status.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Aychiluhm et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240521 Date Completed: 20240521 Latest Revision: 20240523
رمز التحديث: 20240523
مُعرف محوري في PubMed: PMC11108210
DOI: 10.1371/journal.pone.0297021
PMID: 38771798
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0297021