Show simple item record Boua, Palwende Romuald Soo, Cassandra Claire Debpuur, Cornelius Maposa, Innocent Nkoana, Shai Mohamed, Shukri F. Choma, Solomon Oduro, Abraham Asiki, Gershim Micklesfield, Lisa K. Gómez-Olivé, Francesc Xavier Sorgho, Hermann Mall, Sumaya Ramsay, Michèle 2023-03-17T08:43:49Z 2023-03-17T08:43:49Z 2021
dc.identifier.issn 1471-2458
dc.description Journal article published in the journal of BMC Public Health en_US
dc.description.abstract Background: Substance misuse is a global public health problem. In addition to social and economic concerns, consumption of tobacco and alcohol is associated with susceptibility to cardiovascular, respiratory, and infectious diseases, cancers, and risk of transition to substance use disorders. African data suggest regional differences in the prevalence and patterns of substance use, but a number of key questions remain. This cross-sectional populationbased study of middle-aged adults aims to examine prevalence and socio-demographic correlates of substance use in four sub-Saharan African countries, in rural and urban settings. Methods: Participants aged between 40 and 60 years were recruited from six research centres as part of the Africa Wits-INDEPTH partnership for Genomic Research study. Data on patterns of tobacco and alcohol consumption was captured, and the latter further assessed using the CAGE (cut-annoyed-guilty-eye) questionnaire. Results: Data from 10,703 participants suggested that more men (68.4%) than women (33.3%) were current substance users. The prevalence of current smoking was significantly higher in men than in women (34.5% vs 2.1%, p < 0.001). Smokeless tobacco was used more by women than men (14.4% vs 5.3%, p < 0.001). Current smoking was associated with alcohol consumption in men, and smoking cessation in men was associated with being a former drinker, having higher socio-economic status, and if married or cohabiting. Current alcohol consumption was higher in men, compared to women (60.3% vs 29.3%), and highest in men from Soweto (70.8%) and women from Nanoro (59.8%). The overall prevalence of problematic alcohol consumption among men was 18.9%, and women 7.3%. Men were significantly more likely to develop problematic drinking patterns, and this was more common in those who were divorced or widowed, and in current smokers. Conclusions: Regional variation in the patterns and prevalence of substance use was observed across study sites, and in rural and urban settings. The high levels of substance use recorded in this study are of concern due to the increased risk of associated morbidities. Further longitudinal data will be valuable in determining trends in substance misuse in Africa. en_US
dc.format.extent 14 pages en_US
dc.language.iso en en_US
dc.publisher BMC Public Health en_US
dc.relation.requires PDF en_US
dc.subject Alcohol use en_US
dc.subject Tobacco use en_US
dc.subject Sub-Saharan Africa en_US
dc.subject Prevalence en_US
dc.subject Cross-sectional study en_US
dc.subject Adults en_US
dc.subject Sociodemographic correlates en_US
dc.subject AWI-gen en_US
dc.subject.lcsh Older people -- Alcohol use -- Sub-Saharan Africa en_US
dc.subject.lcsh Tobacco use -- Sub-Saharan Africa en_US
dc.subject.lcsh Substance abuse -- Sub-Saharan -- Africa en_US
dc.title Prevalence and socio-demographic correlates of tobacco and alcohol use in four sub-Saharan African countries: a cross-sectional study of middle-aged adults en_US
dc.type Article en_US

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