ArticleBMC public health2010
Do socioeconomic differences in tobacco use exist also in developing countries? A study of Ghanaian adolescents.
Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic status and health behavior in children and adolescents: a systematic literature review.Frontiers in public health · 2023Pooled it
- Family Structure and Peer Influences as Correlates of Lifetime Smokeless Tobacco Use Among Undergraduate Students at The University For Development Studies, Ghana: An Analytical Cross-Sectional Study.Tobacco use insights · 2026Article
- Review of Behavioral Risks Among Kazakhstani Adolescents and the Experience of Establishing a Health School in Kazakhstan.Acta medica academica · 2025Review
- Sex-related inequalities in current cigarette smoking among adolescents in Africa.Substance abuse treatment, prevention, and policy · 2024Article
- Toxic effects of smokeless tobacco on female reproductive health: A review.Current research in toxicology · 2022Review
- Use patterns of cigarettes and alternative tobacco products and socioeconomic correlates in Hong Kong secondary school students.Scientific reports · 2021Article
- Adherence to smoke-free policies in Ghana: Findings from a cross-sectional survey of hospitality venue owners and staff.Tobacco prevention & cessation · 2021Article
- Predictors of current tobacco smoking by adolescents in Nigeria: Interaction between school location and socioeconomic status.Tobacco induced diseases · 2020Article
- Determinants of cigarette/bidi smoking among youth male in rural Mymensingh of Bangladesh: A cross-sectional study.PloS one · 2020Article
- Current Cigarette Smoking and Its Predictors among School-Going Adolescents in East Africa: A Systematic Review and Meta-Analysis.International journal of pediatrics · 2019Review
- Determinants of cigarette smoking and smoking intensity among adult males in Ghana.BMC public health · 2018Article
- Tobacco use: prevalence, pattern, and predictors, among those aged 15-49 years in Nigeria, a secondary data analysis.Tobacco induced diseases · 2018Article
- Socioeconomic differences in adolescents' smoking: a comparison between Finland and Beijing, China.BMC public health · 2016Article
- Sociodemographic distribution of non-communicable disease risk factors in rural Uganda: a cross-sectional study.International journal of epidemiology · 2013Article
- Educational differences in smoking among adolescents in Germany: what is the role of parental and adolescent education levels and intergenerational educational mobility?International journal of environmental research and public health · 2013Article
- Socioeconomic status and tobacco consumption among adolescents: a multilevel analysis of Argentina's Global Youth Tobacco Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2012Article
- [Evolution of Smoking According to Social Class in the Adult Population of the Canary Islands During 2000-2015: Follow-up of the CDC-Canary Cohort].Atencion primariaArticle
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Western countries, tobacco use is most prevalent among adolescents in lower socioeconomic groups. The association between socioeconomic status (SES) and tobacco use among adolescents in developing countries is unexplored. Using multiple SES measures, we investigated this association among adolescents in Ghana.
methodA school-based survey of a representative sample of 13-18-year-old Ghanaians (N = 1,165, response rate = 89.7%) was conducted in three regions, in 2008. Logistic regression analysis was used to evaluate the relationship of smoking, tawa (smokeless tobacco) use with familial SES (parental occupation and education, material affluence scale, family structure), an adolescent's individual social position (school performance, plans after graduation) and inter-generational social mobility (predicted by the differences of familial and individual positions).
resultsSocioeconomic differences existed in tobacco use whether measured by familial SES or individual social position with higher prevalence in lower socioeconomic groups. Low father's education and living in a non-nuclear family were associated with both forms of tobacco use while low material affluence was associated with tawa use only; individual social position measured by plans after graduation was the strongest predictor of both smoking and tawa use. Inter-generational downward social mobility and particularly staying in low SES was related to both forms of tobacco use.
conclusionsSimilar to Western countries, lower SES is related to an adolescent's tobacco use also in developing countries. Cumulative socioeconomic disadvantage over generations increases the probability of tobacco use.
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