ArticleInternational journal of public health2017
Age of smoking initiation among adolescents in Africa.
Article in International journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- A systematic review and meta-analysis of factors associated with adolescent substance use in Africa, 2000 to 2020.Addiction (Abingdon, England) · 2025Pooled it
- How has the tobacco industry passed tax changes through to consumers in 12 sub-Saharan African countries?Tobacco control · 2025Article
- Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey.Frontiers in public health · 2025Article
- Sex-related inequalities in current cigarette smoking among adolescents in Africa.Substance abuse treatment, prevention, and policy · 2024Article
- Sex and macroeconomic differences and trends in early attempts at cigarette smoking among adolescents: findings from 147 countries.BMC medicine · 2022Article
- Mapping of global, regional and national incidence, mortality and mortality-to-incidence ratio of lung cancer in 2020 and 2050.International journal of clinical oncology · 2022Article
- Influence of Personal, Environmental, and Community Factors on Cigarette Smoking in Adolescents: A Population-Based Study from Taiwan.Healthcare (Basel, Switzerland) · 2022Article
- Proportion and trend in the age of cigarette smoking initiation among adolescent smoking experiencers aged 13-15 years in 148 countries/territories.Frontiers in public health · 2022Article
- Environmental and economics-related factors of smoking among Iranian adults aged 35-70: a PERSIAN cohort-based cross-sectional study.Environmental science and pollution research international · 2021Article
- Evaluation of a multimedia youth anti-smoking and girls' empowerment campaign: SKY Girls Ghana.BMC public health · 2020Article
- Nicotine Dependence and Loss of Autonomy among Greek Adolescent Smokers: A Countrywide Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Smoking Prevalence, Patterns, and Cessation Among Adults in Hebei Province, Central China: Implications From China National Health Survey (CNHS).Frontiers in public health · 2020Article
- E-cigarette use is associated with other tobacco use among US adolescents.International journal of public health · 2019Article
- Tobacco use and its determinants in the 2015 Kenya WHO STEPS survey.BMC public health · 2018Article
- Tobacco Use and Effects of Professional Advice on Smoking Cessation among Youth in IndiaAsian Pacific journal of cancer prevention : APJCP · 2017Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 4 countries.
Funding
Abstract
objectivesTo estimate prevalence and identify correlates of age of smoking initiation among adolescents in Africa.
methodsData (n = 16,519) were obtained from nationally representative Global Youth Tobacco Surveys in nine West African countries. Study outcome was adolescents' age of smoking initiation categorized into six groups: ≤7, 8 or 9, 10 or 11, 12 or 13, 14 or 15 and never-smoker. Explanatory variables included sex, parental or peer smoking behavior, exposure to tobacco industry promotions, and knowledge about smoking harm. Weighted multinomial logit models were conducted to determine correlates associated with adolescents' age of smoking initiation.
resultsAge of smoking initiation was as early as ≤7 years; prevalence estimates ranged from 0.7 % in Ghana at 10 or 11 years age to 9.6 % in Cote d'Ivoire at 12 or 13 years age. Males, exposures to parental or peer smoking, and industry promotions were identified as significant correlates.
conclusionsWest African policymakers should adopt a preventive approach consistent with the World Health Organization Framework Convention on Tobacco Control to prevent an adolescent from initiating smoking and developing into future regular smokers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.