ArticleBMC public health2018
Tobacco use and its determinants in the 2015 Kenya WHO STEPS survey.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Dual use of tobacco and khat in eastern Ethiopia: a qualitative study.Tobacco control · 2026Article
- Article
- Determinants of tobacco use among men aged 15 to 59 in Sub Sahara Africa: a multilevel mixed effect logistic regression analysis.BMC public health · 2026Article
- Exploring the Intersection of Tobacco, Alcohol, and Gambling for Türkiye.Journal of gambling studies · 2026Article
- Global burden and health inequalities of premature coronary artery disease attributed to high fasting plasma glucose/body mass: insights from the Global Burden of Disease study 2021.Diabetology & metabolic syndrome · 2026Article
- Predictors of tobacco smoking among youth in an urban slum in Kampala, Uganda: A cross-sectional study.PloS one · 2026Article
- Decomposing wealth-based inequalities in ideal cardiovascular health in Kenya.Communications medicine · 2025Article
- Tobacco use patterns and associated factors among youth in Kampala's informal settlements: a cross-sectional study in Bwaise.BMC public health · 2025Article
- Exploring explainable machine learning algorithms to model predictors of tobacco use among men in Sub Sahara Africa between 2018 and 2023.Scientific reports · 2025Article
- A comprehensive review: role of smokeless tobacco consumption as a risk factor for diabetes mellitus.Acta diabetologica · 2025Review
- Magnitude and determinants of behavioral risk factors of non-communicable diseases among reproductive age women in Gofa and Basketo zones, Southern Ethiopia: a community-based cross-sectional study.Frontiers in public health · 2025Article
- Understanding HIV care providers' support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study.BMJ public health · 2024Article
- Prevalence and Determinants of Ideal Cardiovascular Health in Kenya: A Cross-Sectional Study Using Data From the 2015 Kenya STEPwise Survey.Global heart · 2024Article
- Tobacco smoking-attributable mortality in Kenya, 2012-2021.Tobacco induced diseases · 2024Article
- Tobacco Use and Associated Factors Among Men in Tanzania: Further Analysis of the 2022 Tanzania Demographic and Health Survey Data.Tobacco use insights · 2024Article
- Factors associated with smoking intensity among adult smokers: findings from the longitudinal cohort of the Tehran lipid and glucose study.BMC public health · 2023Article
- Article
- Prevalence and Risk Factors of Hypertension in Hargeisa, Somaliland: A Hospital-Based Cross-Sectional Study.Diseases (Basel, Switzerland) · 2023Article
- Factors associated with intention to smoke cigarettes among never smoker school going adolescents in Zambia.African health sciences · 2023Article
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7 authors.
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Abstract
backgroundAccording to the World Health Organization (WHO), in 2015, over 1.1 billion people smoked tobacco, which represents around 15% of the global population. In Africa, around one in five adults smoke tobacco. The 2014 Kenya Global Adult Tobacco Survey reported that 2.5 million adults use tobacco products. The objective of our study was to describe patterns and determinants of tobacco use from the 2015 Kenya STEPS survey, including use of "smokeless" tobacco products and the more novel e-cigarettes.
methodsThe WHO STEPwise approach to surveillance (STEPS) was completed in Kenya between April and June 2015. Logistic regression analyses was used to assess factors affecting prevalence and frequency of tobacco use. Sociodemographic variables associated with tobacco use were considered: age, sex, level of education, wealth quintile, and residence. The relationship with alcohol as an intervening risk factor was also assessed. Our main outcomes of interest were current tobacco use, daily tobacco use and use of smokeless tobacco products.
resultsOf 4484 respondents, 605 (13.5%) reported being current tobacco users. Most active tobacco users were male (n = 507/605, 83.8%). Three out of four tobacco users (n = 468/605, 77.4%) reported being less than 50 years old, with the average start age being 21 (20.6, 95% CI 19.3-21.8) and the average quit age 27 (27.2, 95% CI 25.8-28.6). Most tobacco users had only ever attended up to primary school (n = 434/605, 71.7%). Men had nearly seven times higher odds of being tobacco users as compared to women (OR 7.63, 95% CI 5.63-10.33). Alcohol use had a positive effect on tobacco use. Finally, less than ten respondents reported having used e-cigarettes.
conclusionThe 2015 Kenya WHO STEPS provided primary data on the status of tobacco use in the country and other leading NCD risk factors, such as alcohol, and associated diseases. Our findings highlight key target populations for tobacco cessation efforts: young people, men, those with lower levels of education, and alcohol consumers. Further data is needed on the use of smokeless tobacco, and its impact on smoked tobacco products, as well as on the novel use of e-cigarettes.
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