ArticlePloS one2021
Prevalence, patterns and correlates of smokeless tobacco use in Nigerian adults: An analysis of the Global Adult Tobacco Survey.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 18 citations in OpenAlex.
- 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 explainable machine learning algorithms to model predictors of tobacco use among men in Sub Sahara Africa between 2018 and 2023.Scientific reports · 2025Article
- The Burden and Factors Associated With Smokeless Tobacco Use Among Adults in Nikki, Benin.Tobacco use insights · 2025Article
- Impact of Smokeless Tobacco on Cardiovascular Disease Risk in a Nigerian Metropolitan City.Cardiovascular toxicology · 2024Article
- Non-cigarette Tobacco Use and Stroke Among West Africans: Evidence From the SIREN Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Prevalence and patterns of substance use in West Africa: A systematic review and meta-analysis.PLOS global public health · 2024Article
- Snuff use: Motivations, tips to quit, and readiness to quit in a South African township.Journal of the colleges of medicine of South Africa · 2024Article
- A gender-specific assessment of tobacco use risk factors: evidence from the latest Pakistan demographic and health survey.BMC public health · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe global tobacco epidemic contributes to more than 8 million deaths annually. However, most tobacco control interventions have been driven by an emphasis on smoked tobacco. Globally and more so in Nigeria, less attention has been paid to the similarly harmful smokeless tobacco (SLT) whose use appeals to a different demography. We examined the prevalence, patterns of use and correlates of SLT in Nigerian adults to guide targeted control efforts.
methodsWe conducted a secondary analysis of the 2012 Global Adult Tobacco Survey (GATS) data. We obtained data on 9,765 non-institutionalised adults aged 15 years and older. Variables included current SLT use, sociodemographic characteristics and perceived harm of SLT use. We used Chi-square test to examine associations and binary logistic regression to assess predictors of current SLT use. All analyses were conducted with sample-weighted data.
resultsThe prevalence of current SLT use was 1.9% of all adults. About 1.4% were daily users. The main types were snuff by nose (1.6%) and snuff by mouth (0.8%). There were higher odds of current SLT use for those in the South-East region (aOR = 13.99; 95% CI: 4.45-43.95), rural area residents (aOR = 1.56; 95% CI: 1.04-2.35), males (aOR = 4.43; 95% CI: 2.75-7.11), the 45-64 years age-group (aOR = 10.00; 95% CI: 4.12-24.29), those with no formal education (aOR = 2.67; 95% CI: 1.01-7.05), and those with no perception of harm from SLT use (aOR = 3.81, 95% CI: 2.61-5.56).
conclusionThe prevalence of SLT use among Nigerian adults was low with clearly identified predictors. While a majority were aware of harm from SLT use, an unacceptably high proportion remain unaware. We recommended targeted interventions to increase awareness of the harmful effects of SLT use especially among residents of the South-East, those in rural areas, males, and individuals with no formal education. We also recommended a follow-up survey.
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