NDLI: Tobacco use and khat chewing among adolescents in Yemen: a large-scale school-based cross-sectional study

Content Provider	Springer Nature : BioMed Central
Author	Al-Maweri, Sadeq Ali Alhajj, Mohammed Nasser Al-Soneidar, Walid A. Shamala, Anas Alkadasi, Baleegh Abdulraoof Amran, Abdullah Ghalib Abu-lohom, Faisal Al-Sharani, Hesham Mohammed Basalamah, Mohammed Abdullah Al-Muaalemi, Zakarya Almeslet, Asma Saleh Abdulrab, Saleem Asiri, Abdulaziz Abdullah Kassim, Saba Halboub, Esam
Abstract	Objective The present study sought to assess the prevalence and determinants of tobacco use (cigarette smoking and shisha use) and khat chewing among Yemeni adolescents, and to evaluate their knowledge and attitudes toward these habits. Methods This school-based cross-sectional study was conducted among 13 to 19-year-old students attending middle/high schools (both private and public) across five main cities in Yemen. Data were collected using self-administered questionnaires comprising questions/items related to sociodemographic data, cigarette smoking, shisha use, khat chewing, and knowledge on and attitudes toward these habits. Bivariate and multivariate analyses were used to explore the most determinant factors. Results A total of 7505 students were recruited from 42 schools across five major cities in Yemen. The prevalence rates of khat chewing, cigarette smoking, and shisha use were 42.4%, 6.8%, and 19.3%, respectively. Compared to females, male subjects reported significantly higher prevalence of khat chewing (51.4% vs. 23.5%, p < 0.001), shisha use (20.3% vs. 17.2%, p < 0.01), and cigarette smoking (8.8% vs. 2.6%, p < 0.001). Male gender, older age, poor knowledge, khat chewing, parents’ low education level, and parents’ and peers’ smoking habits were significant determinants of adolescents’ cigarette smoking status. Private education, male gender, older age, poor knowledge, parents’ low education level, and parents’ and peers’ khat chewing habits were significant determinants of adolescents’ khat chewing status. The participant’s knowledge of and attitudes toward tobacco use and khat chewing were inadequate. Conclusion The prevalence of khat chewing, shisha use, and to lesser extent cigarette smoking among Yemeni adolescents is high that needs immediate intervention. The results highlight the urgent need to implement prevention strategies to tackle these habits among the youth in Yemen.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-024-19803-0.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-024-19803-0
Journal	BMC Public Health
Issue Number	1
Volume Number	24
Language	English
Publisher	BioMed Central
Publisher Date	2024-09-04
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Cigarette smoking Shisha use Khat chewing Adolescents Yemen Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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