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Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys

Summary Background Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the G... Full description

Journal Title: The Lancet (British edition) 2012, Vol.380 (9842), p.668-679
Main Author: Giovino, Gary A, Prof
Other Authors: Mirza, Sara A, PhD , Samet, Jonathan M, Prof , Gupta, Prakash C, ScD , Jarvis, Martin J, Prof , Bhala, Neeraj, MRCP , Peto, Richard, Prof , Zatonski, Witold, Prof , Hsia, Jason, PhD , Morton, Jeremy, MS , Palipudi, Krishna M, PhD , Asma, Samira, DDS
Format: Electronic Article Electronic Article
Language: English
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Quelle: Alma/SFX Local Collection
Publisher: Kidlington: Elsevier Ltd
ID: ISSN: 0140-6736
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title: Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys
format: Article
creator:
  • Giovino, Gary A, Prof
  • Mirza, Sara A, PhD
  • Samet, Jonathan M, Prof
  • Gupta, Prakash C, ScD
  • Jarvis, Martin J, Prof
  • Bhala, Neeraj, MRCP
  • Peto, Richard, Prof
  • Zatonski, Witold, Prof
  • Hsia, Jason, PhD
  • Morton, Jeremy, MS
  • Palipudi, Krishna M, PhD
  • Asma, Samira, DDS
subjects:
  • Addictive behaviors
  • Adolescent
  • Adult
  • Adult and adolescent clinical studies
  • Age Distribution
  • Age Factors
  • Aged
  • Analysis
  • Biological and medical sciences
  • Cross-Sectional Studies
  • Developing Countries
  • Economic models
  • Estimates
  • Female
  • General aspects
  • Households
  • Humans
  • Internal Medicine
  • Lifestyles
  • Low income groups
  • Male
  • Medical sciences
  • Middle Aged
  • Polls & surveys
  • Population
  • Prevalence
  • Psychology. Psychoanalysis. Psychiatry
  • Psychopathology. Psychiatry
  • Sex Distribution
  • Smoking - epidemiology
  • Smoking Cessation - statistics & numerical data
  • Studies
  • Surveys
  • Tobacco habit
  • Tobacco smoking
  • Tobacco, Smokeless
  • Tobacco, tobacco smoking
  • Toxicology
  • Young Adult
ispartof: The Lancet (British edition), 2012, Vol.380 (9842), p.668-679
description: Summary Background Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). Methods Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006–07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. Findings In countries participating in GATS, 48·6% (95% CI 47·6–49·6) of men and 11·3% (10·7–12·0) of women were tobacco users. 40·7% of men (ranging from 21·6% in Brazil to 60·2% in Russia) and 5·0% of women (0·5% in Egypt to 24·4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55–64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25–34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low (
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0140-6736
fulltext: fulltext
issn:
  • 0140-6736
  • 1474-547X
url: Link


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titleTobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys
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creatorGiovino, Gary A, Prof ; Mirza, Sara A, PhD ; Samet, Jonathan M, Prof ; Gupta, Prakash C, ScD ; Jarvis, Martin J, Prof ; Bhala, Neeraj, MRCP ; Peto, Richard, Prof ; Zatonski, Witold, Prof ; Hsia, Jason, PhD ; Morton, Jeremy, MS ; Palipudi, Krishna M, PhD ; Asma, Samira, DDS
creatorcontribGiovino, Gary A, Prof ; Mirza, Sara A, PhD ; Samet, Jonathan M, Prof ; Gupta, Prakash C, ScD ; Jarvis, Martin J, Prof ; Bhala, Neeraj, MRCP ; Peto, Richard, Prof ; Zatonski, Witold, Prof ; Hsia, Jason, PhD ; Morton, Jeremy, MS ; Palipudi, Krishna M, PhD ; Asma, Samira, DDS ; for The GATS Collaborative Group ; GATS Collaborative Group
descriptionSummary Background Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). Methods Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006–07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. Findings In countries participating in GATS, 48·6% (95% CI 47·6–49·6) of men and 11·3% (10·7–12·0) of women were tobacco users. 40·7% of men (ranging from 21·6% in Brazil to 60·2% in Russia) and 5·0% of women (0·5% in Egypt to 24·4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55–64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25–34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low (<20% overall) in China, India, Russia, Egypt, and Bangladesh. Interpretation The first wave of GATS showed high rates of smoking in men, early initiation of smoking in women, and low quit ratios, reinforcing the view that efforts to prevent initiation and promote cessation of tobacco use are needed to reduce associated morbidity and mortality. Funding Bloomberg Philanthropies' Initiative to Reduce Tobacco Use, Bill and Melinda Gates Foundation, Brazilian and Indian Governments.
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languageeng
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subjectAddictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Age Distribution ; Age Factors ; Aged ; Analysis ; Biological and medical sciences ; Cross-Sectional Studies ; Developing Countries ; Economic models ; Estimates ; Female ; General aspects ; Households ; Humans ; Internal Medicine ; Lifestyles ; Low income groups ; Male ; Medical sciences ; Middle Aged ; Polls & surveys ; Population ; Prevalence ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sex Distribution ; Smoking - epidemiology ; Smoking Cessation - statistics & numerical data ; Studies ; Surveys ; Tobacco habit ; Tobacco smoking ; Tobacco, Smokeless ; Tobacco, tobacco smoking ; Toxicology ; Young Adult
ispartofThe Lancet (British edition), 2012, Vol.380 (9842), p.668-679
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descriptionSummary Background Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). Methods Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006–07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. Findings In countries participating in GATS, 48·6% (95% CI 47·6–49·6) of men and 11·3% (10·7–12·0) of women were tobacco users. 40·7% of men (ranging from 21·6% in Brazil to 60·2% in Russia) and 5·0% of women (0·5% in Egypt to 24·4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55–64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25–34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low (<20% overall) in China, India, Russia, Egypt, and Bangladesh. Interpretation The first wave of GATS showed high rates of smoking in men, early initiation of smoking in women, and low quit ratios, reinforcing the view that efforts to prevent initiation and promote cessation of tobacco use are needed to reduce associated morbidity and mortality. Funding Bloomberg Philanthropies' Initiative to Reduce Tobacco Use, Bill and Melinda Gates Foundation, Brazilian and Indian Governments.
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titleTobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys
authorGiovino, Gary A, Prof ; Mirza, Sara A, PhD ; Samet, Jonathan M, Prof ; Gupta, Prakash C, ScD ; Jarvis, Martin J, Prof ; Bhala, Neeraj, MRCP ; Peto, Richard, Prof ; Zatonski, Witold, Prof ; Hsia, Jason, PhD ; Morton, Jeremy, MS ; Palipudi, Krishna M, PhD ; Asma, Samira, DDS
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3Adult and adolescent clinical studies
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5Age Factors
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7Analysis
8Biological and medical sciences
9Cross-Sectional Studies
10Developing Countries
11Economic models
12Estimates
13Female
14General aspects
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16Humans
17Internal Medicine
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21Medical sciences
22Middle Aged
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abstractSummary Background Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). Methods Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006–07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. Findings In countries participating in GATS, 48·6% (95% CI 47·6–49·6) of men and 11·3% (10·7–12·0) of women were tobacco users. 40·7% of men (ranging from 21·6% in Brazil to 60·2% in Russia) and 5·0% of women (0·5% in Egypt to 24·4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55–64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25–34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low (<20% overall) in China, India, Russia, Egypt, and Bangladesh. Interpretation The first wave of GATS showed high rates of smoking in men, early initiation of smoking in women, and low quit ratios, reinforcing the view that efforts to prevent initiation and promote cessation of tobacco use are needed to reduce associated morbidity and mortality. Funding Bloomberg Philanthropies' Initiative to Reduce Tobacco Use, Bill and Melinda Gates Foundation, Brazilian and Indian Governments.
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pmid22901888
doi10.1016/S0140-6736(12)61085-X