Tobacco use among adults in Cambodia: evidence for a tobacco epidemic among women.
Objective To identify the demographic characteristics of current tobacco users in Cambodia, particularly women, and to explore the reasons for current tobacco use in demographic subgroups of the Cambodian population. Methods We used a stratified three-stage cluster sample of 13 988 adults aged 18 ye...
| Publicado en: | Bulletin of the World Health Organization Vol. 87; no. 12; pp. 905 - 913 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Dec2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105273737&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105273737 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Dec2009 vid: 87 iid: 12 pid: 437 pub: World Health Organization artinfo: ui: 105273737 2010514232 10.2471/BLT.08.058917 NLM20454481 PMC2789360 105273737 ppf: 905 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Tobacco use among adults in Cambodia: evidence for a tobacco epidemic among women. aug: au: Singh PN Yel D Sinn S Khieng S Lopez J Job J Ferry L Knutsen S affil: School of Public Health, Loma Linda University, 2005 Nichol Hall, Loma Linda, CA 92350 sug: subj: Health Behavior Cambodia Smoking Epidemiology Tobacco Cambodia Adolescence Adult Cambodia Cluster Sample Confidence Intervals Data Analysis Software Descriptive Statistics Epidemiological Research Ethnic Groups Female Funding Source Human Instrument Construction Interviews kappa Statistic Logistic Regression Male Middle Age Multivariate Analysis Odds Ratio Questionnaires Random Sample Regression Reliability and Validity Survey Research Tobacco, Smokeless Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Objective To identify the demographic characteristics of current tobacco users in Cambodia, particularly women, and to explore the reasons for current tobacco use in demographic subgroups of the Cambodian population. Methods We used a stratified three-stage cluster sample of 13 988 adults aged 18 years and older from all provinces in 2005-2006. Participants completed an interviewer-administered survey that contained items on all forms of tobacco use and on health and lifestyle variables. Multivariable regression analysis was performed to identify demographic predictors of tobacco use. Findings Cigarette smoking occurred among 48.0% of men and 3.6% of women. We estimated that 560 482 women (95% confidence interval, CI: 504 783 to 616 180) currently chewed tobacco (typically as a component of betel quid) and that the prevalence more than doubles with each decade of adulthood up to the point that about half of all older women chew tobacco. Both men and women cited the influence of older relatives as their primary reason for starting to use tobacco. About one out of five rural women who used chewing tobacco started their habit for relief from morning sickness. The highest prevalence of chewing tobacco among women was seen among midwives (67.9%) and traditional healers (47.2%). High rates (66.8%) of cigarette and pipe tobacco use occurred among ethnic minorities who represent hill tribes found throughout south-east Asia. Conclusion The tobacco epidemic in Cambodia extends far beyond cigarette smoking in men. Tobacco control that focuses only on cigarettes will not address the health burden from smokeless tobacco use in women that may be an integral part of cultural, familial, and traditional medicine practices. © World Health Organization 2009. All rights reserved. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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