Home Prevalence and determinants of cigarette smoking among adolescents in secondary schools in Port Harcourt, Southern Nigeria
Article
Licensed
Unlicensed Requires Authentication

Prevalence and determinants of cigarette smoking among adolescents in secondary schools in Port Harcourt, Southern Nigeria

  • Joyce Okagua EMAIL logo , Peace Opara and Balafama A. Alex-Hart
Published/Copyright: January 23, 2015

Abstract

Background: Cigarette smoking remains a major preventable public health problem associated with premature deaths worldwide. Adolescence is a unique developmental stage between childhood and adulthood. Smoking is a lifestyle habit acquired during adolescence and into adulthood, with its associated morbidity and mortality. It is therefore important to determine the factors associated with cigarette smoking in these adolescents in order to institute preventive measures and health policies to protect these adolescents early.

Objective: This study aims to determine the prevalence of smoking, factors associated with smoking, and knowledge of the harmful effects of smoking in these adolescents.

Methods: A cross-sectional study of 1120 adolescents aged 10–19 years selected from 10 secondary schools in Port Harcourt was conducted using a multistage sampling technique. The Global Youth Tobacco Survey (GYTS) core questionnaire was used to collect data from the subjects. A smoker was defined as one who had ever smoked a cigarette or who had one or two puffs, while a current smoker was defined as one who had taken a puff or smoked cigarettes in the last 30 days preceding the day of the questionnaire’s completion.

Results: Eighty subjects (7.1%) were smokers. This was significantly (p=<0.001) higher in males (9.7%) than in females (4%). Thirty seven (3.3%) subjects were current smokers. The mean age at which smoking was initiated was 12.47±3.0 years. Twenty six (32.5%) of the smokers reported that they were initiated into cigarette smoking by their friends, 36 (45%) just wanted to experiment, 7 (8.8%) were influenced by media advertisements while 5 (6.3%) were due to parental exposure. Parental history of smoking and poor knowledge of cancer of the lungs as a harmful effect of smoking, was significantly (p=<0.05) associated with cigarette smoking.

Conclusion: The prevalence of smoking in adolescents in Port Harcourt is high and is associated with parental smoking and poor knowledge of cancer of the lungs as a harmful effect. We recommend that adolescent health education with an emphasis on the harmful effects of smoking be included in the curriculum of all secondary schools.


Corresponding author: Joyce Okagua, Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria, Phone: +234 81702 84284, E-mail:

References

1. World Health Organisation (WHO) smoking statistics. Available at: http://www.wpro.Who.int/media_centre/fact_sheets. Accessed on September 24, 2014.Search in Google Scholar

2. Secretary of State for Health and Secretaries of State for Scotland, Wales and Northern Ireland. A white paper on tobacco. London: HM Stationery Office, 1999. Smoking kills.Search in Google Scholar

3. Sunday SR, Folan P. Smoking in adolescence: what a clinician can do to help. Med Clin North Am 2004;88:1495–515.10.1016/j.mcna.2004.06.006Search in Google Scholar

4. US Department of Health and Human Services. A report of the Surgeon General, 1994. Atlanta, Georgia: Public Health Service, Centers for Disease Control and Prevention, Office on Smoking and Health; 1994. Preventing tobacco use among young people.Search in Google Scholar

5. Khuder SA, Price JH, Jordan T, Khuder SS, Silvestri K. Cigarette smoking among adolescents in northwest Ohio: correlates of prevalence and age at onset. Int J Environ Res Pub Health 2008;5:278–89.10.3390/ijerph5040278Search in Google Scholar

6. Al-Yousaf MA, Karim A. Prevalence of smoking among high school students. Saudi Med J 2001;22:872–4.Search in Google Scholar

7. Hesketh T, Ding QJ, Tomkins A. Smoking among youths in China. Am J Public Health 2001;91:1653–5.10.2105/AJPH.91.10.1653Search in Google Scholar

8. Warren CW, Jones NR, Erikson M, Asma S. Pattern of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet 2006;367:749–53.10.1016/S0140-6736(06)68192-0Search in Google Scholar

9. Muula AS. Prevalence and determinant of cigarette smoking among adolescents in Blantyre City, Malawi. Tanzan Health Res Bull 2007;9:48–51.10.4314/thrb.v9i1.14292Search in Google Scholar

10. Yisa IO, Lawoyin TO, Fatiregun AA, Emelumadu OF. Pattern of substance use among senior students of command secondary schools in Ibadan, Nigeria. Niger J Med 2009;18:98–102.Search in Google Scholar

11. Omokhodion FO, Faseru BO. Perception of cigarette smoking and advertisement among senior secondary school students in Ibadan, Southwestern Nigeria. West Afr J Med 2007;26:206–9.Search in Google Scholar

12. Odeyemi KA, Osibogun A, Akinsete AO, Sadiq L. The prevalence and predictors of cigarette smoking among secondary school students in Nigeria. Niger Postgrad Med J 2009;16:40–5.Search in Google Scholar

13. Yahya SJ, Hammangabdo A, Omotara BA. Factors influencing the onset of cigarette smoking among adolescents in Konduga local government area. Niger J Med 2010;19:275–8.10.4314/njm.v19i3.60184Search in Google Scholar

14. Ebirim CI, Amadi AN, Abanobi OC, Iloh GUP. The prevalence of cigarette smoking and knowledge of its health implications among adolescents in Owerri, South-Eastern Nigeria. Health 2014;6:1532–8.10.4236/health.2014.612188Search in Google Scholar

15. Ekanem IA, Asuzu MC, Anunobi CC, Malami SA, Jibrin PG, et al. Prevalence of tobacco use among youths in five centres in Nigeria: A global youth tobacco survey (GYTS) approach. J Comm Med Pri Health Care 2010;22:62–7.Search in Google Scholar

16. Salawu FK, Damburam A, Desalu AA, Olokoba AB, Agbo J. Cigarette smoking habits among adolescents in Northeast Nigeria. Niger Postgrad Med J 2011;18:26–9.Search in Google Scholar

17. Global Youth Tobacco Survey Collaborative Group. Tobacco use among youth: a cross country comparison. Tob Control 2002;11:252–70.10.1136/tc.11.3.252Search in Google Scholar

18. World Health Organisation report on the global tobacco epidemic 2013. Global Youth Tobacco Survey, 2008. Available at: www.hst.org.za/.../who-report-global-tobacco-epidemic-2013. Accessed on September 20, 2014.Search in Google Scholar

19. Osungbade KO, Oshiname FO. Determinants of cigarette smoking among senior secondary school students in a rural community of Southwest Nigeria. Niger J Med 2008;17:40–4.Search in Google Scholar

20. Newcomb MD, Maddahian E, Bentler PM. Risk factors for drug use among adolescents: concurrent and longitudinal analyses. Am J Public Health 1986;76:525–31.10.2105/AJPH.76.5.525Search in Google Scholar

21. Coogan PF, Adams M, Geller AC, Brooks D, Miller DR, et al. Factors associated with smoking among children and adolescents in Connecticut. Am J Prev Med 1998;15:17–24.10.1016/S0749-3797(98)00022-1Search in Google Scholar

22. Gilliland FD, Islam T, Berhane K, Gauderman WJ, McConnell R, et al. Regular smoking and asthma incidence in adolescents. Am J Respir Crit Care Med 2006;174:1094–100.10.1164/rccm.200605-722OCSearch in Google Scholar

23. Flouris AD, Faught BE, Klentrou P. Cardiovascular disease risk in adolescent smokers: evidence of a smoker’s lifestyle. J Child Health Care 2008;12:221–31.10.1177/1367493508092509Search in Google Scholar

24. Khuder SA, Price JH, Jordan T, Khuder SS, Silvestri K. Cigarette smoking among adolescents in Northwest Ohio: correlates of prevalence and age at onset. Int J Environ Res Pub Health 2008;5:278–89.10.3390/ijerph5040278Search in Google Scholar

25. The Global Tobacco epidemic. Atlanta, Georgia: American Cancer Society, 2009:6–8.Search in Google Scholar

26. Rudatsikira E, Abdo A, Muula AS. Prevalence and determinants of adolescent tobacco smoking in Addis Ababa, Ethiopia. BMC Pub Health 2007;7:176.10.1186/1471-2458-7-176Search in Google Scholar

27. Gadalla YM, Abo-mali A, Mustafa BM, Abdo H. Prevalence of smoking among school adolescents in Khartoum State. Sudan J Paediatr 2012;12:44–8.Search in Google Scholar

28. Adewole O, Folorun S, Obasoki D, Erhabor A, Erhabor G. Prevalence of smoking among secondary school students in Ile-Ife, Nigeria. J. Lung Cancer 2005;49:189–92.10.1016/S0169-5002(05)80777-9Search in Google Scholar

29. Adeyeye OO. Cigarette smoking habits among senior secondary students in Lagos, South West Nigeria. Int J Bio Med Res 2011;2:1047–50.Search in Google Scholar

30. Mpabulungi L, Muula AS. Tobacco use among high school students in Kampala: questionnaire study. Croat Med J 2004;45:80–3.Search in Google Scholar

31. Global Youth Tobacco Survey Collaborating Group. Differences in worldwide tobacco use by gender: findings from the Global Youth Tobacco Survey. J Sch Health 2003;73:207–15.10.1111/j.1746-1561.2003.tb06562.xSearch in Google Scholar PubMed

32. Centres for Disease Control (CDC). Use of cigarettes and other tobacco products among students aged 13–15 years-worldwide, 1999–2005. MMWR 2006;55:553–6.Search in Google Scholar

33. Jarallah J, Al-Rubean K, Al-Nuaim A, Al-Ruhaily A, Kalantan K. Prevalence and determinants of smoking in three regions of Saudi Arabia. Tob Control 1999;8:53–6.10.1136/tc.8.1.53Search in Google Scholar PubMed PubMed Central

34. Flay BR, Koepke D, Thompson SJ, Sant S. Six- year follow up of the first Waterloo school smoking prevention trial. Am J Pub Health 1989;79:1371–6.10.2105/AJPH.79.10.1371Search in Google Scholar

35. Raji MO, Abubakar IS, Oche MO, Kaoje AU. Prevalence and determinants of cigarette smoking among in school adolescents in Sokoto Metropolis, North West Nigeria. Int J Trop 2013;8:81–6.Search in Google Scholar

36. Naing NN, Ahmad Z, Musa R, Abdul Hamid FR, Ghazali H, et al. Factors related to smoking habits of male adolescents. Tob Induc Dis 2004;2:13.10.1186/1617-9625-2-13Search in Google Scholar

37. Newman IM, Ward JM. The influence of parental attitude and behaviour on early adolescent cigarette smoking. J Sch Health 1989;59:150–2.10.1111/j.1746-1561.1989.tb04688.xSearch in Google Scholar PubMed

Received: 2014-10-6
Accepted: 2014-11-22
Published Online: 2015-1-23
Published in Print: 2016-2-1

©2016 by De Gruyter

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Smoking: do you really know the risk?
  4. Original Articles
  5. Practices and perceptions of adolescent girls regarding the impact of dysmenorrhea on their routine life: a comparative study in the urban, rural, and slum areas of Chandigarh
  6. Needs and expectations of adolescent in-patients: the experience of Gaslini Children’s Hospital
  7. Prevalence and determinants of cigarette smoking among adolescents in secondary schools in Port Harcourt, Southern Nigeria
  8. Comprehensive obesity evaluation and treatment of three adolescents: a case series
  9. Exercise, bodyweight perception and related weight loss behavior among adolescents in Trinidad and Tobago
  10. Oral health habits, attitudes and behaviors of Portuguese adolescents
  11. Using UV photoaged photography to better understand Western Australian teenagers’ attitudes towards adopting sun-protective behaviors
  12. Adolescent pesticide exposures reported to Texas poison centers
  13. Can a healthy youth development clinic serving latino families be youth friendly and family oriented? A mixed-methods evaluation
  14. Insights into Facebook Pages: an early adolescent health research study page targeted at parents
  15. Iranian adolescents’ insufficient physical activity: a mixed methods explanatory sequential study
  16. Sensation seeking indirectly affects perceptions of risk for co-occurrent substance use
  17. The understanding of risk factors for eating disorders in male adolescents
  18. Case Reports
  19. The role of temperament in traumatic hearing loss: a single case study of a cochlear-implanted patient
  20. Congenital megalourethra: a case report of an isolated delayed presentation
  21. Short Communication
  22. Problematic internet use and social networking site use among Dutch adolescents
  23. Letter to the Editor
  24. A teen’s perspective: adolescent access to their own electronic medical records
Downloaded on 6.10.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2014-0066/html
Scroll to top button