Jeoffray Diendéré1,2, Augustin Nawidimbasba Zeba3, Léon Nikièma4, Ahmed Kaboré5,4, Paul Windinpsidi Savadogo6, Somnoma Jean-Baptiste Tougma7, Halidou Tinto5,8, Arouna Ouédraogo9. 1. Public Health Department, Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, 01, Burkina Faso. jeoffray.diendere@gmail.com. 2. Public Health Department, Centre Muraz, Bobo-Dioulasso, Burkina Faso. jeoffray.diendere@gmail.com. 3. Public Health Department, Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, 01, Burkina Faso. 4. Joseph Ki-Zerbo University, BP 5705, Ouagadougou, 01, Burkina Faso. 5. Public Health Department, Centre Muraz, Bobo-Dioulasso, Burkina Faso. 6. Institute of Environment and Agricultural Research (INERA/CNRST), rue Guisga, 04 BP 8645, Ouagadougou, Burkina Faso. 7. Sourô Sanou University Hospital, 01 BP 676, Bobo-Dioulasso, Burkina Faso. 8. Clinical Research Unit of Research Institute for Health Sciences Nanoro, 11 BP 218, Ouagadougou, Burkina Faso. 9. Department of Psychiatry, Yalgado Ouédraogo University Hospital, Joseph Ki-Zerbo University, 01 BP 5705, Ouagadougou, Burkina Faso.
Abstract
BACKGROUND: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western African countries, the estimated weighted prevalence of SLT use in rural women was found to be the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. METHODS: We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP] and dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student's chi-squared and logistic regression analyses. RESULTS: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p < 0.001), undernourishment (aOR = 1.78; p < 0.01), decreased waist circumference (aOR = 0.98; p < 0.05), decreased DBP (aOR = 0.97; p < 0.01), increased SBP (aOR = 1.01; p < 0.05), and increased differential blood pressure (aOR = 1.01; p < 0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p < 0.001). CONCLUSION: The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.
BACKGROUND: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western African countries, the estimated weighted prevalence of SLT use in rural women was found to be the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. METHODS: We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP] and dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student's chi-squared and logistic regression analyses. RESULTS: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p < 0.001), undernourishment (aOR = 1.78; p < 0.01), decreased waist circumference (aOR = 0.98; p < 0.05), decreased DBP (aOR = 0.97; p < 0.01), increased SBP (aOR = 1.01; p < 0.05), and increased differential blood pressure (aOR = 1.01; p < 0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p < 0.001). CONCLUSION: The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.
Authors: Kadari Cissé; Sékou Samadoulougou; Yves Coppieters; Bruno Bonnechère; Patrice Zabsonré; Fati Kirakoya-Samadoulougou; Seni Kouanda Journal: Int J Environ Res Public Health Date: 2022-07-06 Impact factor: 4.614
Authors: Denis Male; Shirley Kansabe; Hafsa Lukwata; Alexander Rubanga; Kamran Siddiqi; Linda Bauld; Ann McNeill; Fiona Dobbie Journal: Int J Environ Res Public Health Date: 2022-03-14 Impact factor: 3.390