Prevalence and associated factors of shisha smoking among students in Senegal: Global Youth Tobacco Survey 2020

Bai Cham; Scott R Weaver; Candace K Jones; Lucy Popova; Nerline Jacques

doi:10.18332/tid/186656

Prevalence and associated factors of shisha smoking among students in Senegal: Global Youth Tobacco Survey 2020

Tob Induc Dis. 2024 May 14:22. doi: 10.18332/tid/186656. eCollection 2024.

Authors

Bai Cham^{1

2}, Scott R Weaver¹, Candace K Jones^{3

4}, Lucy Popova¹, Nerline Jacques^{3

5}

Affiliations

¹ School of Public Health, Georgia State University, Atlanta, United States.
² Disease Control and Elimination Theme, Medical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, Banjul, The Gambia.
³ Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, United States.
⁴ Research Triangle Institute (RTI) International, Research Triangle Park, United States.
⁵ CyberData Technologies, Herndon, United States.

Abstract

Introduction: Although shisha smoking is banned in Senegal, it has become increasingly popular, especially among youth. Despite the health risks associated with shisha smoking, there are few studies on shisha smoking in West Africa and none in Senegal. Our study assessed the prevalence and factors associated with shisha smoking among students aged 13-15 years in Senegal.

Methods: We used the 2020 Global Youth Tobacco Survey (GYTS) Senegal data from 2524 students aged 13-15 years. We calculated the weighted prevalence of ever and current (past 30 days) shisha smoking. Multivariable logistic regression analyses identified factors associated with ever and current shisha smoking among students.

Results: The prevalences of ever and current shisha smoking were 9.8% (95% CI: 7.7-12.3) and 2.2% (95% CI: 1.5-3.1), respectively. Ever shisha smoking was significantly associated with being male (AOR=1.97; 95% CI: 1.33-2.92), current cigarette smoking (AOR=7.54; 95% CI: 2.95-19.29), higher class grade (AOR=2.27; 95% CI:1.10-4.67), more weekly pocket money (AOR=3.29; 95% CI:1.36-7.95), current use of smokeless tobacco (AOR=11.53; 95% CI: 4.98- 26.72), and exposure to secondhand cigarette smoke in public (AOR=1.55; 95% CI: 1.00-2.41). Current shisha smoking was significantly associated with current cigarette smoking (AOR=21.75; 95% CI: 6.08-77.78), more weekly pocket money (AOR=8.91; 95% CI: 1.75-45.40), current use of smokeless tobacco (AOR=8.26; 95% CI: 2.07-33.04), and fathers' smoking (AOR=3.34; 95% CI: 1.24-8.96).

Conclusions: One in 10 students aged 13-15 years have ever smoked shisha and 2.2% were currently smoking it, suggesting that shisha smoking is a public health concern in Senegal. Senegal might consider offering students more education on the harms of shisha, both in schools and through comprehensive media campaigns that address all tobacco products.

Keywords: Global Youth Tobacco Survey; Senegal; shisha smoking; tobacco.

Grants and funding

FUNDING Funding provided by the Bloomberg Initiative to Reduce Tobacco Use through the CDC Foundation with a grant from Bloomberg Philanthropies. The findings and conclusions in this study are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention and the CDC Foundation.