A comprehensive, health-promotion approach to tobacco control

Zuma, Nkosazana Dlamini

doi:10.7196/samj.7305

Cited by 4 publications

(4 citation statements)

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“…In South Africa, the prevalence of smoking was reported to have modestly reduced between 2004 and 2014, from 24% to 20%; however, there was no reduction in the number of smokers, due to population growth. 18 The findings of the present study further substantiate the documented decrease in the prevalence of smoking in South Africa. This is commendable; however, continuous monitoring is required to sustain the effectiveness of tobacco control policies in this country.…”

Section: Discussionsupporting

confidence: 85%

“…16,17 Tobacco control legislation includes an increase in cigarette tax, anti-smoking legislation, as well as improved awareness of the dangers of cigarette smoking. [16][17][18] Recently, a smoke-free law was also enacted in South Africa, which allows smoking only in designated smoking areas in workplaces and public places. 3,19,20 Over the past 20 years, data on tobacco use have informed the effectiveness of South Africa's tobacco control strategies.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with tobacco use among adults attending selected healthcare facilities in Buffalo City Metropolitan Municipality, South Africa

Owolabi

Goon

Adeniyi

et al. 2017

South African Family Practice

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Aim: Tobacco use increases the risk of cardiovascular disease, premature death and certain cancers. This study investigated the prevalence and determinants of tobacco use among adults in Buffalo City Metropolitan Municipality (BCMM), South Africa. Methods: This study forms part of the cardio-metabolic risk survey carried out at the three largest outpatient clinics in BCMM. This multi-centre cross-sectional survey utilised the relevant items of the WHO STEPwise questionnaire to obtain information on demographic and behavioural characteristics of 1 107 participants. A total of 109 participants were excluded as a result of incomplete data. Thus, 998 participants (male = 327; female = 671) were included in the analysis. Self-reported, current use of any tobacco product was defined as tobacco use while secondary smoking was defined as exposure of non-smokers to environmental tobacco smoke, either at home or in the workplace. Results: Of all the study participants, 150 (15%) were current tobacco users and 335 (39.5%) of the non-smoking participants were exposed to secondary smoking. The majority of the tobacco users were males (70.7%) compared with females (29.3%). The commonest form of tobacco use was the manufactured cigarette. The mean age at initiation of smoking was 18.3 ± 5.1 and 22.6 ± 8.0 years for men and women, respectively. Only male sex (p = 0.000), single status (p = 0.003), no formal education (p = 0.007) and self-employment (p = 0.043) were significantly associated with tobacco use. Conclusion: High prevalence of tobacco use, especially cigarette smoking, in BCMM is worrisome given its strong association with cardiovascular events and cancers. The district health authorities should prioritise smoking cessation measures at the primary health care level.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with tobacco use among adults attending selected healthcare facilities in Buffalo City Metropolitan Municipality, South Africa

Owolabi

Goon

Adeniyi

et al. 2017

South African Family Practice

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“…The African Union has used similar arguments to encourage member states to prioritize tobacco control, explaining that “Africa is still in the early stages of the tobacco epidemic” and that African governments “must intervene now to prevent [future] tobacco‐related death [and] disease” (Zuma 2013: 831). African health activists, too, use these sorts of arguments when pleading for more tobacco control efforts in the region.…”

Section: The Power Of Epidemiological Imaginariesmentioning

confidence: 99%

Epidemiological Imaginaries of the Social: Epidemiologists and Pathologies of Modernization in Postcolonial Africa

Reubi¹

2020

Med Anthropol Q

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There is a growing anthropological literature analyzing the place that epidemiological surveillance occupies in contemporary global health. In this article, I build on this literature and take it into new directions by exploring what I call the epidemiological imaginaries of the social. Drawing on science and technology studies, I suggest that epidemiologists help make up the world, articulating complex and normatively loaded visions of social life that both enable and constrain action. More specifically, I argue that epidemiologists tell stories about the type of societies and people that compose the world and that these stories often shape global health policies and programs in powerful ways. To substantiate this argument, I examine epidemiologists’ efforts to map smoking in postcolonial Africa, documenting how they have imagined smokers and smoking through the lense of modernization theory and showing how these imaginaries have shaped tobacco control policies in the region up to this day.

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“…We feature an editorial from Dr Nkosazana Dhlamini Zuma, [2] who, as Minister of Health in the first democratic government, steered through legislation banning the advertising of tobacco products, classifying nicotine as an addictive drug, restricting smoking in public places, and increasing excise duties on cigarettes; as well as interventions at the individual level such as school health education, e.g. changes in the national school curriculum declaring nicotine a drug of addiction, and improving health literacy.…”

Section: Smoking and Tobacco Controlmentioning

confidence: 99%