Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Diendéré, Jeoffray; Zeba, Augustin Nawidimbasba; Nikièma, Léon; Kabore, Ahmed; Savadogo, Patrice; Tougma, Somnoma Jean-Baptiste; Tinto, Halidou; Ouedraogo, Arouna

doi:10.1186/s12889-020-08700-x

Cited by 12 publications

(10 citation statements)

References 54 publications

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“…Consistent with previous study findings [ 30 ], in this study, we did not find a significant difference in the prevalence of the co-occurrence of two or more risk factors between rural and urban areas. This finding might be explained by the fact that, in rural areas, many women engage in smokeless tobacco use (which was included in this study to define tobacco used) [ 23 , 31 ]. In addition, low fruit and vegetable consumption and alcohol consumption are also prevalent in rural areas [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

First Report on the Co-Occurrence and Clustering Profiles of Cardiovascular Lifestyle Risk Factors among Adults in Burkina Faso

Cissé

Samadoulougou

Coppieters

et al. 2022

IJERPH

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The co-occurrence of cardiovascular risk factors is usually associated with a higher risk of cardiovascular disease (CVD) or cancer. This study aimed to determine the prevalence of the co-occurrence and its determinants and to identify the clustering profiles of lifestyle risk factors among the adult population in Burkina Faso. Among 4692 participants, 4377 adults from the first STEPS survey conducted in Burkina Faso were considered in this analysis. Four lifestyle risk factors (smoking, alcohol consumption, inadequate fruit and vegetable intake and low physical activity) were analysed. The clustering was evaluated using the observed/expected (O/E) ratio approach. To identify the determinants of co-occurrence, we performed a modified Poisson regression. The prevalence of the co-occurrence of two or more cardiovascular lifestyle risk factors was 46.4% (95% CI: 43.1–49.7). The main determinants of the co-occurrence were being male (adjusted prevalence ratio (aPR): 1.27 (95% CI: 1.16–1.38)), advanced age (55–64 years old: aPR: 1.45 (95% CI: 1.31–1.60)) and a high level of education (aPR: 1.29 (95% CI: 1.09–1.52)). The clustering profile for lifestyle risk factors was tobacco consumption combined with alcohol consumption (O/E: 2.77 (95% CI: 2.12–3.56)), and concurrent involvement in all four lifestyle risk factors (O/E = 1.51 (95% CI: 1.19–1.89)). This first population-based report on the co-occurrence of lifestyle risk factors calls for action to tailor health-promoting interventions to increase healthy lifestyle behaviors. The identified CVD-risk clustering should be considered as an important step in this strategy development in Burkina Faso.

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Section: Discussionmentioning

confidence: 99%

First Report on the Co-Occurrence and Clustering Profiles of Cardiovascular Lifestyle Risk Factors among Adults in Burkina Faso

Cissé

Samadoulougou

Coppieters

et al. 2022

IJERPH

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“…Our findings were consistent with reported trends that indicated that the use of non-cigarette forms of tobacco was increasing among women [ 14 , 15 , 16 , 17 ]. Likewise, in Burkina Faso, it was observed that women prefer to use chewable smokeless tobacco, an act which is socially permissive [ 18 ]. While the trends of SLT use in Uganda mirror those in South and Southeast Asian nations, the cultural alignment and acceptance of SLT use for women is different and warrants deeper research.…”

Section: Discussionmentioning

confidence: 99%

Smokeless Tobacco in Uganda: Perceptions among Tobacco Control Stakeholders

Male

Kansabe

Lukwata

et al. 2022

IJERPH

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The use and sale of smokeless tobacco (SLT) is prohibited in Uganda under the Tobacco Control Act (TCA), 2015. Nonetheless, SLT products remain available, and there are limited and inconsistent data on SLT users. Additionally, the perceptions of tobacco control stakeholders on SLT are unknown, making it difficult to determine barriers to enforcing the ban. This study examined perceptions of tobacco control stakeholders regarding SLT in Uganda. Qualitative semi-structured interviews were conducted with stakeholders who were purposively selected from ministries, semi-autonomous government agencies and Civil Society Organizations. Interviews explored knowledge, attitudes, perceptions of SLT appeal, and user demographics. Data were analysed using Nvivo V.12 software. Participants demonstrated a general lack of awareness of SLT product types and the extent of their use. They believed SLT use was increasing among females and minors and was as harmful to health and the economy as smoking. SLT products were thought to be cheaper than cigarettes and to appeal to minors. Discreet use was thought to help users overcome the cultural aversion towards tobacco use among women and youth in Uganda. There is an urgent need to strengthen the implementation of the SLT ban whilst also increasing efforts to reduce tobacco smoking.

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“…This could be because the practice of chewing tobacco is a cultural behavior in the study area. Several studies have indicated an association between tobacco use and high blood pressure [55].…”

Section: Data Quality and Validitymentioning

confidence: 99%

Effects of a Community-Based Intervention on the Lifestyle and Health of People at Risk of Type 2 Diabetes in Benin

Metonnou¹,

Azandjèmé²,

Sossa³

et al. 2022

FNS

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Introduction: Worldwide, the prevalence of type 2 diabetes (T2D) is increasing at an epidemic rate. The objective of this study was to measure the effects on lifestyle intervention in subjects at risk of T2D in a West African country. Methods: This study involved Beninese adults at risk of T2D randomly selected from 2 groups of villages: control villages and villages exposed to nutrition education, cooking demonstrations and physical activity sessions. Anthropometric, clinical, and biological measurements were taken in both groups at the beginning and end of the intervention, which lasted 12 months. The paired sample t-test was used to assess the effect of the intervention on the lifestyle of people at risk of T2D. Results: After 12 months of exposure to nutrition education, cooking demonstrations and physical activity sessions in the intervention villages, the mean body mass index, waist circumference, body fat percentage, blood glucose, triglycerides, total cholesterol and amount of alcohol consumed per week had significantly decreased. Conversely, the mean intensity of physical activity and food consumption score had significantly increased. In the control group, 5.6% of the people at risk developed to diabetes. The relative risk was RR = 0.20 [0.14 -0.56]. Conclusion: The intervention significantly improved metabolic indicators, intensity of leisure activity and dietary score. We suggest larger studies to better assess the effect of community-based interventions on the lifestyle and health of people at risk of T2D in Africa.

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Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Cited by 12 publications

References 54 publications

First Report on the Co-Occurrence and Clustering Profiles of Cardiovascular Lifestyle Risk Factors among Adults in Burkina Faso

First Report on the Co-Occurrence and Clustering Profiles of Cardiovascular Lifestyle Risk Factors among Adults in Burkina Faso

Smokeless Tobacco in Uganda: Perceptions among Tobacco Control Stakeholders

Effects of a Community-Based Intervention on the Lifestyle and Health of People at Risk of Type 2 Diabetes in Benin

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