According to the complex sampling design of the GYTS, the weighted prevalence estimates and their 95% confidence intervals (CI) of smokeless tobacco use in each country were calculated using original sampling weights, strata, and pripling units provided in the datasets using the SAS PROC SURVEYFREQ procedure. The original weights were calculated by the following formula: W=W1*W2*f1*f2*f3*f4, where W1 is the inverse of the selection probability of each school; W2 is the inverse of selection probability of each class; f1 is the school-level non-response adjustment factor calculated by school enrolment size; f2 is the class-level non-response adjustment factor for each school; f3 is the student-level non-response adjustment factor for each class; f4 is the post-adjustment stratification factor calculated by grade and sex. We rescaled the original weights to calculate the overall and subgroups’ prevalence of smokeless tobacco use based on each country’s sample size. The rescaled weights were calculated as the maximum country sample size (i.e., U. Chi-square trend test was used to examine the secular trend in the prevalence with consideration of data from all surveys in each https://kissbrides.com/web-stories/top-10-hot-laos-women/ country between 1999 and 2019. The prevalence estimates of secular trends were calculated per 5 calendar years. Multivariable logistic regression models were used to assess the association of potential associated factors (sex, age, cigarette smoking, other tobacco product use, parental smoking, smoking status of closest friends, tobacco advertisement exposure, being offered free tobacco products, being taught about dangers of smoking, and World Bank income level) with current smokeless tobacco use, and the code for each variable is shown in Additional file 1: Table S1. In order to correct the overall probability of type I error in multiple statistical tests (?=0.05), the Bonferroni’s correction was used to adjust the critical significance level of each statistical test. The corrected critical significance level was equal to the original critical significance level (0.05) divided by the number of tests performed. A two-sided P-value less than the Bonferroni’s corrected critical significance level was regarded as statistical significance and SAS 9.4 (SAS Institute, Cary, NC, US) was used for all analyses.
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All in all, 450,691 kids (boys: 51.4%) old a dozen–16 years regarding 138 places interviewed ranging from 2010 and 2019 was indeed provided so you can guess the newest incidence out-of current smokeless using tobacco and you will their relevant factors. Certainly 138 included regions interviewed this year–2019, 23 (16.7%) was about African part, 29 (21.7%) regarding American region, 23 (sixteen.7%) on the East Mediterranean part, 29 (twenty two.5%) regarding the Western european area, nine (6.5%) in the South-East Far eastern region, and you may twenty-two (fifteen.9%) about West Pacific region (Most file step 1: Desk S2).
In line with the most recent research away from 138 regions in 2010-2019, the entire prevalence from current smokeless cigarette smoking try 4.4% (95% CI cuatro.0–4.9), which have 5.7% (5.1–6.3) to possess guys, step three.1% (2.6–step 3.5) for girls, step three.9% (3.5–4.4) getting kids old 12–14 years, and you will 5.4% (4.8–5.9) for these old 15–sixteen age (Dining table step 1). The new prevalence varied somewhat all over the 138 countries (out of 0.0% inside the Tokelau to help you 51.6% into the Kiribati), and also by intercourse and you will age bracket within all of very places (Fig. step one, and extra document step one: Fig. S2 and you will Table S3). Brand new frequency try nearly 5 times large certainly one of newest cigarette smokers compared with low-cigarette smokers (fourteen.3% versus. step three.0%), and you will almost seven minutes higher among most other cig device users compared having non-profiles (twenty-two.5% versus. 3.2%). This new incidence certainly adolescents whoever both dad and mom (nine.8%), and you may mom just (5.6%) used is actually greater than people whoever father only (cuatro.4%) and none mother (4.7%) used. Brand new prevalence is actually highest regarding Southern area-East Asian region (6.1%), accompanied by the brand new African region (5.4%), and you will reasonable regarding the Western Pacific part (dos.0%). The new prevalence is high in the all the way down-middle-earnings regions (5.5%), accompanied by low-earnings nations (4.7%), and you may low from inside the higher-earnings regions (dos.8%) (Dining table step 1).
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