A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.

To systematically review current smoking prevalence among adults in sub-Saharan Africa from 2007 to May 2014 and to describe the context of tobacco control strategies in these countries.Five databases, Medline, Embase, Africa-wide Information, Cinahl Plus, and Global Health were searched using a sys...

Full description

Bibliographic Details
Main Authors: Rachel Brathwaite, Juliet Addo, Liam Smeeth, Karen Lock
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4498629?pdf=render
id doaj-94c4f976735b42d1a6e576afa6d8cca4
record_format Article
spelling doaj-94c4f976735b42d1a6e576afa6d8cca42020-11-24T21:08:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01107e013240110.1371/journal.pone.0132401A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.Rachel BrathwaiteJuliet AddoLiam SmeethKaren LockTo systematically review current smoking prevalence among adults in sub-Saharan Africa from 2007 to May 2014 and to describe the context of tobacco control strategies in these countries.Five databases, Medline, Embase, Africa-wide Information, Cinahl Plus, and Global Health were searched using a systematic search strategy. There were no language restrictions.26 included studies measured current smoking prevalence in nationally representative adult populations in sub-Saharan African countries.Study details were independently extracted using a standard datasheet. Data on tobacco control policies, taxation and trends in prices were obtained from the Implementation Database of the WHO FCTC website.Studies represented 13 countries. Current smoking prevalence varied widely ranging from 1.8% in Zambia to 25.8% in Sierra Leone. The prevalence of smoking was consistently lower in women compared to men with the widest gender difference observed in Malawi (men 25.9%, women 2.9%). Rwanda had the highest prevalence of women smokers (12.6%) and Ghana had the lowest (0.2%). Rural, urban patterns were inconsistent. Most countries have implemented demand-reduction measures including bans on advertising, and taxation rates but to different extents.Smoking prevalence varied widely across sub-Saharan Africa, even between similar country regions, but was always higher in men. High smoking rates were observed among countries in the eastern and southern regions of Africa, mainly among men in Ethiopia, Malawi, Rwanda, and Zambia and women in Rwanda and rural Zambia. Effective action to reduce smoking across sub-Saharan Africa, particularly targeting population groups at increased risk remains a pressing public health priority.http://europepmc.org/articles/PMC4498629?pdf=render
collection DOAJ
language English
format Article
sources DOAJ
author Rachel Brathwaite
Juliet Addo
Liam Smeeth
Karen Lock
spellingShingle Rachel Brathwaite
Juliet Addo
Liam Smeeth
Karen Lock
A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
PLoS ONE
author_facet Rachel Brathwaite
Juliet Addo
Liam Smeeth
Karen Lock
author_sort Rachel Brathwaite
title A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
title_short A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
title_full A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
title_fullStr A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
title_full_unstemmed A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.
title_sort systematic review of tobacco smoking prevalence and description of tobacco control strategies in sub-saharan african countries; 2007 to 2014.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2015-01-01
description To systematically review current smoking prevalence among adults in sub-Saharan Africa from 2007 to May 2014 and to describe the context of tobacco control strategies in these countries.Five databases, Medline, Embase, Africa-wide Information, Cinahl Plus, and Global Health were searched using a systematic search strategy. There were no language restrictions.26 included studies measured current smoking prevalence in nationally representative adult populations in sub-Saharan African countries.Study details were independently extracted using a standard datasheet. Data on tobacco control policies, taxation and trends in prices were obtained from the Implementation Database of the WHO FCTC website.Studies represented 13 countries. Current smoking prevalence varied widely ranging from 1.8% in Zambia to 25.8% in Sierra Leone. The prevalence of smoking was consistently lower in women compared to men with the widest gender difference observed in Malawi (men 25.9%, women 2.9%). Rwanda had the highest prevalence of women smokers (12.6%) and Ghana had the lowest (0.2%). Rural, urban patterns were inconsistent. Most countries have implemented demand-reduction measures including bans on advertising, and taxation rates but to different extents.Smoking prevalence varied widely across sub-Saharan Africa, even between similar country regions, but was always higher in men. High smoking rates were observed among countries in the eastern and southern regions of Africa, mainly among men in Ethiopia, Malawi, Rwanda, and Zambia and women in Rwanda and rural Zambia. Effective action to reduce smoking across sub-Saharan Africa, particularly targeting population groups at increased risk remains a pressing public health priority.
url http://europepmc.org/articles/PMC4498629?pdf=render
work_keys_str_mv AT rachelbrathwaite asystematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT julietaddo asystematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT liamsmeeth asystematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT karenlock asystematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT rachelbrathwaite systematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT julietaddo systematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT liamsmeeth systematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
AT karenlock systematicreviewoftobaccosmokingprevalenceanddescriptionoftobaccocontrolstrategiesinsubsaharanafricancountries2007to2014
_version_ 1716760516321345536