Prevalence and social determinants of smoking among men in Mauritius: a cross-sectional study.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-06-20 DOI:10.1080/16549716.2024.2367415

Miguel San Sebastián, Tuomilehto Jaakko, Stefan Söderberg, Paul Zimmet, Bhushan Ori, Jaysing Heecharan, Osvaldo Fonseca-Rodríguez, Sudhirsen Kowlessur

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Abstract

Background: Mauritius has implemented a range of stringent policies to control smoking and promote public health. Regular monitoring focuses on the prevalence of tobacco use, yet there is a gap in understanding its socio-economic patterns.

Objective: The aim of this study was to estimate the prevalence of tobacco smoking and to identify the social determinants associated with smoking among men in Mauritius in 2021.

Methods: This is a cross-sectional population-based study conducted by the Ministry of Health and Wellness during 2021. In total, 3622 individuals participated (response rate of 84.1%), of which 1663 were men (45.9%). The study mainly focused on men given the low prevalence of smoking among women. Daily smoking was the outcome and a series of sociodemographic and socioeconomic factors were included as independent variables. Prevalence ratios (PR) and their 95% confidence intervals (95% CI) were estimated to fulfill the study objective.

Results: The prevalence of smoking among men was 30.4%. People in the 25-34 age group (PR = 1.65; 95% CI: 1.12-2.41), those separated, divorced or widowed (PR = 1.57; 95% CI: 1.16-2.11), the ethnic groups Muslim-Mauritians (PR = 1.70; 95% CI: 1.00-2.89) and Creoles (PR = 1.97; 95% CI: 1.16-3.35), and those with secondary (PR = 1.29; 95% CI: 1.00-1.67) and primary education (PR = 1.47; 95% CI: 1.10-1.98) were statistically significantly associated with daily smoking.

Conclusions: Although a gradual decline in smoking prevalence was observed compared with the previous 2015 survey, the Ministry of Health and Wellness should persist in fortifying its anti-smoking measures and concentrate on crafting tailored interventions aimed at the vulnerable groups identified in this study.

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毛里求斯男性吸烟率及其社会决定因素：横断面研究。

背景：毛里求斯实施了一系列严格的控烟政策，以促进公众健康。定期监测的重点是烟草使用率，但对其社会经济模式的了解还存在差距：本研究旨在估算 2021 年毛里求斯男性吸烟率，并确定与吸烟相关的社会决定因素：这是卫生与健康部在 2021 年开展的一项基于人口的横断面研究。共有 3622 人参与（回复率为 84.1%），其中 1663 人为男性（45.9%）。鉴于女性吸烟率较低，研究主要集中在男性身上。日常吸烟是研究的结果，一系列社会人口和社会经济因素被列为自变量。为实现研究目标，对流行率（PR）及其 95% 置信区间（95% CI）进行了估算：结果：男性吸烟率为 30.4%。25-34 岁年龄组（PR = 1.65；95% CI：1.12-2.41）、分居、离婚或丧偶者（PR = 1.57；95% CI：1.16-2.11）、穆斯林-毛利人（PR = 1.70；95% CI：1.00-2.89）和克里奥尔人（PR = 1.97；95% CI：1.16-3.35）、受过中等教育（PR = 1.29；95% CI：1.00-1.67）和小学教育（PR = 1.47；95% CI：1.10-1.98）的人与每天吸烟在统计学上有显著相关性：尽管与 2015 年的上一次调查相比，吸烟率逐渐下降，但卫生与健康部仍应坚持强化其禁烟措施，并集中精力针对本研究中发现的弱势群体制定有针对性的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.10

自引率

3.80%

发文量

108

审稿时长

16 weeks

期刊介绍： Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.