Singlestick purchases: A comparative cross-country analysis in 10 African countries, Global Adult Tobacco Survey, 2012-21

Lazarous Mbulo*, Glenda Blutcher-Nelson, Pranesh P. Chowdhury, Catherine O. Egbe, Abdallahi Bouhabib, Krishna Palipudi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We utilized Global Adult Tobacco Survey data to examine singlestick purchases and related demographic characteristics in 10 African countries (Botswana, Cameroon, Ethiopia, Kenya, Nigeria, Mauritania, Senegal, South Africa, Uganda and Tanzania). Results show the weighted percentages and prevalence ratios with predicted marginal means to evaluate significant differences between groups (P < 0.05). The prevalence of singlestick purchases among the 10 African countries ranged from 48.4% in South Africa to 92.0% in Tanzania. Across countries, the incidence of singlestick purchases was higher in urban areas than rural areas in Kenya; among those aged 15-24 years versus those aged 45 years and older in Botswana, Ethiopia, Mauritania, Nigeria and South Africa; and among those aged 25-44 years versus those aged 45 years and older in Botswana, South Africa and Tanzania. The incidence in Botswana was higher among adults with no formal or primary education than among those with secondary or higher education. In South Africa, the incidence was higher among adults in the middle or lower wealth index than among those in the high or highest wealth index. The findings suggest opportunities for strengthening efforts to prevent singlestick purchases through effective legislation and enforcement in line with Article 16 of the World Health Organization Framework Convention on Tobacco Control.

Original languageEnglish
Pages (from-to)426-434
Number of pages9
JournalHealth Education Research
Volume39
Issue number5
DOIs
Publication statusPublished - 1 Oct 2024

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