142nd APHA Annual Meeting and Exposition

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300353
Knowledge on the health effects of tobacco use in 22 low- and middle-income countries

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

John Chiosi, BS , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Linda Andes, PhD , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Krishna Palipudi, PhD , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Jeremy Morton, MS , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Yang Song, BA , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Samira Asma, DDS, MPH , Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Background

Knowledge on the health effects of tobacco use deters initiation and is associated with cessation, and is important for developing anti-smoking educational programs. However, few studies have examined factors associated with knowledge about these risks in low- and middle-income countries. We sought to determine: 1) levels of knowledge about health effects of tobacco use, and 2) demographic, behavioral, and environmental factors associated with knowledge towards tobacco use.

Methods

We used data from the Global Adult Tobacco Survey (GATS), a nationally representative household survey of persons aged ≥15 years. GATS are standardized, in-person surveys conducted between 2008-2013 in 22 countries, including Argentina, Bangladesh, Brazil, China, Egypt, Greece, India, Indonesia, Malaysia, Mexico, Nigeria, Panama, Philippines, Poland, Qatar, Romania, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam. Information was gathered on demographics, tobacco use behavior, and exposure to anti-tobacco information as well as knowledge about tobacco-related illnesses.

Results

In all countries surveyed, knowledge about specific tobacco-related diseases varied.  Respondents who believed smoking causes lung cancer ranged from 73.0% (Nigeria) to 98.6% (Argentina), heart attack ranged from 38.7% (China) to 95.0% (Egypt), and stroke ranged from 27.2% (China) to 89.2% (Romania). Factors associated with poorer levels of knowledge on tobacco-related diseases also varied by country and included tobacco use, education level, place of residence, sex, and age.

Conclusions

Identifying knowledge gaps on the health impact of tobacco use and its associated risk factors will strengthen anti-smoking educational messages and can inform tobacco control policies and programs for more effective interventions.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Describe the levels of knowledge about health effects of tobacco use across multiple countries. Identify factors associated with knowledge, attitudes, and perceptions towards tobacco use.

Keyword(s): Tobacco Control, Health Literacy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an applied epidemiology fellow within the Global Tobacco Control Branch, which is home to the Global Tobacco Surveillance System (GTSS). Since 1999, GTSS has assisted over 180 countries in establishing tobacco control surveillance and monitoring programs. I have led in the development of the research protocol, analysis of the data, and am comfortable presenting the material.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.