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American Journal of Public Health, 10.2105/AJPH.2004.056895
Research and Practice |
1 University of Colorado
* To whom correspondence should be addressed. E-mail: fred.pampel{at}colorado.edu.
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Abstract |
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Objectives. This study examines demographic and socioeconomic patterns of tobacco use by men and women in two African nations at the early stages of the tobacco epidemic. Methods. Using population-based data from the Demographic Health Surveys of men ages 15-59 (N = 5,111) and women ages 15-49 (N = 20,809) in Malawi (2000) and Zambia (2001/2002), multinomial logistic regression models take tobacco use (non-smoker, light cigarette smoker, heavy cigarette smoker, and user of other tobacco) as a function of the age, residence, education, occupation, marital status, and religion of individuals. Results. For men, tobacco users tend to be less educated, urban, household service or manual workers, formerly married, and non-Christian and non-Muslim. Although less common among women, tobacco use also relates inversely to education and occupational status. Tobacco users more often report drinking, getting drunk, and (for men) paying for sex. Conclusions. The use of tobacco in two African nations at the early stages of the epidemic by persons with lower education and lower status occupations suggests the need for public health officials to focus on disadvantaged groups in efforts to prevent the worldwide spread of tobacco.
Key Words: Global Health, Socioeconomic Factors, Tobacco
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