Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal

Background: Young smokers are said to have increased risk of nicotine addiction, even at lower levels of consumption compared to adults, making smoking cessation among this group much more difficult. A survey previously conducted in South Africa indicated an early smoking debut age of below 18 years...

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Main Authors: Gcinile V. Ngwenya, Refiloe M. Malaka, Lindiwe P. Cele, Modikwe Rammopo
Format: Article
Language:Afrikaans
Published: AOSIS 2025-03-01
Series:Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
Subjects:
Online Access:https://hsag.co.za/index.php/hsag/article/view/2832
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author Gcinile V. Ngwenya
Refiloe M. Malaka
Lindiwe P. Cele
Modikwe Rammopo
author_facet Gcinile V. Ngwenya
Refiloe M. Malaka
Lindiwe P. Cele
Modikwe Rammopo
author_sort Gcinile V. Ngwenya
collection DOAJ
description Background: Young smokers are said to have increased risk of nicotine addiction, even at lower levels of consumption compared to adults, making smoking cessation among this group much more difficult. A survey previously conducted in South Africa indicated an early smoking debut age of below 18 years. Aim: This study investigated the prevalence of cigarette smoking and associated factors among high school learners. Setting: The study was conducted at a high school located in Madadeni township of KwaZulu- Natal. Methods: This cross-sectional study collected data through interviews using self-administered questionnaires. Data analysis was conducted on Epi Info 7 and STATA 17. Results: Eighty-four (21%) of the 400 participants reported smoking cigarettes. Of these, forty-nine (58.3%) had a smoking friend. Sixty out of 81 (74.1%) accessed cigarettes from the shops, whilst 69.2% (n = 54/78) smoked inside the school premises. Seventy-seven (92.7%) of 83 smokers expressed intention to quit smoking. Higher odds of cigarette smoking were observed among participants who were male and those who had a smoking family member, respectively, (adjusted odds ratio [AOR] = 2.33, 95% CI = 1.29–4.17) and (AOR = 5.82, 95% CI = 3.08–11.0), p = 0.05. Conclusion: This study found 21% of high school learner participants who smoked cigarettes. Laws prohibiting smoking in schools and sale of cigarettes to minors should be reinforced. Contribution: intention to quit cigarette smoking as expressed by smoking learners calls for the establishment of school-based programme for smoking cessation.
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2071-9736
language Afrikaans
publishDate 2025-03-01
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series Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
spelling doaj-art-25a299dcae324ca381f9f0f8dadbdb432025-08-20T03:03:44ZafrAOSISHealth SA Gesondheid: Journal of Interdisciplinary Health Sciences1025-98482071-97362025-03-01300e1e610.4102/hsag.v30i0.28321233Factors associated with cigarette smoking among learners at a high school in KwaZulu-NatalGcinile V. Ngwenya0Refiloe M. Malaka1Lindiwe P. Cele2Modikwe Rammopo3Department of Public Health, Faculty of Health Care Sciences, Sefako Makgatho Health Sciences University, TshwaneDepartment of Public Health, Faculty of Health Care Sciences, Sefako Makgatho Health Sciences University, TshwaneDepartment of Public Health, Faculty of Health Care Sciences, Sefako Makgatho Health Sciences University, TshwaneDepartment of Public Health, Faculty of Health Care Sciences, Sefako Makgatho Health Sciences University, TshwaneBackground: Young smokers are said to have increased risk of nicotine addiction, even at lower levels of consumption compared to adults, making smoking cessation among this group much more difficult. A survey previously conducted in South Africa indicated an early smoking debut age of below 18 years. Aim: This study investigated the prevalence of cigarette smoking and associated factors among high school learners. Setting: The study was conducted at a high school located in Madadeni township of KwaZulu- Natal. Methods: This cross-sectional study collected data through interviews using self-administered questionnaires. Data analysis was conducted on Epi Info 7 and STATA 17. Results: Eighty-four (21%) of the 400 participants reported smoking cigarettes. Of these, forty-nine (58.3%) had a smoking friend. Sixty out of 81 (74.1%) accessed cigarettes from the shops, whilst 69.2% (n = 54/78) smoked inside the school premises. Seventy-seven (92.7%) of 83 smokers expressed intention to quit smoking. Higher odds of cigarette smoking were observed among participants who were male and those who had a smoking family member, respectively, (adjusted odds ratio [AOR] = 2.33, 95% CI = 1.29–4.17) and (AOR = 5.82, 95% CI = 3.08–11.0), p = 0.05. Conclusion: This study found 21% of high school learner participants who smoked cigarettes. Laws prohibiting smoking in schools and sale of cigarettes to minors should be reinforced. Contribution: intention to quit cigarette smoking as expressed by smoking learners calls for the establishment of school-based programme for smoking cessation.https://hsag.co.za/index.php/hsag/article/view/2832adolescentsamajuba districtcigarette smokinghigh school learnerssmoking behaviours
spellingShingle Gcinile V. Ngwenya
Refiloe M. Malaka
Lindiwe P. Cele
Modikwe Rammopo
Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
adolescents
amajuba district
cigarette smoking
high school learners
smoking behaviours
title Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
title_full Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
title_fullStr Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
title_full_unstemmed Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
title_short Factors associated with cigarette smoking among learners at a high school in KwaZulu-Natal
title_sort factors associated with cigarette smoking among learners at a high school in kwazulu natal
topic adolescents
amajuba district
cigarette smoking
high school learners
smoking behaviours
url https://hsag.co.za/index.php/hsag/article/view/2832
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AT refiloemmalaka factorsassociatedwithcigarettesmokingamonglearnersatahighschoolinkwazulunatal
AT lindiwepcele factorsassociatedwithcigarettesmokingamonglearnersatahighschoolinkwazulunatal
AT modikwerammopo factorsassociatedwithcigarettesmokingamonglearnersatahighschoolinkwazulunatal