Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey
IntroductionThe use of tobacco among adolescents in low- and middle-income countries is a public health issue of concern. The tobacco industry’s aggressive marketing tactics target young people in African countries, leading to early initiation of tobacco use. While existing evidence focuses on 13-15...
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Frontiers Media S.A.
2025-07-01
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| author | Lyagamula Kisia Shukri F. Mohamed Grace Kyule Christelle Tchoupé Christelle Tchoupé Olatunbosun Abolarin Retselisitsoe Pokothoane Retselisitsoe Pokothoane Terefe Gelibo Terefe Gelibo Samuel Iddi Boscow Okumu Nelson Mbaya Damazo T. Kadengye Didier M. Mirindi Akinsewa Akiode Thompson Ademola Uche Okezie Noreen Dadirai Mdege Noreen Dadirai Mdege |
| author_facet | Lyagamula Kisia Shukri F. Mohamed Grace Kyule Christelle Tchoupé Christelle Tchoupé Olatunbosun Abolarin Retselisitsoe Pokothoane Retselisitsoe Pokothoane Terefe Gelibo Terefe Gelibo Samuel Iddi Boscow Okumu Nelson Mbaya Damazo T. Kadengye Didier M. Mirindi Akinsewa Akiode Thompson Ademola Uche Okezie Noreen Dadirai Mdege Noreen Dadirai Mdege |
| author_sort | Lyagamula Kisia |
| collection | DOAJ |
| description | IntroductionThe use of tobacco among adolescents in low- and middle-income countries is a public health issue of concern. The tobacco industry’s aggressive marketing tactics target young people in African countries, leading to early initiation of tobacco use. While existing evidence focuses on 13-15-year-olds, data from Sub-Saharan Africa indicates that smoking initiation ranges from as young as 7 years old to around 16 years old. The lack of data on adolescent tobacco use in African countries limits policymakers’ ability to implement evidence-based tobacco control policies. This study aims to address the critical lack of quality and timely primary data on adolescent tobacco use, thereby enhancing the country’s capacity to target interventions effectively, engage local governments, and attract global attention and funding for adolescent health initiatives.MethodsWe will conduct a cross-sectional nationwide survey among adolescents aged 10–17 years in urban and rural areas of the Democratic Republic of Congo (DRC), Kenya and Nigeria. This household-based survey will utilize a multi-stage stratified sample design to ensure representation across diverse geographic and demographic characteristics. The sample size calculations resulted in nationally representative samples of 6,701 adolescents in Kenya, 4,803 adolescents in the DRC, and 7,948 adolescents in Nigeria.DiscussionThrough this initiative, we aim to catalyze action at national and international levels to combat the tobacco epidemic among adolescents in Sub Saharan Africa. The findings from the study will empower stakeholders to advocate effective tobacco control measures, promote adolescent health, and safeguard future generations from the harmful effects of tobacco use. |
| format | Article |
| id | doaj-art-33f5fd1d13dd4ddabe51b7f73c117e23 |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-33f5fd1d13dd4ddabe51b7f73c117e232025-08-20T02:50:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15623521562352Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household surveyLyagamula Kisia0Shukri F. Mohamed1Grace Kyule2Christelle Tchoupé3Christelle Tchoupé4Olatunbosun Abolarin5Retselisitsoe Pokothoane6Retselisitsoe Pokothoane7Terefe Gelibo8Terefe Gelibo9Samuel Iddi10Boscow Okumu11Nelson Mbaya12Damazo T. Kadengye13Didier M. Mirindi14Akinsewa Akiode15Thompson Ademola16Uche Okezie17Noreen Dadirai Mdege18Noreen Dadirai Mdege19Chronic Disease Management Unit, African Population and Health Research Center, Nairobi, KenyaChronic Disease Management Unit, African Population and Health Research Center, Nairobi, KenyaData Synergy and Evaluation Unit, African Population and Health Research Center, Nairobi, KenyaLaboratory for Survey & Research for Development, Douala-Bonanjo, CameroonResearch Initiatives for Social Development, Bukavu, Democratic Republic of CongoAPIN Public Health Initiatives, Abuja, NigeriaDevelopment Gateway: An IREX Venture, Washington, DC, United StatesResearch Unit on the Economics of Excisable Products (REEP), School of Economics, University of Cape Town, Cape Town, South AfricaDevelopment Gateway: An IREX Venture, Washington, DC, United StatesPublic Health, ICAP at Columbia University Mailman School of Public Health, Addis Ababa, EthiopiaData Synergy and Evaluation Unit, African Population and Health Research Center, Nairobi, KenyaData Synergy and Evaluation Unit, African Population and Health Research Center, Nairobi, KenyaData Synergy and Evaluation Unit, African Population and Health Research Center, Nairobi, KenyaData Synergy and Evaluation Unit, African Population and Health Research Center, Nairobi, KenyaResearch Initiatives for Social Development, Bukavu, Democratic Republic of CongoResearch and Communications Services (RCS), Lagos, NigeriaResearch and Communications Services (RCS), Lagos, NigeriaAPIN Public Health Initiatives, Abuja, Nigeria0Department of Health Sciences, University of York, York, United Kingdom1Centre for Research in Health and Development, York, United KingdomIntroductionThe use of tobacco among adolescents in low- and middle-income countries is a public health issue of concern. The tobacco industry’s aggressive marketing tactics target young people in African countries, leading to early initiation of tobacco use. While existing evidence focuses on 13-15-year-olds, data from Sub-Saharan Africa indicates that smoking initiation ranges from as young as 7 years old to around 16 years old. The lack of data on adolescent tobacco use in African countries limits policymakers’ ability to implement evidence-based tobacco control policies. This study aims to address the critical lack of quality and timely primary data on adolescent tobacco use, thereby enhancing the country’s capacity to target interventions effectively, engage local governments, and attract global attention and funding for adolescent health initiatives.MethodsWe will conduct a cross-sectional nationwide survey among adolescents aged 10–17 years in urban and rural areas of the Democratic Republic of Congo (DRC), Kenya and Nigeria. This household-based survey will utilize a multi-stage stratified sample design to ensure representation across diverse geographic and demographic characteristics. The sample size calculations resulted in nationally representative samples of 6,701 adolescents in Kenya, 4,803 adolescents in the DRC, and 7,948 adolescents in Nigeria.DiscussionThrough this initiative, we aim to catalyze action at national and international levels to combat the tobacco epidemic among adolescents in Sub Saharan Africa. The findings from the study will empower stakeholders to advocate effective tobacco control measures, promote adolescent health, and safeguard future generations from the harmful effects of tobacco use.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1562352/fullSSAtobacco controlyouthlow and middle incomenationally representativeDemocratic Republic of Congo |
| spellingShingle | Lyagamula Kisia Shukri F. Mohamed Grace Kyule Christelle Tchoupé Christelle Tchoupé Olatunbosun Abolarin Retselisitsoe Pokothoane Retselisitsoe Pokothoane Terefe Gelibo Terefe Gelibo Samuel Iddi Boscow Okumu Nelson Mbaya Damazo T. Kadengye Didier M. Mirindi Akinsewa Akiode Thompson Ademola Uche Okezie Noreen Dadirai Mdege Noreen Dadirai Mdege Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey Frontiers in Public Health SSA tobacco control youth low and middle income nationally representative Democratic Republic of Congo |
| title | Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey |
| title_full | Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey |
| title_fullStr | Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey |
| title_full_unstemmed | Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey |
| title_short | Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey |
| title_sort | use of tobacco and nicotine products among adolescents in sub saharan africa protocol for a population based multi country household survey |
| topic | SSA tobacco control youth low and middle income nationally representative Democratic Republic of Congo |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1562352/full |
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