Tobacco use trends among youth in Saudi Arabia: 2007–2022

IntroductionTobacco use is a major global public health challenge, causing millions of deaths annually. In Saudi Arabia, increasing adult smoking rates highlight the need for improved tobacco control measures.AimThis study examined trends in tobacco use among youth in Saudi Arabia from 2007 to 2022,...

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Main Authors: Sarah S. Monshi, Eman D. El Desouky, Shaikha K. Aldukhail, Abdulmohsen H. Al-Zalabani, Mohammed M. Alqahtani, Mervat M. El Dalatony, Mosa A. Shubayr, Ahmed A. Elkhobby, Mohammed S. Aldossary
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1608394/full
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author Sarah S. Monshi
Eman D. El Desouky
Shaikha K. Aldukhail
Abdulmohsen H. Al-Zalabani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mervat M. El Dalatony
Mosa A. Shubayr
Ahmed A. Elkhobby
Mohammed S. Aldossary
author_facet Sarah S. Monshi
Eman D. El Desouky
Shaikha K. Aldukhail
Abdulmohsen H. Al-Zalabani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mervat M. El Dalatony
Mosa A. Shubayr
Ahmed A. Elkhobby
Mohammed S. Aldossary
author_sort Sarah S. Monshi
collection DOAJ
description IntroductionTobacco use is a major global public health challenge, causing millions of deaths annually. In Saudi Arabia, increasing adult smoking rates highlight the need for improved tobacco control measures.AimThis study examined trends in tobacco use among youth in Saudi Arabia from 2007 to 2022, evaluating shifts in the determinants of tobacco use and the effectiveness of control measures over time.MethodsWe analyzed three waves of the Global Youth Tobacco Survey (GYTS) conducted in Saudi Arabia (2007, n = 2,574; 2010, n = 1,797; 2022, n = 5,610). The GYTS uses a two-stage cluster sampling design to select students aged 13–15 from intermediate schools, with a focus on tobacco use trends and related behaviors.ResultsThis study revealed a substantial decline in current tobacco product usage, dropping significantly from 15.9% in 2007 to 9.4% in 2022 (B = −0.44, p = 0.030), and a decrease in exposure to second-hand smoke from 27.9% in 2007 to 18.1% in 2022. However, the proportion of individuals aged 7 years or younger who initiated cigarette smoking rose from 9.1% in 2007 to 17.1% in 2022. There was a 6.4% increase among female youth who thought that smoking made people feel comfortable across this time period (B = 0.55, p = 0.033), and this population demonstrated a significant decrease in the intention to quit smoking from 65.7 to 52.2% (B = −0.895, p = 0.010).ConclusionAlthough overall tobacco use decreased, alarming trends, emerged, such as earlier smoking initiation and declining intentions to quit among females. Future interventions should focus on preventing early tobacco use initiation by addressing misconceptions, promoting cessation, and enforcing restrictions on youth access to tobacco products.
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spelling doaj-art-48caa23b610d41edaa7f5c798098fb572025-08-20T02:37:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16083941608394Tobacco use trends among youth in Saudi Arabia: 2007–2022Sarah S. Monshi0Eman D. El Desouky1Shaikha K. Aldukhail2Abdulmohsen H. Al-Zalabani3Mohammed M. Alqahtani4Mohammed M. Alqahtani5Mohammed M. Alqahtani6Mervat M. El Dalatony7Mosa A. Shubayr8Ahmed A. Elkhobby9Mohammed S. Aldossary10Department of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al Qura University, Makkah, Saudi ArabiaGeneral Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine, Taibah University, Madinah, Saudi ArabiaDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh, Saudi ArabiaDepartment of Respiratory Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaDepartment of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shebin El Kom, EgyptDepartment of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia0Tobacco Control Program, Ministry of Health, Riyadh, Saudi ArabiaGeneral Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi ArabiaIntroductionTobacco use is a major global public health challenge, causing millions of deaths annually. In Saudi Arabia, increasing adult smoking rates highlight the need for improved tobacco control measures.AimThis study examined trends in tobacco use among youth in Saudi Arabia from 2007 to 2022, evaluating shifts in the determinants of tobacco use and the effectiveness of control measures over time.MethodsWe analyzed three waves of the Global Youth Tobacco Survey (GYTS) conducted in Saudi Arabia (2007, n = 2,574; 2010, n = 1,797; 2022, n = 5,610). The GYTS uses a two-stage cluster sampling design to select students aged 13–15 from intermediate schools, with a focus on tobacco use trends and related behaviors.ResultsThis study revealed a substantial decline in current tobacco product usage, dropping significantly from 15.9% in 2007 to 9.4% in 2022 (B = −0.44, p = 0.030), and a decrease in exposure to second-hand smoke from 27.9% in 2007 to 18.1% in 2022. However, the proportion of individuals aged 7 years or younger who initiated cigarette smoking rose from 9.1% in 2007 to 17.1% in 2022. There was a 6.4% increase among female youth who thought that smoking made people feel comfortable across this time period (B = 0.55, p = 0.033), and this population demonstrated a significant decrease in the intention to quit smoking from 65.7 to 52.2% (B = −0.895, p = 0.010).ConclusionAlthough overall tobacco use decreased, alarming trends, emerged, such as earlier smoking initiation and declining intentions to quit among females. Future interventions should focus on preventing early tobacco use initiation by addressing misconceptions, promoting cessation, and enforcing restrictions on youth access to tobacco products.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1608394/fulltobacco usesmokingshishaadolescent healthyouthSaudi Arabia
spellingShingle Sarah S. Monshi
Eman D. El Desouky
Shaikha K. Aldukhail
Abdulmohsen H. Al-Zalabani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mohammed M. Alqahtani
Mervat M. El Dalatony
Mosa A. Shubayr
Ahmed A. Elkhobby
Mohammed S. Aldossary
Tobacco use trends among youth in Saudi Arabia: 2007–2022
Frontiers in Public Health
tobacco use
smoking
shisha
adolescent health
youth
Saudi Arabia
title Tobacco use trends among youth in Saudi Arabia: 2007–2022
title_full Tobacco use trends among youth in Saudi Arabia: 2007–2022
title_fullStr Tobacco use trends among youth in Saudi Arabia: 2007–2022
title_full_unstemmed Tobacco use trends among youth in Saudi Arabia: 2007–2022
title_short Tobacco use trends among youth in Saudi Arabia: 2007–2022
title_sort tobacco use trends among youth in saudi arabia 2007 2022
topic tobacco use
smoking
shisha
adolescent health
youth
Saudi Arabia
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1608394/full
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