Was there any change in tobacco smoking among adults in Bangladesh during 2009-2017? Insights from two nationally representative cross-sectional surveys

Md Ashfikur Rahman¹, Satyajit Kundu^{2

3}, Bright Opoku Ahinkorah⁴, Joshua Okyere⁵, Henry Ratul Halder⁶, Md Mahmudur Rahman⁷, Uday Narayan Yadav^{8

9}, Sabuj Kanti Mistry^{8

10

11

12}, Muhammad Aziz Rahman^{13

14

15

16}

Affiliations

¹ Development Studies Discipline, Khulna University, Khulna, Bangladesh.
² School of Public Health, Southeast University, Nanjing, People's Republic of China satyajitnfs@gmail.com.
³ Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
⁴ School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
⁵ Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
⁶ Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
⁷ Research, Monitoring and Information Management Organization/Institutions, Deep Eye Care Foundation (DECF), Rangpur, Bangladesh.
⁸ Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
⁹ Center for Research, Policy and Implementation, Biratnagar, Nepal.
¹⁰ ARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, Bangladesh.
¹¹ BRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka, Bangladesh.
¹² Department of Public Health, Daffodil International University, Dhaka, Bangladesh.
¹³ School of Health, Federation University Australia, Berwick, Victoria, Australia.
¹⁴ Australian Institute for Primary Care and Ageing (AIPCA), La Trobe University, Melbourne, Victoria, Australia.
¹⁵ Department of Non-communicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh.
¹⁶ Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

PMID: 34930749
PMCID: PMC8689193
DOI: 10.1136/bmjopen-2021-057896

Was there any change in tobacco smoking among adults in Bangladesh during 2009-2017? Insights from two nationally representative cross-sectional surveys

Md Ashfikur Rahman et al. BMJ Open. 2021.

. 2021 Dec 20;11(12):e057896.

doi: 10.1136/bmjopen-2021-057896.

Authors

Affiliations

¹ Development Studies Discipline, Khulna University, Khulna, Bangladesh.
² School of Public Health, Southeast University, Nanjing, People's Republic of China satyajitnfs@gmail.com.
³ Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
⁴ School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
⁵ Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
⁶ Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
⁷ Research, Monitoring and Information Management Organization/Institutions, Deep Eye Care Foundation (DECF), Rangpur, Bangladesh.
⁸ Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
⁹ Center for Research, Policy and Implementation, Biratnagar, Nepal.
¹⁰ ARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, Bangladesh.
¹¹ BRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka, Bangladesh.
¹² Department of Public Health, Daffodil International University, Dhaka, Bangladesh.
¹³ School of Health, Federation University Australia, Berwick, Victoria, Australia.
¹⁴ Australian Institute for Primary Care and Ageing (AIPCA), La Trobe University, Melbourne, Victoria, Australia.
¹⁵ Department of Non-communicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh.
¹⁶ Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

PMID: 34930749
PMCID: PMC8689193
DOI: 10.1136/bmjopen-2021-057896

Abstract

Objective: This study assessed the changes in prevalence and associated factors of tobacco smoking among Bangladeshi adults over time.

Design: Nationally representative cross-sectional surveys.

Setting: Two most recent Global Adults Tobacco Survey (GATS) data from Bangladesh, carried out in 2009 and 2017.

Participants: Adult population aged 15 and above (n=9629 in 2009; n=12 783 in 2017).

Outcome measures: Current use of tobacco smoke, including cigarettes, bidi, hukkah, cigars or pipes, which was dichotomised ('yes'/'no').

Methods: We analysed data from two recent rounds of GATS (2009 and 2017). Multivariate logistic regression analysis was used.

Results: The overall prevalence of tobacco smoking among Bangladeshi adults was noted (23.00%, 95% CI 22.98 to 23.00 in 2009; 16.44%, 95% CI 16.43 to 16.45 in 2017). Being male (adjusted OR (AOR)=59.72, CI 40.56 to 87.93 for 2009; AOR=71.17, CI 41.08 to 123.32 for 2017), age between 25 and 64 years (all AORs >2 and p<0.05), smoking permissible at home (AOR=7.08, CI 5.88 to 8.52 for 2009; AOR=5.90, CI 5.34 to 6.95 for 2017), and watching tobacco smoking product use in movie/drama scenes (AOR=1.26, CI 1.11 to 1.44 for 2009; AOR=1.34, CI 1.17 to 1.54 for 2017) were found to be significantly associated with increased tobacco smoking among adults both in 2009 and in 2017. However, being offered free tobacco sample products (AOR=0.66, CI 0.57 to 0.77 for 2009; AOR=0.87, CI 0.76 to 0.99 for 2017) and having primary, secondary or higher education (all AORs <1 and p<0.05) as well as being a student (AOR=0.16, CI 0.09 to 0.29 for 2009; AOR=0.32, CI 0.19 to 0.53) were associated with lower odds of tobacco smoking in both surveys.

Conclusions: Although the prevalence of tobacco smoking has declined over the period, it is still high among those who were relatively older, men, less educated and exposed to a movie/drama where tobacco smoking is promoted. Therefore, appropriate interventions are required to stop tobacco smoking among the Bangladeshi population.

Keywords: epidemiology; preventive medicine; public health.

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Conflict of interest statement

Competing interests: None declared.

References

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Was there any change in tobacco smoking among adults in Bangladesh during 2009-2017? Insights from two nationally representative cross-sectional surveys

Affiliations

Was there any change in tobacco smoking among adults in Bangladesh during 2009-2017? Insights from two nationally representative cross-sectional surveys

Authors

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources