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. 2025 Jun 22;17(6):e86525.
doi: 10.7759/cureus.86525. eCollection 2025 Jun.

Global Youth Tobacco Survey (2001-2022) in Saudi Arabia: An Analysis of Forecasting and Insights Pertaining to Dental Public Health and Tobacco Cessation Counseling

Bugude Shiva Shankar  1
Affiliations

Global Youth Tobacco Survey (2001-2022) in Saudi Arabia: An Analysis of Forecasting and Insights Pertaining to Dental Public Health and Tobacco Cessation Counseling

Bugude Shiva Shankar. Cureus. .

Abstract

Background: Tobacco use among youth is a critical public health concern, particularly in Saudi Arabia, where a significant youth demographic and evolving tobacco control policies shape usage patterns. The Global Youth Tobacco Survey (GYTS) provides standardized data to monitor these trends, offering insights for dental public health and tobacco cessation counseling. This study analyzes GYTS data from 2001 to 2022 to evaluate trends in youth tobacco use, their association with tobacco control policy implementation, and implications for oral health interventions.

Materials and methods: Data from the GYTS conducted in Saudi Arabia (2001, 2007, 2010, and 2022) among youth aged 13-15 years (n = 1,830-4,526) were analyzed. Key indicators included current cigarette smoking, environmental tobacco smoke exposure, cessation attempts, and knowledge/attitudes toward smoking. Descriptive statistics, percent change calculations, linear and joinpoint regression analyses, and gender-specific comparisons assessed trends and policy impacts. Prediction models forecast the prevalence to 2030. Statistical analyses were performed using Python (version 3.10; Python Software Foundation, Wilmington, DE) and the Joinpoint Regression Program (version 4.9.1.0; National Cancer Institute, Bethesda, MD).

Results: Current cigarette smoking increased from 4.7% (2001) to 8.9% (2010) before declining to 2.9% (2022), a 38.3% relative decrease. Joinpoint analysis identified a significant trend reversal after 2010, coinciding with comprehensive MPOWER policy implementation (p < 0.001). Boys exhibited higher smoking prevalence than girls, but the gender gap narrowed from 4.0 to 1.3 percentage points (2001-2022). Environmental tobacco smoke exposure and living with smokers decreased by 28.8% and 33.0%, respectively. Cessation indicators showed declines in desire (74.0%-64.9%) and attempts to quit (69.3%-58.7%). Support for smoking bans rose by 14.6%. Predictions suggest smoking prevalence may approach 1.0%-2.0% by 2030 if trends persist.

Conclusion: Comprehensive tobacco control policies after 2010 significantly reduced youth tobacco use in Saudi Arabia, with notable declines in smoking prevalence and environmental exposure. However, declining cessation indicators highlight the need for targeted interventions. Dental professionals can leverage these trends to integrate cessation counseling into routine care, enhancing oral health outcomes. Sustained policy enforcement and gender-sensitive strategies are crucial to further reduce youth tobacco use by 2030.

Keywords: adolescent; dental public health; forecasting; global youth tobacco survey; saudi arabia; tobacco control; tobacco use.

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Conflict of interest statement

Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

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References

    1. Global prevalence of tobacco use in adolescents and its adverse oral health consequences. Nazir MA, Al-Ansari A, Abbasi N, Almas K. Open Access Maced J Med Sci. 2019;7:3659–3666. - PMC - PubMed
    1. Childhood/adolescent smoking and adult smoking and cessation: the International Childhood Cardiovascular Cohort (i3C) consortium. Hu T, Gall SL, Widome R, et al. J Am Heart Assoc. 2020;9:0. - PMC - PubMed
    1. Combating tobacco use in Saudi Arabia: a review of recent initiatives. Itumalla R, Aldhmadi B. East Mediterr Health J. 2020;26:858–863. - PubMed
    1. Awareness and utilization of smoking cessation clinics in Saudi Arabia, findings from the 2019 Global Adult Tobacco Survey. Monshi SS, Alanazi AM, Alzahrani AM, et al. Subst Abuse Treat Prev Policy. 2023;18:33. - PMC - PubMed
    1. Tobacco control policies implementation and future lung cancer incidence in Saudi Arabia. A population-based study. Ramadan M, Alhusseini N, Samhan L, Samhan S, Abbad T. Prev Med Rep. 2023;36:102439. - PMC - PubMed

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