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Changing patterns of tobacco consumption in Mozambique: evidence from a migrant study.

Lunet N, Araújo C, Silva-Matos C, Damasceno A, Gouveia L, Azevedo A - BMC Public Health (2011)

Bottom Line: MC/MC: men, PR, 0.66; 95%CI, 0.34-1.29; women, PR, 4.56, 95%CI, 1.78-11.69); the prevalence among city inhabitants born in other provinces resembled the pattern seen in inhabitants of their provinces of origin.Traditional forms of tobacco consumption among men were rare in Maputo City, which is in stark contrast to the situation in other provinces.Cultural background, affordability, and availability of different types of tobacco in urban Mozambique need to be considered when developing strategies to control the tobacco epidemic.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal. nlunet@med.up.pt

ABSTRACT

Background: Maputo, the Mozambique capital, contrasts with the rest of the country with regard to its sociodemographic characteristics and patterns of tobacco exposure. We conducted a migrant study to compare the prevalence of manufactured-cigarette smoking and traditional forms of tobacco use among dwellers in the capital who were also born in Maputo City (MC/MC) with those born in southern (SP/MC) and northern (NP/MC) provinces, and additionally with inhabitants in the latter regions.

Methods: In 2003, a representative sample of 12,902 Mozambicans aged 25-64 years was evaluated. We computed age- and education-adjusted prevalence ratios (PR) with 95%-confidence intervals (95%CI) using Poisson regression.

Results: The prevalence of any type of tobacco consumption among Maputo City inhabitants born in other provinces contrasted with the pattern observed in locally born inhabitants (SP/MC vs. MC/MC: men, PR, 0.61; 95%CI, 0.44-0.85; women, PR, 0.38, 95%CI, 0.18-0.79; NP/MC vs. MC/MC: men, PR, 0.66; 95%CI, 0.34-1.29; women, PR, 4.56, 95%CI, 1.78-11.69); the prevalence among city inhabitants born in other provinces resembled the pattern seen in inhabitants of their provinces of origin. Traditional forms of tobacco consumption among men were rare in Maputo City, which is in stark contrast to the situation in other provinces.

Conclusions: Cultural background, affordability, and availability of different types of tobacco in urban Mozambique need to be considered when developing strategies to control the tobacco epidemic.

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Related in: MedlinePlus

Prevalence ratios for tobacco consumption for different combinations of place of birth/place of residence (in 2003) compared with participants born and living in Maputo City. 95%CI - 95% confidence interval; MC - Maputo City; NP - Northern provinces (Manica, Sofala, Tete, Zambézia, Nampula, Niassa and Cabo Delgado); SP - Southern provinces (Maputo Province, Gaza and Inhambane). * Age- and education-adjusted prevalence ratios for tobacco consumption, having the subjects born and living in Maputo City as the reference; † These groups include a small proportion of subjects born elsewhere; ‡ Traditional forms of tobacco consumption include hand-rolled cigarettes and smokeless tobacco.
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Figure 2: Prevalence ratios for tobacco consumption for different combinations of place of birth/place of residence (in 2003) compared with participants born and living in Maputo City. 95%CI - 95% confidence interval; MC - Maputo City; NP - Northern provinces (Manica, Sofala, Tete, Zambézia, Nampula, Niassa and Cabo Delgado); SP - Southern provinces (Maputo Province, Gaza and Inhambane). * Age- and education-adjusted prevalence ratios for tobacco consumption, having the subjects born and living in Maputo City as the reference; † These groups include a small proportion of subjects born elsewhere; ‡ Traditional forms of tobacco consumption include hand-rolled cigarettes and smokeless tobacco.

Mentions: The prevalence estimates for tobacco consumption in each subgroup are presented in Table 2. Figure 2 depicts the corresponding PR using MC/MC as the reference category.


Changing patterns of tobacco consumption in Mozambique: evidence from a migrant study.

Lunet N, Araújo C, Silva-Matos C, Damasceno A, Gouveia L, Azevedo A - BMC Public Health (2011)

Prevalence ratios for tobacco consumption for different combinations of place of birth/place of residence (in 2003) compared with participants born and living in Maputo City. 95%CI - 95% confidence interval; MC - Maputo City; NP - Northern provinces (Manica, Sofala, Tete, Zambézia, Nampula, Niassa and Cabo Delgado); SP - Southern provinces (Maputo Province, Gaza and Inhambane). * Age- and education-adjusted prevalence ratios for tobacco consumption, having the subjects born and living in Maputo City as the reference; † These groups include a small proportion of subjects born elsewhere; ‡ Traditional forms of tobacco consumption include hand-rolled cigarettes and smokeless tobacco.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3111382&req=5

Figure 2: Prevalence ratios for tobacco consumption for different combinations of place of birth/place of residence (in 2003) compared with participants born and living in Maputo City. 95%CI - 95% confidence interval; MC - Maputo City; NP - Northern provinces (Manica, Sofala, Tete, Zambézia, Nampula, Niassa and Cabo Delgado); SP - Southern provinces (Maputo Province, Gaza and Inhambane). * Age- and education-adjusted prevalence ratios for tobacco consumption, having the subjects born and living in Maputo City as the reference; † These groups include a small proportion of subjects born elsewhere; ‡ Traditional forms of tobacco consumption include hand-rolled cigarettes and smokeless tobacco.
Mentions: The prevalence estimates for tobacco consumption in each subgroup are presented in Table 2. Figure 2 depicts the corresponding PR using MC/MC as the reference category.

Bottom Line: MC/MC: men, PR, 0.66; 95%CI, 0.34-1.29; women, PR, 4.56, 95%CI, 1.78-11.69); the prevalence among city inhabitants born in other provinces resembled the pattern seen in inhabitants of their provinces of origin.Traditional forms of tobacco consumption among men were rare in Maputo City, which is in stark contrast to the situation in other provinces.Cultural background, affordability, and availability of different types of tobacco in urban Mozambique need to be considered when developing strategies to control the tobacco epidemic.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal. nlunet@med.up.pt

ABSTRACT

Background: Maputo, the Mozambique capital, contrasts with the rest of the country with regard to its sociodemographic characteristics and patterns of tobacco exposure. We conducted a migrant study to compare the prevalence of manufactured-cigarette smoking and traditional forms of tobacco use among dwellers in the capital who were also born in Maputo City (MC/MC) with those born in southern (SP/MC) and northern (NP/MC) provinces, and additionally with inhabitants in the latter regions.

Methods: In 2003, a representative sample of 12,902 Mozambicans aged 25-64 years was evaluated. We computed age- and education-adjusted prevalence ratios (PR) with 95%-confidence intervals (95%CI) using Poisson regression.

Results: The prevalence of any type of tobacco consumption among Maputo City inhabitants born in other provinces contrasted with the pattern observed in locally born inhabitants (SP/MC vs. MC/MC: men, PR, 0.61; 95%CI, 0.44-0.85; women, PR, 0.38, 95%CI, 0.18-0.79; NP/MC vs. MC/MC: men, PR, 0.66; 95%CI, 0.34-1.29; women, PR, 4.56, 95%CI, 1.78-11.69); the prevalence among city inhabitants born in other provinces resembled the pattern seen in inhabitants of their provinces of origin. Traditional forms of tobacco consumption among men were rare in Maputo City, which is in stark contrast to the situation in other provinces.

Conclusions: Cultural background, affordability, and availability of different types of tobacco in urban Mozambique need to be considered when developing strategies to control the tobacco epidemic.

Show MeSH
Related in: MedlinePlus