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Smokeless tobacco use: prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Article scientifique 2019 Anglais

Résumé

Abstract Introduction: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western Africa countries, the weighted prevalence estimated that SLT use in rural women was the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and associated factors among rural women in Burkina Faso by using nationally representative data. Methods: We used variables from the 2013 Stepwise approach to Surveillance study, which provided sociodemographic characteristics, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP], dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), tobacco and alcohol consumption data. Data for 1730 rural women were operated and we performed student’s, chi-square, and Fisher’s exact tests and logistic regression. Results: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were presence of dental symptoms (adjusted odd-ratio [aOR] = 2.59; p = 0.0001), undernourishment (aOR = 1.78; p = 0.002), decrease in the unit of waist circumference (aOR = 0.98; p = 0 .023), decrease in unit of DBP (aOR = 0.97; p = 0.006), increase in the unit of SBP (aOR = 1.01; p = 0.017), or the increase in the unit of differential blood pressure (aOR = 1.01; p = 0.041). Co-use of alcohol was also a significant risk (aOR = 2.80; p = 0.0001). Conclusion: Prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, occurrence of dental symptoms, undernourishment, and the increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

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Diendéré, J., Zeba, N., Nikièma, L., Kaboré, A., Sawadogo, W., Tougouma, S., Tinto, H., Ouédraogo, A. (2019). Smokeless tobacco use: prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso. https://doi.org/10.21203/rs.2.14436/v1

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Auteur(s)

Jeoffray Diendéré N. Augustin Zeba Léon Nikièma Ahmed Kaboré W. Paul Sawadogo Somnoma Jean Baptiste Tougouma Halidou Tinto Arouna Ouédraogo

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