Tobacco smoking in Mongolia: findings of a national knowledge, attitudes and practices study

BMC Public Health

Palam Enkhtuya³  Dan Wolf Meyrowitsch²  Dugee Otgontuya³  Jessica Nehme¹  Alessandro R Demaio¹ 

[1]Copenhagen School of Global Health, University of Copenhagen, PO Box 2099, Dk-1014 Copenhagen K, Denmark

[2]Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K, Denmark

[3]National Center for Public Health, Ministry of Health of Mongolia, Ulaanbaatar, Mongolia

关键词: Health;    Policy;    KAP;    Asia;    Mongolia;    Epidemiology;    Non-communicable diseases;    Smoking;   

Others  :  1132420
DOI  :  10.1186/1471-2458-14-213

 received in 2013-08-07, accepted in 2014-02-24,  发布年份 2014

【 摘 要 】

Background

In 2009, 48% of males aged 15 or over in Mongolia consumed tobacco, placing Mongolia among the countries with the highest prevalence of male smokers in the world. Importantly, tobacco use is one of the four major risk factors contributing to the global burden of non-communicable diseases (NCDs) – the leading cause of mortality in Mongolia. However, the knowledge, attitudes and practices of the Mongolian population with regards to smoking are largely unmeasured. In this context, a national NCDs knowledge, attitudes and practices survey focusing, among other things, on NCD risk factors was implemented in Mongolia in late 2010 to complement the previous WHO STEPwise approach to Surveillance Survey (STEPS) findings from 2009. This publication explores the smoking-related findings of the Knowledge, Attitudes and Practices Survey (KAPS).

Methods

A nationally representative sample size was calculated using methodologies aligned with the WHO STEPS surveys. As a result, 3450 people from across Mongolia were selected using a multi-stage, random cluster sampling method from permanent residents aged between 15 and 64 years. The KAP survey questionnaire was interviewer-administered on a door-to-door basis.

Results

In Mongolia at 2010, 46.3% of males and 6.8% of females were smokers. This practice was especially dominant among males and urban dwellers (MOR 2.2), and more so among the middle-aged (45–54) (MOR 2.1) while still displaying a high prevalence among Mongolian youth (15.5%). The probability of smoking was independent of the level of education. Although the level of awareness of the health hazards related to tobacco smoking was generally very high in the population, this was influenced by the level of education as more people with a primary and secondary level of education believed that smoking at least one pack of cigarette per day was required to harm one’s health (MOR 5.8 for primary education and 2.5 for secondary). Finally, this knowledge did not necessarily translate into a behavioural outcome as 15.5% of the population did not object to people smoking in their house, and especially so among males (MOR 4.1).

Conclusion

The findings of this KAP survey corroborate the 2009 WHO STEPS Survey findings with regards to the prevalence of tobacco smoking in Mongolia. It identifies males, urban dwellers and Mongolian youth as groups that should be targeted by public health measures on tobacco consumption, while keeping in mind that higher levels of awareness of the harms caused by tobacco smoking do not necessarily translate into behavioural changes.

【 授权许可】

   
2014 Demaio et al.; licensee BioMed Central Ltd.

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