Association between Anxiety, Alcohol, Poly-Tobacco use and Waterpipe Smoking: A Cross-Sectional Study in Lagos, Nigeria

Nigerian Postgraduate Medical Journal

article

Olufemi Erinoso¹  Afolabi Oyapero²  Moyosoore Osoba³  Mary Amure⁴  Olatokunbo Osibogun⁵  Kikelomo Wright⁶  Akin Osibogun¹ 

[1] Department of Oral and Maxillofacial Surgery, Lagos State University Teaching Hospital;Department of Preventive Dentistry, Lagos State University College of Medicine;African Center of Excellence for Genomics of Infectious Diseases, Redeemer's University;Department of Preventive Dentistry, Lagos State University Teaching Hospital;Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University;Department of Community Health and Primary Health Care, Lagos State University College of Medicine

关键词: Adolescents;    anxiety;    e-cigarettes;    narghile;    poly-tobacco;    shisha;    waterpipe tobacco;    Youth;   

DOI  :  10.4103/npmj.npmj_530_21

学科分类：地球科学(综合)

来源: Medknow

【 摘 要 】

Background: Waterpipe smoking (WPS) has been reported to have a wide range of damaging health effects on pulmonary and cardiovascular systems. Studies suggest that waterpipe tobacco smoking is associated with reduced harm perceptions, mental health problems and the use of psychoactive substances. We investigate the patterns of use and the association of WPS with anxiety, poly-tobacco and alcohol use in Lagos, Nigeria. Materials and Methods: A cross-sectional study design was used to assess the data from 818 adolescents and adults in Lagos State, Nigeria. An online questionnaire obtained demographic information, waterpipe, e-cigarette, alcohol and other tobacco product use from respondents. Anxiety was assessed using the validated Generalised Anxiety Disorder 7-point scale. Bivariate and multivariate logistic regression analysis was used to identify the factors associated with waterpipe ever-use. P < 0.05 was considered statistically significant. Results: The mean (standard deviation) age of respondents was 23.43 (±3.96), over half were female (55.2%) and a majority had a college diploma or more (88.59%). Among study participants, 18.58% reported waterpipe ever-use. Among ever waterpipe users, 17.33% reported current use (past 30-days), with a majority having smoked waterpipe in a bar or pub. Alcohol use (P < 0.001), e-cigarette ever-use (P: 0.010) and poly-tobacco ever-use (P: 0.030) were significantly associated with higher odds of waterpipe use in the multivariate regression model. Further, there was a lower likelihood of waterpipe ever-use in the bivariate regression model among respondents with mild and moderate to severe anxiety levels than those with normal anxiety levels (P: 0.030); however, this association was no longer significant in the adjusted model. Conclusions: Our findings suggest a relatively high prevalence of WPS in Lagos, Nigeria. Concurrent alcohol consumption, e-cigarette and poly-tobacco use are associated with WPS, and most waterpipe smokers have normal anxiety levels. The Nigerian Government should consider surveillance measures for WPS and a more comprehensive smoke-free policy.

【 授权许可】

CC BY-NC-SA