Term of Award
Fall 2023
Degree Name
Doctor of Public Health in Epidemiology (Dr.P.H.)
Document Type and Release Option
Dissertation (restricted to Georgia Southern)
Copyright Statement / License for Reuse
This work is licensed under a Creative Commons Attribution 4.0 License.
Department
Department of Biostatistics, Epidemiology, and Environmental Health Sciences
Committee Chair
Yelena Tarasenko
Committee Member 1
Hani Samawi
Committee Member 2
Logan Cowan
Abstract
This study examined (1) changes in tobacco use and related behaviors, including tobacco use in schools, anti-tobacco education and cessation efforts among youth over time and (2) potential contribution of cessation support and anti-tobacco education to quit attempts among youth. Data from the latest two rounds of the Global Youth and Tobacco Survey (GYTS) for adolescents aged 13-15 were used. Specifically, 10 countries met the inclusion criteria for examining changes in use of tobacco products and nicotine dependence; 45 countries met the inclusion criteria for investigating changes in quit attempts; 42 for receipt of cessation support; 28 – for anti-tobacco education; 27 – for tobacco use in schools, and 46 – for the combined analysis on the association between cessation support and anti-tobacco education with quit attempts. To assess differences between the GYTS rounds, crude and adjusted prevalence estimates were compared as average adjusted predictions from univariate and multivariate logistic regressions. The association between quit attempts and other characteristics were examined using mixed effects binary logistic regression with random intercept for country. As hypothesized, cigarette smoking has decreased while e-cigarette and dual use have increased. Cessation support and anti-tobacco education are positively associated with quit attempts of adolescents, yet cessation initiatives for youth, especially those for novel tobacco and nicotine products, are lacking in many countries. Continuous monitoring of these indicators is necessary to help guide the development of public health interventions for youth to curtail their tobacco and nicotine product use.
Recommended Citation
Rajvong, Willie P., "Tobacco Product Use, Cessation, Anti-Tobacco Education, and Smoke-Free Schools: Findings From the Ecological and Cross-Sectional Studies Using Global Youth Tobacco Survey" (2023). Electronic Theses and Dissertations. 2690.
https://digitalcommons.georgiasouthern.edu/etd/2690
Research Data and Supplementary Material
No
