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Prevalence and Factors Associated with Current Cigarette Smoking among Ethiopian University Students: A Systematic Review and Meta-Analysis

机译:与埃塞俄比亚大学生目前吸烟相关的患病率和因素:系统评价与荟萃分析

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Background. Although tobacco use is highest in high-income countries, most tobacco-related deaths occur in low- and middle-income countries with the highest number of deaths recorded in East Africa. The aim of this systematic review and meta-analysis is to determine the pooled prevalence and associated factors of current cigarette smoking among Ethiopian university students. Methods. The authors searched databases from PubMed, PsycINFO, Google Scholar, EMBASE, and Web of Sciences. The publications included in the analysis were inclusive, the literature was searched from January 2011 to December 2018. The JBI-MAStARI critical appraisal tool was applied to 13 publications identified by the database search. I2 statistics were used to indicate heterogeneity. Publication bias was evaluated using the visual funnel plot. A p value??0.1 was considered as indicative of statistically significant publication bias. A random effect meta-analysis model was computed to estimate the pooled prevalence of cigarette smoking, and the variables associated with cigarette smoking were examined. Results. The meta-analysis of 13 studies showed that the pooled prevalence of current cigarette smoking was found to be 12.55% (95% CI: 10.39–14.72; I2?=?94.0%) with no publication bias according to Egger’s test (p=0.007) for cigarette smoking by 2.05 (95% CI: 1.52–2.75). Factors associated with cigarette smoking were peer influence 2.79 (95% CI: 1.62–4.82; I2?=?35.7), khat chewing (95% CI: 2.81–15.26; I2?=?82.5), and alcohol use 11.16 (95% CI: 7.46–16.71). Conclusion. Our findings indicate a high prevalence of cigarette smoking among Ethiopian university students as compared to the general population. Gender, peer influence, khat chewing, and current alcohol use were significantly associated with cigarette smoking. The authors recommend promoting antismoking campaigns, emphasizing health hazard public service announcements about cigarettes, and integrating health education on smoking in youth-friendly services, especially targeting higher educational institutions.
机译:背景。虽然在高收入国家的烟草使用中最高,但大多数烟草相关的死亡发生在低收入和中非收入国家,在东非录制的死亡人数最多。该系统审查和荟萃分析的目的是确定埃塞俄比亚大学生目前吸烟的融合和相关因素。方法。作者搜索了来自PubMed,Psycinfo,Google Scholar,Embase和Sciences网站的数据库。分析中包含的出版物是包容性的,该文献于2011年1月至2018年12月搜查.JBI-Mastari关键评估工具被应用于数据库搜索标识的13个出版物。 I2统计数据用于表示异质性。使用视觉漏斗图评估出版物偏差。 P值?<?0.1被认为是指示统计上显着的出版物偏差。计算了一种随机效应元分析模型以估计吸烟吸烟的汇总率,并检查了与吸烟吸烟相关的变量。结果。 13项研究的荟萃分析表明,汇集了当前吸烟的吸烟率为12.55%(95%CI:10.39-14.72; I2?= 94.0%),没有根据Egger的测试出版物偏压(P = 0.007 )对于香烟吸烟2.05(95%CI:1.52-2.75)。与吸烟有关的因素是同行影响2.79(95%CI:1.62-4.82; I2?= 35.7),Khat咀嚼(95%CI:2.81-15.26; I2?=?82.5),酒精使用11.16(95% CI:7.46-16.71)。结论。我们的研究结果表明,与一般人群相比,埃塞俄比亚大学生中的吸烟率很高。性别,同伴影响力,Khat咀嚼和当前的酒精使用与吸烟显着相关。提交人建议促进反抗竞选活动,强调健康危害公共服务公告关于卷烟,并在青年友好服务中融入健康教育,特别是针对高等教育机构。

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