
The Library
Influence of socioeconomic position and gender on current cigarette smoking among people living with HIV in sub-Saharan Africa : disentangling context from composition
Tools
Uthman, Olalekan A., Ekström, Anna Mia and Moradi, Tahereh (2016) Influence of socioeconomic position and gender on current cigarette smoking among people living with HIV in sub-Saharan Africa : disentangling context from composition. BMC Public Health, 16 . 998. ISSN 1471-2458.
![]() |
PDF
WRAP_art%3A10.1186%2Fs12889-016-3637-1.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (935Kb) |
![]() |
Microsoft Word
WRAP_among_people_living_with_hiv_in_sub-saharan_africa_bmcpublichealth_uthmanoa.docx - Accepted Version Embargoed item. Restricted access to Repository staff only Download (124Kb) |
Official URL: https://bmcpublichealth.biomedcentral.com/
Abstract
Background: Smoking is still gaining ground in Sub-Saharan Africa, especially among socially disadvantaged groups. People living with HIV represent a subgroup with a significantly elevated prevalence of cigarette smoking. The objective of the study was to examine the influence of individual-, neighbourhood- and country-level socioeconomic position on current cigarette smoking among people living with HIV in Sub-Saharan Africa.
Methods: We applied multivariable multilevel logistic regression analysis on Demographic and Health Survey data collected between 2003 and 2012 in sub-Saharan Africa. We identified 31,270 individual living with HIV (Level 1) nested within 7,054 neighbourhoods (Level 2) from 19 countries (Level 3).
Results: After adjustment for individual-, neighbourhood- and country-level factors, respondents, the following significant independent risk factors for increasing odds of being a current cigarette smokers among people living with HIV: male gender (odds ratio [OR] = 62.49; 95% credible interval [CrI] 45.93 to 78.28), from the poorer households (OR = 1.62, 95% CrI 1.38 to 1.90); living in urban areas (OR = 1.24, 95% CrI 1.09 to 1.41), from neighbourhoods with low poverty rate (OR = 1.25, 95% CrI 1.09 to 1.43), illiteracy rate (OR = 1.28, 95% CrI 1.14 to 1.42), low unemployment rate (OR = 1.11, 95% crI 1.01 to 1.43); and from countries with low socio-economic deprivation (OR = 1.53, 95 CrI 1.08 to 1.96). About 3.4% and 39.4% variation in cigarette smoking behaviour among people living with HIV is conditioned by differences between neighbourhoods and countries.
Conclusions: Gender, education and socioeconomic context are independently associated with current cigarette smoking among people living with HIV in sub-Saharan Africa.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | D History General and Old World > DT Africa H Social Sciences > HN Social history and conditions. Social problems. Social reform H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine |
||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Smoking--Africa, Sub-Saharan, HIV-positive persons, HIV-positive persons--Africa, Sub-Saharan--Economic conditions | ||||||||
Journal or Publication Title: | BMC Public Health | ||||||||
Publisher: | BioMed Central Ltd. | ||||||||
ISSN: | 1471-2458 | ||||||||
Official Date: | 20 September 2016 | ||||||||
Dates: |
|
||||||||
Volume: | 16 | ||||||||
Article Number: | 998 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 5 September 2016 | ||||||||
Date of first compliant Open Access: | 20 October 2016 | ||||||||
Funder: | Forskningsrådet för hälsa, arbetsliv och välfärd | ||||||||
Grant number: | 2012-0064 |
Request changes or add full text files to a record
Repository staff actions (login required)
![]() |
View Item |
Downloads
Downloads per month over past year