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Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation

Received: 21 March 2019     Accepted: 7 May 2019     Published: 30 May 2019
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Abstract

Despite intense campaigns to minimize cigarette smoking owing to the socio-economic risks associated with it, cigarette smoking worldwide has continued to rise. This is a major concern to both public health authorities and medical practioners. This paper examines the Kenyan status on cigarette smoking through measurement of various parameters including mass media campaigns, taxation, level of education, nature of employment, and government legislation. Descriptive research design was employed because of its robust capability to give an in depth analysis of state of affairs as it exists in relation to cigarette smoking patterns in three Kenyan counties (Nakuru, Kisii and Migori). The study involved respondents above 18 years of age and was carried out between March and April 2018. Chi-square statistics was used to assess the association between various variables. It is clear from this study that most cigarette smokers had acquired high school education and above; representing 70% of the respondents. At 95% confidence limit, the p-value = 0.39 and confidence interval, CI = -1.965-4.156. Therefore, cigarette smoking is dependent on the level of education. The odd ratio (OR) of 3.10 indicates a strong association between smoking and the level of education. This study also revealed that majority of the respondents smoked between 6 and 10 cigarettes per day (36%). Besides, 50% of the target population admitted to being aware of the health hazards caused by cigarette smoking despite their continued smoking habits. This survey has demonstrated that most cigarette smokers are not only well educated but are aware of the dangers of cigarette smoking. Moreover, most respondents are addicted to cigarette smoking despite taxes imposed on tobacco products including cigarettes. This characteristic behaviour may be attributed to high unemployment rates in Kenya which this study has established as one of the major reasons for cigarette smoking.

Published in American Journal of Biological and Environmental Statistics (Volume 5, Issue 1)
DOI 10.11648/j.ajbes.20190501.12
Page(s) 7-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cigarette Smoking, Public Health, Taxation, Mass Media Campaigns

References
[1] J. Mackay, O. Shafey, M. Eriksen, H. Ross. The tobacco atlas. 3rd Edition, American Cancer Society, Atlanta. (2009) (3) 38-9.
[2] D. K. Hatsukami, L. F Stead, P. C. Gupta. Tobacco addiction. The Lancet. (2008) (371) 2027-38.
[3] R. D. C. Rondina, R. Gorayeb, C. Botelho. Características psicológicas associadas ao comportamento de fumar tabaco. J. Bras. Pneumol. (2007) (33) 592-601.
[4] DuPont R and Gold M. Withdrawal and Reward: Implications for Detoxification and Relapse Prevention. Psychiatr. Ann. (1995) (25) 663-8.
[5] S. S. Shaik, D. Doshi, S. R Bandari, S. Kulkarn. Tobacco Use Cessation and Prevention - A Review. J Clin. Diagn. Res. 10 (5) (2016): Ze13-7.
[6] R. Brathwaite, J. Addo, L. Smeeth, K. Lock. A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014. PloS one, 10 (7) (2015). e0132401-e0132401.
[7] Consortium KTCSA. Situational analysis of tobacco control in Kenya: report of the baseline assessment carried out by the Kenya Tobacco Control Situational Analysis Consortium. 2008.
[8] P. Patel, J. Collin, A. B. Gilmore. “The law was actually drafted by us but the Government is to be congratulated on its wise actions”: British American Tobacco and public policy in Kenya. Tob Control. 16 (1) (2007) 1-8.
[9] G. K. Gathecha. Tobacco control research in Kenya: the existing body of knowledge. Pan Afr Med J. 17 (2014) 155.
[10] F. T. Filippidis, C. Girvalaki, E. A. Mechili, C. I. Vardavas. Are political views related to smoking and support for tobacco control policies? A survey across 28 European countries. Tobacco Induced Diseases. 15 (45) (2017) 1-5.
[11] X. Zhang, T. D. Vuong, E. Andersen-Rodgers, A. Roeseler. Evaluation of California’s ‘Tobacco 21’ law. Tob Control. (27) (2018) 656–662
[12] J. Dono, J. Bowden, S. Kim, C. Miller. Taking the pressure off the spring: the case of rebounding smoking rates when antitobacco campaigns ceased. Tob Control. (2018) 1–4.
[13] S. Gallus, M. S. Cattaruzza, G. Gorini, F. Faggiano. Vatican beats Italy 1–0 in the tobacco endgame. Tobacco Control. (28) (2019) 239-240
[14] F. T. Filippidis, A. A. Laverty, U. Mons, C. Jimenez-Ruiz, C. I. Vardavas. Changes in smoking cessation assistance in the European Union between 2012 and 2017: pharmacotherapy versus counselling versus e-cigarettes. Tob Control. (2018) 1–6.
[15] L. Atwoli, P. A. Mungla, M. N. Ngung’u, K. C. Kinoti, E. M. Ogot. Prevalence of substance use among college students in Eldoret, western Kenya. BMC Psychiatry, 11 (1) (2011) 34.
[16] V. U. Ekpu, A. K. Brown. The economic impact of smoking and of reducing smoking prevalence: review of evidence. Tob use insights. (8) (2015) 1-35.
[17] D. L. Ashley, D. Burns, M. Djordjevic, E. Dybing, N. Gray, S. K. Hammond. The scientific basis of tobacco product regulation. World Health Organ Tech Rep Ser, (951) (2008) 1-277.
[18] L. Mpabulungi, A. S. Muula. Tobacco use among high shool students in Kampala, Uganda: questionnaire study. Croat. Med. J., 45(1) (2004) 80-83.
[19] P. Patel, J. Collin, A. B. Gilmore. “The law was actually drafted by us but the Government is to be congratulated on its wise actions”: British American Tobacco and public policy in Kenya. Tob. Control. 16 (1) (2007) e1-e1.
[20] C. R. Kothari, Research Methodology: Methods and Techniques. 2nd ed. 2004, New Delhi: New Age International Publishers, 1-414.
[21] S. A. E. Peters, R. R Huxley, M. Woodward. Do smoking habits differ between women and men in contemporary Western populations? Evidence from half a million people in the UK Biobank study. BMJ Open. 4 (12) (2014).
[22] T. F. Heatherton, L. Kozlowski. Nicotine addiction and its assessment. Ear. Nose Throat J. 69 (11) (1992) 763-767.
[23] R. West, S. Shiffman. Fast facts: smoking cessation. Karger Medical and Scientific Publishers (2016).
[24] Solomon, RL, Corbit JD. An opponent-process theory of motivation: II. Cigarette addiction. J Abnorm Psychol, 1973. 81 (2): 158-571.
[25] A. K. Elkind. The social definition of women's smoking behaviour. Soc Sci Med. 20(12) (1985) 1269-78.
[26] B. T. Hansen, S. K. Kjær, C. Munk, L. Tryggvadottir, P. Sparén, M. Hagerup-Jenssen, K. L. Liaw, Nygård M. Early smoking initiation, sexual behavior and reproductive health — a large population-based study of Nordic women. ‎Prev. Med. (51 (1) (2010) 68-72.
[27] World Bank (2015). Adult Literacy. https://tcdata360.worldbank.org/indicators/f22e4196
[28] S. E. Gilman, L. T. Martin, D. B. Abrams, I. Kawachi, L. Kubzansky, E. B. Loucks, R. Rende R, Rudd R, and Buka SL. Educational attainment and cigarette smoking: a causal association?. Int. J. Epidemiol. (37 (3) (2008) 615-24.
[29] R. Hiscock, J. Branston, A McNeill, S. C. Hitchman, T. R. Partos, A. B. Gilmore. Tobacco industry strategies undermine government tax policy: evidence from commercial data. Tob. Control. (27) (2018) 488–497.
[30] Dono J, Bowden J, Kim S, and Miller C. Taking the pressure off the spring: the case of rebounding smoking rates when antitobacco campaigns ceased. Tob. Control 28 (2) (2019) 233-236.
[31] Pergadia ML, Agrawal A, Heath AC, Martin NG, K. K. Bucholz, Madden, PAF. Nicotine withdrawal symptoms in adolescent and adult twins. Twin research and human genetics: The official journal of the International Society for Twin Studies. 13 (4) (2010). 359-369.
[32] M. Chaiton, L. Diemert, J. E. Cohen, S. J. Bondy, P. Selby, A. Philipneri, R. Schwartz. Estimating the number of quit attempts it takes to quit smoking successfully in a longitudinal cohort of smokers. BMJ, (6) (2016). e011045.
[33] S. Kamran, A. Lee. An integrated approach to treat tobacco addiction in countries with high tuberculosis incidence. Trop. Med. Int. Health. 14(4) (2009) 420-8.
[34] D. E Jorenby, S. J. Leischow, M. A. Nides, S. I. Rennard, J. A. Johnston, A. R. Hughes et al., A controlled trial of sustained-release bupropion, a nicotine patch, or both for smoking cessation. New Eng. J. Med. 340 (9) (1999) 685-691.
[35] A. D. M. Perez, I. M. Benseñor. Tobacco and alcohol use, sexual behavior and common mental disorders among military students at the Police Academy, São Paulo, Brazil. A cross-sectional study. Sao Paulo Med J. (133) (2015) 235-44.
[36] K. J. Karimi, R. Ayah, T. Olewe. Adherence to the Tobacco Control Act, 2007: presence of a workplace policy on tobacco use in bars and restaurants in Nairobi, Kenya. BMJ. 6 (9) (2016) e012526-e012526.
[37] World Bank Group. Kenya country economic memorandum - From economic growth and shared prosperity. World Bank, 2016. 103822: 1-164. http://documents.worldbank.org/curated/en/763771468197384854/pdf/103822-WP-Kenya-Country-Economic-Memorandum-PUBLIC.pdf
[38] T. W. Hu, A. H. Lee. Tobacco Control and Tobacco Farming in African Countries. J. Public Health Policy. 36 (1) (2015) 41-51.
[39] M. C. Kulik, S, A. Bialous, S. Munthali, W. Max. Tobacco growing and the sustainable development goals, Malawi. Bull. World Health Organ. 95 (5) (2017) 362-7.
[40] E. A. Lown, P. A McDaniel, R. E. Malone. Tobacco is "our industry and we must support it": Exploring the potential implications of Zimbabwe's accession to the Framework Convention on Tob. Control. Global Health. 12 (2) 2016 1-11.
[41] S. Durkin, E. Brennan, M. Wakefield. Mass media campaigns to promote smoking cessation among adults: an integrative review. Tob. Control. 21 (2) (2012) 127.
Cite This Article
  • APA Style

    Caren Kurgat, Joshua Kibet, Bornes Mosonik, Francis Opuru. (2019). Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation. American Journal of Biological and Environmental Statistics, 5(1), 7-15. https://doi.org/10.11648/j.ajbes.20190501.12

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    ACS Style

    Caren Kurgat; Joshua Kibet; Bornes Mosonik; Francis Opuru. Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation. Am. J. Biol. Environ. Stat. 2019, 5(1), 7-15. doi: 10.11648/j.ajbes.20190501.12

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    AMA Style

    Caren Kurgat, Joshua Kibet, Bornes Mosonik, Francis Opuru. Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation. Am J Biol Environ Stat. 2019;5(1):7-15. doi: 10.11648/j.ajbes.20190501.12

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  • @article{10.11648/j.ajbes.20190501.12,
      author = {Caren Kurgat and Joshua Kibet and Bornes Mosonik and Francis Opuru},
      title = {Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation},
      journal = {American Journal of Biological and Environmental Statistics},
      volume = {5},
      number = {1},
      pages = {7-15},
      doi = {10.11648/j.ajbes.20190501.12},
      url = {https://doi.org/10.11648/j.ajbes.20190501.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbes.20190501.12},
      abstract = {Despite intense campaigns to minimize cigarette smoking owing to the socio-economic risks associated with it, cigarette smoking worldwide has continued to rise. This is a major concern to both public health authorities and medical practioners. This paper examines the Kenyan status on cigarette smoking through measurement of various parameters including mass media campaigns, taxation, level of education, nature of employment, and government legislation. Descriptive research design was employed because of its robust capability to give an in depth analysis of state of affairs as it exists in relation to cigarette smoking patterns in three Kenyan counties (Nakuru, Kisii and Migori). The study involved respondents above 18 years of age and was carried out between March and April 2018. Chi-square statistics was used to assess the association between various variables. It is clear from this study that most cigarette smokers had acquired high school education and above; representing 70% of the respondents. At 95% confidence limit, the p-value = 0.39 and confidence interval, CI = -1.965-4.156. Therefore, cigarette smoking is dependent on the level of education. The odd ratio (OR) of 3.10 indicates a strong association between smoking and the level of education. This study also revealed that majority of the respondents smoked between 6 and 10 cigarettes per day (36%). Besides, 50% of the target population admitted to being aware of the health hazards caused by cigarette smoking despite their continued smoking habits. This survey has demonstrated that most cigarette smokers are not only well educated but are aware of the dangers of cigarette smoking. Moreover, most respondents are addicted to cigarette smoking despite taxes imposed on tobacco products including cigarettes. This characteristic behaviour may be attributed to high unemployment rates in Kenya which this study has established as one of the major reasons for cigarette smoking.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Trends in Cigarette Smoking in Kenya and the Challenges Impeding Cessation
    AU  - Caren Kurgat
    AU  - Joshua Kibet
    AU  - Bornes Mosonik
    AU  - Francis Opuru
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    N1  - https://doi.org/10.11648/j.ajbes.20190501.12
    DO  - 10.11648/j.ajbes.20190501.12
    T2  - American Journal of Biological and Environmental Statistics
    JF  - American Journal of Biological and Environmental Statistics
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ajbes.20190501.12
    AB  - Despite intense campaigns to minimize cigarette smoking owing to the socio-economic risks associated with it, cigarette smoking worldwide has continued to rise. This is a major concern to both public health authorities and medical practioners. This paper examines the Kenyan status on cigarette smoking through measurement of various parameters including mass media campaigns, taxation, level of education, nature of employment, and government legislation. Descriptive research design was employed because of its robust capability to give an in depth analysis of state of affairs as it exists in relation to cigarette smoking patterns in three Kenyan counties (Nakuru, Kisii and Migori). The study involved respondents above 18 years of age and was carried out between March and April 2018. Chi-square statistics was used to assess the association between various variables. It is clear from this study that most cigarette smokers had acquired high school education and above; representing 70% of the respondents. At 95% confidence limit, the p-value = 0.39 and confidence interval, CI = -1.965-4.156. Therefore, cigarette smoking is dependent on the level of education. The odd ratio (OR) of 3.10 indicates a strong association between smoking and the level of education. This study also revealed that majority of the respondents smoked between 6 and 10 cigarettes per day (36%). Besides, 50% of the target population admitted to being aware of the health hazards caused by cigarette smoking despite their continued smoking habits. This survey has demonstrated that most cigarette smokers are not only well educated but are aware of the dangers of cigarette smoking. Moreover, most respondents are addicted to cigarette smoking despite taxes imposed on tobacco products including cigarettes. This characteristic behaviour may be attributed to high unemployment rates in Kenya which this study has established as one of the major reasons for cigarette smoking.
    VL  - 5
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Author Information
  • Department of Chemistry, Egerton University, Njoro, Kenya

  • Department of Chemistry, Egerton University, Njoro, Kenya

  • Department of Chemistry, Egerton University, Njoro, Kenya

  • Department of Chemistry, Egerton University, Njoro, Kenya

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