A decade of tobacco control: the South African case of politics, health policy, health promotion and behaviour change
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): P.Reddy, S.James, R.Sewpaul, D.Yach, K.Resnicow, S.Sifunda, Z.Mthembu, A.Mbewu
KEYWORDS: HEALTH, POLICY FORMULATION, RISK BEHAVIOUR, TOBACCO INDUSTRY, TOBACCO USE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7938
HANDLE: 20.500.11910/2775
URI: http://hdl.handle.net/20.500.11910/2775
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The South African (SA) government has implemented comprehensive tobacco control measures in line with the requirements of the Framework Convention on Tobacco Control. The effect of these measures on smoking prevalence and smoking-related attitudes, particularly among young people, is largely unknown. The objective was to describe the impact of a comprehensive health promotion approach to tobacco control amongst SA school learners. Four successive cross-sectional Global Youth Tobacco Surveys (GYTSs) were conducted in 1999, 2002, 2008 and 2011 among nationally representative samples of SA grades 8 - 10 school learners. We assessed the prevalence of current smoking (having smoked a cigarette on ? 1 day in the 30 days preceding the survey) and smoking-related attitudes and behaviours. Over the 12-year survey period current smoking among learners declined from 23.0% (1999) to 16.9% (2011) a 26.5% reduction. Reductions in smoking prevalence were less pronounced amongst girls and amongst black learners. We observed an increase in smoking prevalence amongst learners between 2008 and 2011. Smoking-related attitudes and behaviours showed favourable changes over the survey period. These surveys demonstrate that the comprehensive and inter-sectorial tobacco control health promotion strategies implemented in SA have led to a gradual reduction in cigarette use amongst school learners. Of concern, however, are the smaller reductions in smoking prevalence amongst girls and black learners and an increase in smoking prevalence from 2008 to 2011. Additional efforts, especially for girls, are needed to ensure continued reduction in smoking prevalence amongst SA youth.-
Related Research Outputs:
- Tobacco control and health
- Newspaper coverage of South African tobacco issues, 1997-2001
- Studies of tobacco smoking and control
- Preventing a tobacco epidemic in Africa: a call for effective action to support health, social, and economic development
- Prevalence of tobacco use among adults in South Africa: results from the first South African national health and nutrition examination survey
- WHO report on the global tobacco epidemic, 2015
- Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial
- Risks deter but pleasure allure: is pleasure more important?
- Trends in HIV testing and associated factors among men in South Africa: evidence from 2005, 2008 and 2012 national population-based household surveys
- Preventive health behavior, personality and religiosity among black and white South Africans
- Young adults, the target of below-the-line advertising
- Tobacco control legislation in SA: findings from the Bt20 study
- Tobacco use trends among adolescents and adults in South Africa
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Medical circumcision and manhood initiation rituals in the Eastern Cape, South Africa: a post intervention evaluation
- Preliminary findings from a longitudinal cohort of individuals aged 50+: health risk behaviour and NCD prevalence
- Chronic diseases risk factors and access to health exams among women in South Africa
- Dual protection, contraceptive use, HIV status and risk among a national sample of South African women
- South African national HIV prevalence, incidence, behaviour and communication survey, 2008: the health of our children
- Health behaviour interventions in developing countries