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Epidemiology and Prevalence of Tobacco Use in Tehran; a Report From the Recruitment Phase of Tehran Cohort Study Publisher Pubmed



Shafiee A1 ; Oraii A1 ; Jalali A1 ; Alaeddini F1 ; Saadat S2 ; Masoudkabir F1, 3 ; Tajdini M1 ; Ashraf H3 ; Omidi N1 ; Heidari A3, 4 ; Shamloo AS5 ; Sadeghian S1 ; Boroumand M1 ; Vasheghanifarahani A3 Show All Authors
Authors
  1. Shafiee A1
  2. Oraii A1
  3. Jalali A1
  4. Alaeddini F1
  5. Saadat S2
  6. Masoudkabir F1, 3
  7. Tajdini M1
  8. Ashraf H3
  9. Omidi N1
  10. Heidari A3, 4
  11. Shamloo AS5
  12. Sadeghian S1
  13. Boroumand M1
  14. Vasheghanifarahani A3
  15. Karimi A1
  16. Franco OH6
Show Affiliations
Authors Affiliations
  1. 1. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Emergency Medicine, University of California, Irvine, CA, United States
  3. 3. Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  5. 5. Department of Electrophysiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany
  6. 6. Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland

Source: BMC Public Health Published:2023


Abstract

Introduction: Tobacco use is a major health concern worldwide, especially in low/middle-income countries. We aimed to assess the prevalence of cigarette smoking, waterpipe, and pipe use in Tehran, Iran. Methods: We used data from 8272 participants of the Tehran Cohort Study recruitment phase. Tobacco use was defined as a positive answer to using cigarettes, waterpipes, or pipes. Participants who did not report tobacco use during the interview but had a previous smoking history were categorized as former users. Age- and sex-weighted prevalence rates were calculated based on the national census data, and characteristics of current and former tobacco users were analyzed. Results: Age- and sex-weighted prevalence of current tobacco users, cigarette smokers, waterpipe, and pipe users in Tehran was 19.8%, 14.9%, 6.1%, and 0.5%, respectively. Current tobacco use was higher in younger individuals (35–45 years: 23.4% vs. ≥ 75 years: 10.4%, P < 0.001) and men compared to women (32.9% vs. 7.7% P < 0.001). The prevalence of tobacco use increased with more years of education (> 12 years: 19.3% vs. illiterate: 9.7%, P < 0.001), lower body mass index (< 20 kg/m2: 31.3% vs. ≥ 35 kg/m2: 13.8%, P < 0.001), higher physical activity (high: 23.0% vs. low: 16.4%, P < 0.001), opium (user: 66.6% vs. non-user: 16.5%, P < 0.001), and alcohol use (drinker: 57.5% vs. non-drinker: 15.4%, P < 0.001). Waterpipe users were younger (46.1 vs. 53.2 years) and had a narrower gender gap in prevalence than cigarette smokers (male/female ratio in waterpipe users: 2.39 vs. cigarette smokers: 5.47). Opium (OR = 5.557, P < 0.001) and alcohol consumption (OR = 4.737, P < 0.001) were strongly associated with tobacco use. Hypertension was negatively associated with tobacco use (OR = 0.774, P = 0.005). Conclusion: The concerning prevalence of tobacco use in Tehran and its large gender gap for cigarette and waterpipe use warrant tailored preventive policies. © 2023, The Author(s).
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