Introduction: Tobacco and marijuana use is a public health challenge all over the world and especially in Sub Saharan Africa. The combination of low socioeconomic status and substance use can be described as a social and economic disaster for many poor families of Africa. While majority of studies concentrated on cigarette smoking, few studies in Nigeria has been conducted on non-smoke forms of tobacco. The burden of marijuana abuse is also rising in the Nigeria. Similar to cigarette smoking, cannabis use is more common among males. Knowledge of the pattern of tobacco and cannabis use in the community is important considering the public health implications. The aim of this study was to determine the prevalence of tobacco (cigarette smoking and snuff) and cannabis use among adults in an urban communities Enugu, southeast Nigeria. Methods: This was a cross-sectional descriptive study conducted in urban slum settlements in Enugu, the capital of Enugu State, southeast Nigeria. Using a semi structured questionnaire, we collected data selected socio-demographic characteristics, including tobacco use and cannabis use in the last 30 days. The study was conducted between August and December 2013. For database management and statistical analyses, we used the SPSS version 23. Results: The total number of individuals recruited in the study was 1572; 844 (52.8%) females and 728 (45.5%) males with a male to female ratio of 0.9:1. Tobacco was used by a total of 270 (17.2%) individuals within the last 4 weeks and marijuana by 23 (1.5%) of the population. Overall, 280 (17.8%) used either one or both tobacco and marijuana. While snuff was predominately used from 60 years and above, cigarette smoking peaked at 30 - 39 years and marijuana use peaked at a younger age of 20 - 29 years. Cigarette smoking positively correlated with male gender (male 1, female 0) and alcohol use (Yes 1, No 0). P < 0.01 in both cases. Snuff use in addition to positively correlating with gender and alcohol use, it also positively correlated with history of diabetes (Yes 1, No 0). Marijuana use correlated with male gender and use of alcohol. Conclusion: The prevalence of cigarette smoking (5.5%), snuff (11.6%) and marijuana use (1.6%) was found in an urban settlement in Enugu. Predictors of tobacco use were older age, male gender and alcohol use. Public health intervention programs should reemphasize the health-related issues associated with these substances and the need to quit using them.
References
[1]
Magitta, N.F. (2018) Epidemiology of Tobacco Use and Dependence in Sub-Saharan Africa: A Systematic Review. Journal of Pulmonology and Clinical Research, 1, 9-15.
[2]
Brathwaite, R., Addo, J., Smeeth, L. and Lock, K. (2015) A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries: 2007 to 2014. PLoS ONE, 10, e0132401.
[3]
Adamson, T.A., Ogunlesi, A.O., Morakinyo, O., Akinwande, A.O., Onifade, P.O., Erinosho, O., Adewuyi, A.A., Fasiku, D.A., Adebowale, T.O., Ogunwale, A., Somoye, E.B. and Olaniyan, O. (2015) Descriptive National Survey of Substance Use in Nigeria. Journal of Addiction and Research Therapy, 6, 3.
[4]
Okpataku, C.I., Kwanashie, H.O., Ejiofor, J.I. and Olisah, V.O. (2014) Prevalence and Socio-Demographic Risk Factors Associated with Psychoactive Substance Use in Psychiatric Out-Patients of a Tertiary Hospital in Nigeria. Nigerian Medical Journal, 55, 460-464. https://doi.org/10.4103/0300-1652.144695
[5]
Adelekan, M.L., Abiodun, O.A., Obayan, A.O., Oni, G. and Ogunremi, O.O. (1992) Prevalence and pattern of substance use among undergraduates in a Nigerian University. Drug and Alcohol Dependence, 29, 255-261. https://doi.org/10.1016/0376-8716(92)90100-Q
[6]
Amorha, K.C., Jiburu, E.M., Okonta, M.J. and Nduka, S.O. (2012) Cigarette Smoking Prevalence and Awareness amongst Undergraduate Students of the University of Nigeria, Nsukka. Journal of Basic and Clinical Pharmacy, 8, 239-244.
[7]
World Health Organization (2012) Facts on Tobacco Use in the African Region. WHO Document Produced by the Tobacco Control Programme in the WHO Regional Office for Africa WHO Regional Office for Africa, 2012.
[8]
Collaborators GGT (2017) Smoking Prevalence and Attributable Disease Burden in 195 Countries and Territories. 1990-2015: A Systematic Analysis from the Global Burden of Disease Study 2015. The Lancet, 389, 1885-1906.
[9]
WHO (2010) WHO Global Report on Trends in Tobacco Smoking 2000-2025. World Health Organization.
[10]
World Health Organization (2010) WHO Global Report on Trends in Tobacco Smoking 2000-2025.
[11]
World Health Organization (2017) World Health Statistics 2017: Monitoring Health for the SDGs, Sustainable Development Goals.
[12]
Fawibe, A.E and Shittu, A.O. (2011) Prevalence and Characteristics of Cigarette Smokers among Undergraduates of the University of Ilorin, Nigeria. Nigerian Journal of Clinical Practice, 14, 201-205. https://doi.org/10.4103/1119-3077.84016
[13]
Gadalla, Y.M., Abo-Mali, A., Mustafa, B.M. and Abdo, H. (2012) Prevalence of Smoking among School Adolescents in Khartoum State. Sudanese Journal of Paediatrics, 12, 44-48.
[14]
Ebirim, C.I.C., Amadi, A.N., Abanobi, O.C. and Iloh, G.U.P. (2014) The Prevalence of Cigarette Smoking and Knowledge of Its Health Implications among Adolescents in Owerri, South-Eastern Nigeria. Health, 6, 1532-1538. https://doi.org/10.4236/health.2014.612188
[15]
Salawu, F.K., Damburam, A., Desalu, A.A., Olokoba, A.B. and Agbo, J. (2011) Cigarette Smoking Habits among Adolescents in Northeast Nigeria. Nigerian Postgraduate Medical Journal, 18, 26-29.
[16]
Imhonde, H.O. and Aluede, I.O. (2007) Smoking Intensity among Nigerian Secondary Schools Adolescent Smokers. Educational Research Quarterly, 31, 55-71.
[17]
Gana, G.J., Idris, S.H., Sabitu, K., Oche, M.O., Abubakar, A.A. and Nguku, P.M. (2018) Prevalence and Perception of Cigarette Smoking among out of School Adolescents in Birnin Kebbi, North-Western Nigeria. The Pan African Medical Journal, 30, 304. https://doi.org/10.11604/pamj.2018.30.304.16641
[18]
Umukoro, O.L., Taiwo, A., Maroh, I. and Mofoluwake, M. (2016) Prevalence and Pattern of Drug Abuse among students of Tertiary Institution Students in Abeokuta, Ogun State, Nigeria. International Journal of Psychiatry, 1, 3-6.
[19]
Adeyemo, F.O., Ohaeri, B., Okpala, P.U. and Oghale, O. (2016) Prevalence of Drug Abuse Amongst University Students in Benin City, Nigeria. Public Health Research, 6, 31-37.
[20]
Oladele, P.O., Asaolu, T.O., Toriola, A.L., Arogbonlo, S. and Moselakgomo, V.K. (2007) Perception of Nigerian University Students about the Influence of Cigarette Advertisement on Smoking Habit: A Questionnaire Analysis. African Journal for Physical, Health Education, Recreation and Dance, 13, 505-523. https://doi.org/10.4314/ajpherd.v13i2.51527
[21]
Awotedu, A.A., Jordan, E.R., Ndukwana, O.Z.B., Fipaza, N.O., Awotedu, K.O., Martinez, J., Foyaca-Sibat, H. and Mashiyi, M.K. (2006) The Smoking Habits, Attitudes Towards Smoking and Knowledge Regarding Anti-Smoking Legislation of Students in Institutions of Higher Learning in Eastern Cape Province of South Africa. South African Family Practice, 48, 14-14d. https://doi.org/10.1080/20786204.2006.10873456
[22]
Ayankogbe, O.O., Inem, V.A., Bamigbala, O.A. and Roberts, O.A. (2003) Attitudes and Determinants of Cigarette Smoking among Rural Dwellers in Southwest Nigeria. Nigerian Medical Practitioner, 44, 70-74.
[23]
Desalu, O., Olokoba, A., Danburam, A., Salawu, F. and Issa, B. (2007) Epidemiology of Tobacco Smoking Among Adults Population in North-East Nigeria. The Internet Journal of Epidemiology, 6, 1.
[24]
Veeranki, S.P., Mamudu, H.M., John, R.M. and Ouma A. E. O. (2015) Prevalence and Correlates of Tobacco Use Among School-Going Adolescents in Madagascar. Journal of Epidemiology and Global Health, 5, 239-247. https://doi.org/10.1016/j.jegh.2014.12.005
[25]
Papazisis, G., Siafis, S., Tsakiridis, I., Koulas, K., Dagklis, T. and Kouvelas, D. (2018) Prevalence of Cannabis Use among Medical Students: A Systematic Review and Meta-Analysis. Substance Abuse: Research and Treatment, 12, 1-9. https://doi.org/10.1177/1178221818805977
[26]
Shehu, A.U. and Idris, S.H. (2008) Marijuana Smoking among Secondary School Students in Zaria, Nigeria: Factors Responsible and Effects on Academic Performance. Annals of African Medicine, 7, 175-179. https://doi.org/10.4103/1596-3519.55657
[27]
Fatoye, F.O. and Morakinyo, O. (2002) Substance Use Amongst Secondary School Students in Rural and Urban Communities in South Western Nigeria. East African Medical Journal, 79, 299-305. https://doi.org/10.4314/eamj.v79i6.8849
[28]
Yamane, T. (1967) Statistics, an Introductory Analysis. 2nd Edition, Harper and Row, New York.
[29]
Onodugo, O.D., Ezeala-Adikaibe, B.A., Anyim, O.B., Ezeme, M., Ijoma, U.N., Obumneme-Anyim, I.N., Okoli, O.I., Onodugo, P.N., Okoli, P.C. and Ekenze, O.S. (2019) Prevalence and Pattern of Alcohol Use among Adults in an Urban Slum in South East Nigeria. Open Journal of Psychiatry, 9, 179-191. https://doi.org/10.4236/ojpsych.2019.92014
[30]
Noborisaka, Y., Ishizaki, M., Nakata, M., Yamada, Y., Honda, R., Yokoyama, H., Miyao, M. and Tabata, M. (2012) Cigarette Smoking, Proteinuria, and Renal Function in Middle-Aged Japanese Men from an Occupational Population. Environmental Health and Preventive Medicine, 17, 147-156. https://doi.org/10.1007/s12199-011-0234-x
[31]
Cooper, R.G. (2006) Effect of Tobacco Smoking on Renal Function. Indian Journal of Medical Research, 124, 261-268.
[32]
Hsu, C.C., Hwang, S.J., Tai, T.Y., Chen, T., Huang, M.C., Shin, S.J., Wen, C.P., Shih, Y.T., Yang, H.J., Chang, C.T., Chang C.T., Loh, C.H., Fuh, M.T., Li, Y.S. and Chang, H.Y. (2010) Cigarette Smoking and Proteinuria in Taiwanese Men with Type 2 Diabetes Mellitus. Diabetic Medicine, 27, 295-302. https://doi.org/10.1111/j.1464-5491.2010.02947.x
[33]
Chen, W., Wang, H., Dong, D., Liu, Q., Mao, H., Tan, J., Lin, J., Zhou, F., Luo, N., He, H., Johnson, J.R., Zhou, S.-F. and Yu, X. (2009) Prevalence and Risk Factors Associated with Chronic Kidney Disease in an Adult Population from Southern China. Nephrology Dialysis and Transplantation, 24, 1205-1212. https://doi.org/10.1093/ndt/gfn604
[34]
Obot, I.S. (1990) The Use of Tobacco Products among Nigerian Adults: A General Population Survey. Drug Alcohol Depend, 26, 203-208.
[35]
Bamigboye, A.P. and Afolayan, A.M. (2007) Pattern of Marijuana Use among Male University Students: A Case Study. Journal of Medical Sciences, 7, 1068-1072. https://doi.org/10.3923/jms.2007.1068.1072
[36]
Gureje, O., Degenhardt, L., Olley B., Uwakwe, R., Udofia, O., Wakil, A., Adeyemi, O., Bohnert, K.M. and Anthony, J.C. (2007) A Descriptive Epidemiology of Substance Use and Substance Use Disorders in Nigeria during the Early 21st Century. Drug and Alcohol Dependence, 91, 1-9. https://doi.org/10.1016/j.drugalcdep.2007.04.010
[37]
Adelekan, M.L., Ndom, R.J.E., Makanjuola, A.B., Parakoyi, D.B., Osagbemi, G.K., Fagbemi, O. and Petu, A.O. (2000) Trend Analysis of Substance Use among Undergraduates of University of Ilorin, Nigeria, 1988-1998. African Journal of Drug and Alcohol Studies, 1, 39-52
[38]
Lasebikan, V.O. and Ola, A.B. (2016) Prevalence and Correlates of Alcohol Use among a Sample of Nigerian Semirural Community Dwellers in Nigeria. Journal of Addiction, 2016, Article ID: 2831594. https://doi.org/10.1155/2016/2831594
