BMC Public Health
Volume 11, 2011

Changing patterns of tobacco consumption in Mozambique: Evidence from a migrant study (Article) (Open Access)

Lunet N.* , Arajo C. , Silva-Matos C. , Damasceno A. , Gouveia L. , Azevedo A.
  • a Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal, Institute of Public Health, University of Porto (ISPUP), Porto, Portugal
  • b Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal, Institute of Public Health, University of Porto (ISPUP), Porto, Portugal, Department of Cardiology, Centro Hospitalar de Entre O Douro e Vouga, Hospital de São Sebastião, Santa Maria da Feira, Portugal
  • c Department of Non-Communicable Diseases, Mozambique Ministry of Health, Maputo, Mozambique
  • d Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique
  • e Department of Mental Health, Mozambique Ministry of Health, Maputo, Mozambique
  • f Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal, Institute of Public Health, University of Porto (ISPUP), Porto, Portugal

Abstract

Background: Maputo, the Mozambique capital, contrasts with the rest of the country with regard to its sociodemographic characteristics and patterns of tobacco exposure. We conducted a migrant study to compare the prevalence of manufactured-cigarette smoking and traditional forms of tobacco use among dwellers in the capital who were also born in Maputo City (MC/MC) with those born in southern (SP/MC) and northern (NP/MC) provinces, and additionally with inhabitants in the latter regions. Methods. In 2003, a representative sample of 12,902 Mozambicans aged 25-64 years was evaluated. We computed age- and education-adjusted prevalence ratios (PR) with 95%-confidence intervals (95%CI) using Poisson regression. Results: The prevalence of any type of tobacco consumption among Maputo City inhabitants born in other provinces contrasted with the pattern observed in locally born inhabitants (SP/MC vs. MC/MC: men, PR, 0.61; 95%CI, 0.44-0.85; women, PR, 0.38, 95%CI, 0.18-0.79; NP/MC vs. MC/MC: men, PR, 0.66; 95%CI, 0.34-1.29; women, PR, 4.56, 95%CI, 1.78-11.69); the prevalence among city inhabitants born in other provinces resembled the pattern seen in inhabitants of their provinces of origin. Traditional forms of tobacco consumption among men were rare in Maputo City, which is in stark contrast to the situation in other provinces. Conclusions: Cultural background, affordability, and availability of different types of tobacco in urban Mozambique need to be considered when developing strategies to control the tobacco epidemic. © 2011 Lunet et al; licensee BioMed Central Ltd.

Author Keywords

Mozambique Migrants Survey tobacco

Index Keywords

Interviews as Topic male Confidence Intervals female Mozambique Humans Poisson distribution Transients and Migrants Article middle aged interview Confidence interval human adult migration smoking
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955885069&doi=10.1186%2f1471-2458-11-322&partnerID=40&md5=4b1e76c8f2fd961415bd09b80d380093
DOI: 10.1186/1471-2458-11-322
ISSN: 14712458
Cited by: 5
Original Language: English