Abstract
Over six million people die annually from tobacco use, with this total expected to exceed eight million by 2030. Most of these deaths are accounted for by men in less developed countries. However, factors associated with this harmful behaviour have received minimal scholarly attention in sub-Saharan Africa. Using four countries in sub-Saharan Africa with a varied prevalence of tobacco use, this study examines the role of family characteristics in predicting tobacco use by men in union. Data were obtained from Demographic and Health Surveys (DHS) in Nigeria, Ethiopia, Gabon and Namibia. Descriptive results show that the highest prevalence of tobacco use was in Namibia, where close to 29% of the respondents used tobacco, whereas the least prevalence was in Nigeria (10.4%). There was a trend of declining prevalence of tobacco use among men in union in all the countries except in Gabon where there was no data to examine the trend. Controlling the effect of potential confounding variables in a logit model, family characteristics such as type of union, co-residence with wife, number of unions, duration of union, marital status and household wealth index were significantly associated with tobacco use. The findings are useful for gender-specific campaigns and family-focused programmes to reduce tobacco use among men in the region.
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References
Aina, O. I. (1998). Women, culture and society. In A. Sesay & A. Odebiyi (Eds.), Nigerian women in society and development (pp. 3–32). Ibadan: Dokun Publishing House.
Akorede, Y. O. (2010). Who picks the bill? Women and finance in the family: A literary perspective. International Journal of Gender and Child Education in Africa, 2(2), 1–18.
Amato, P. R. (2000). The consequences of divorce for adults and children. Journal of Marriage and the Family, 62(4), 1269–1287.
Baris, E., Brigden, L. W., Prindiville, J., de Silva, V. L. D. C., Chitanondh, H., & Chandiwana, S. (2000). Research priorities for tobacco control in developing countries: A regional approach to a global consultative process. Tobacco Control, 9(2), 217–223.
Blakely, T., Hales, S., Kieft, C., Wilson, N., & Woodward, A. (2005). The global distribution of risk factors by poverty level. Bulletin of the World Health Organization, 83(2), 118–126.
Borland, R., Yong, H. H., Cummings, K. M., Hyland, A., Anderson, S., & Fong, G. T. (2006). Determinants and consequences of smoke-free homes: Findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15(Suppl 3), iii42–iii50.
Bove, R. M., Vala-Haynes, E., & Valeggia, C. (2014). Polygyny and women’s health in rural Mali. Journal of Biosocial Science, 46(01), 66–89.
Bove, R., & Valeggia, C. (2009). Polygyny and women’s health in sub-Saharan Africa. Social Science and Medicine, 68(1), 21–29.
Brathwaite, R., Addo, J., Smeeth, L., & 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(7), e0132401.
Chant, S., & Pedwell, C. (2008). Women, gender and the informal economy: An assessment of ILO research and suggested ways forward. Geneva: Discussion paper.
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine (1982), 50(10), 1385–1401.
Desai, S. (1992). Children at risk: The role of family structure in Latin America and West Africa. Population and Development Review, 18(4), 689–717.
DiFranza, J. R., Masaquel, A., Barrett, A. M., Colosia, A. D., & Mahadevia, P. J. (2012). Systematic literature review assessing tobacco smoke exposure as a risk factor for serious respiratory syncytial virus disease among infants and young children. BMC Pediatrics, 12(1), 1.
Eriksen, M., Mackay, J., Schluger, N., Gomeshtapeh, F. I., & Drope, J. (2015). The tobacco atlas (5th ed.). GO: Atlanta.
Giddens, A. (1992). The transformation of intimacy: Sexuality, love and intimacy in modern societies. Cambridge: Polity.
Harrison, J. (1978). Warning: The male sex role may be dangerous to your health. Journal of Social Issues, 34(1), 65–86.
Hirayama, T. (2000). Non-smoking wives of heavy smokes have a higher risk of lung cancer: A study from Japan. Bulletin of the World Health Organization, 78(7), 940–942.
ICF. (2003–2013). Demographic and health surveys [Datasets for Ethiopia, Gabon, Namibia, and Nigeria]. Funded by USAID. Accessed October 8, 2016. ICF International (Distributor). https://dhsprogram.com/.
Isiugo-Abanihe, U. C. (1994). Extramarital relations and perceptions of HIV/AIDS in Nigeria. Health Transition Review, 4, 111–125.
Izugbara, C. O., & Ezeh, A. C. (2010). Women and high fertility in Islamic northern Nigeria. Studies in Family Planning, 41(3), 193–204.
Karanja, W. W. (1987). ‘Outside wives’ and ‘inside wives’ in Nigeria: A study of changing perceptions in marriage. In D. Parkin & D. Nyamwaya (Eds.), Transformations of African marriage (pp. 247–261). Manchester: Manchester University Press.
Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472.
Kwena, Z. A., Shisanya, C. A., Bukusi, E. A., Turan, J. M., Dworkin, S. L., Rota, G. A., et al. (2017). Jaboya (“Sex for Fish”): A qualitative analysis of contextual risk factors for extramarital partnerships in the fishing communities in Western Kenya. Archives of Sexual Behavior, 46(7), 1877–1890. https://doi.org/10.1007/s10508-016-0930-0.
Lee, K., & Eckhardt, J. (2017). Looming threat of Asian tobacco companies to global health. The Lancet, 389(10083), 1958–1960.
Mannan, H., Curtis, A. J., Forbes, A., Maglianno, D. J., Lowthian, J. A., Gambhir, M., et al. (2016). Improvements in life expectancy among Australians due to reductions in smoking: Results from a risk percentiles approach. BMC Public Health, 16(1), 1.
Matthews, S., Manor, O., & Power, C. (1999). Social inequalities in health: Are there gender differences? Social Science & Medicine (1982), 48(1), 49–60.
McDonough, P., & Walters, V. (2001). Gender and health: Reassessing patterns and explanations. Social Science & Medicine (1982), 52(4), 547–559.
Musick, K., & Bumpass, L. (2012). Re-examining the case for marriage: Union formation and changes in well-being. Journal of Marriage and Family, 74(1), 1–18. https://doi.org/10.1111/j.1741-3737.2011.00873.x.
Odimegwu, C., & Okemgbo, C. N. (2008). Men’s perceptions of masculinities and sexual health risks in Igboland, Nigeria. International Journal of Men’s Health, 7(1), 21–39.
Pampel, F. (2008). Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveys. Social Science and Medicine, 66(8), 1772–1783.
Population Reference Bureau. (2016). 2016 world population data sheet with a special focus on human needs and sustainable resources. Washington, DC: Population Reference Bureau.
Pudrovska, T., Schieman, S., & Carr, D. (2006). Strains of singlehood in later life: Do race and gender matter? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(6), S315–S322.
Ross, C. E., Mirowsky, J., & Goldsteen, K. (1990). The impact of the family on health: The decade in review. Journal of Marriage and the Family, 52(4), 1059–1078.
Schmeer, K. K., & Kroeger, R. A. (2011). Union type and depressive symptoms among Mexican adults. Journal of Family Issues, 32(12), 1597–1621. https://doi.org/10.1177/0192513x11409310.
Smith, D. J. (2007). Modern marriage, men’s extramarital sex, and HIV risk in southeastern Nigeria. American Journal of Public Health, 97(6), 997.
Subramanian, S. V., Nandy, S., Kelly, M., Gordon, D., & Smith, G. D. (2004). Patterns and distribution of tobacco consumption in India: Cross sectional multilevel evidence from the 1998-9 national family health survey. BMJ, 328(7443), 801–806.
Townsend, L., Flisher, A. J., Gilreath, T., & King, G. (2006). A systematic literature review of tobacco use among adults 15 years and older in sub-Saharan Africa. Drug and Alcohol Dependence, 84(1), 14–27.
UNDP. (2015). Human development report 2015. New York: United Nations Development Programme (UNDP).
Van de Walle, D. P. (2011). Lasting welfare effects of widowhood in a poor country. World Bank Policy Research Working Paper Series (5734).
Verbrugge, L. M. (1985). Gender and health: An update on hypotheses and evidence. Journal of Health and Social Behavior, 26(3), 156–182.
Waite, L. J. (1995). Does marriage matter? Demography, 32(4), 483–507.
WHO. (2011). Gender, health, tobacco and equity. Geneva: World Health Organization.
WHO. (2013). WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. Geneva: World Health Organization.
WHO. (2015a). WHO global report on trends in prevalence of tobacco smoking 2015. Geneva.
WHO. (2015b). WHO report on the global tobacco epidemic, 2015—Country profile. Geneva.
WHO. (2016). World health statistics 2016: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization.
WHO. (2017). Fact sheet on tobacco. http://www.who.int/mediacentre/factsheets/fs339/en/. Accessed August 10, 2018.
WHO, & UNCTAD. (2015). Status of tobacco production and trade in Africa—Factsheets. Geneva.
Williams, D. R. (2003). The health of men: Structured inequalities and opportunities. American Journal of Public Health, 93(5), 724–731.
World Bank. (2014). World development indicators 2014. World Bank.
World Bank. (2017). Countries and economies. http://data.worldbank.org/country. Accessed August 10, 2018.
Young, K. (2006). Widows without rights: Challenging marginalisation and dispossession. Gender & Development, 14(2), 199–209.
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The authors acknowledge the support of the DST-NRF Centre of Excellence in Human Development, South Africa. Opinions expressed and conclusions arrived at are those of the authors and are not to be attributed to the Centre of Excellence in Human Development.
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Ntoimo, L.F.C., Odimegwu, C.O., Alex-Ojei, C.A. (2019). Tobacco Use Among Men in Sub-Saharan Africa: Does Family Structure Matter?. In: Anson, J., Bartl, W., Kulczycki, A. (eds) Studies in the Sociology of Population. Springer, Cham. https://doi.org/10.1007/978-3-319-94869-0_14
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DOI: https://doi.org/10.1007/978-3-319-94869-0_14
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