Spending on Tobacco and Heaviness of Smoking Index among Ugandans

Abstract

The study investigated how education and employment are related to spending on tobacco and the heaviness of the smoking index among adult Ugandans in rural and urban areas. Secondary data analysis was from the Global Tobacco Adult Survey for Uganda in 2013 (n= 8503 respondents). Global Adult Tobacco Surveys are nationally representative data samples of 112 districts in Uganda. Associations and multivariate analyses were performed [P <0.005]. Overall, there is no difference in spending on tobacco by gender and residence. Some 34.3% (95% CI: 17.2-56.7) of adult smokers in Uganda spend >1000/= on manufactured cigarettes. Adult smokers in Uganda are moderate/highly addicted to tobacco at 41% (CI 34.3-42.7). These tobacco addicts are unemployed and educated beyond the Ordinary level of education. Smokers who notice adverts and promotions in tobacco stores are more likely to get addicted (AOR= 2.800 95% CI: 1.117-7.016) and spend ≥1000/= per day (AOR=2.278 95% CI: 1.150- 4.513, P <0.000). Noticing adverts and promotions on tobacco is a precursor to spending and accelerates the Heaviness of Smoking Index. The study recommends the adoption of tobacco cessation services in primary health care clinics to encourage adult smokers to quit tobacco use. The ban on tobacco advertisement promotions and sponsorship (TAPS) must continue as per the current Tobacco Control Act 2015 in Uganda.