Preventive medicine reports · 2025
Prevalence of tobacco use among adolescent Palestine refugees: A cross-regional study in United Nations relief works agency schools in Gaza, Jordan, Lebanon, Syria and the West Bank.
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Vollebregt Sandrine Jacoba Cornelia, Arafeh Amal, Fouad Heba
Аннотация
OBJECTIVES: This study aims to assess the prevalence of the current use of tobacco and e-cigarettes; to identify temporal trends, and to assess factors influencing tobacco use among adolescent Palestine refugees.
METHODS: The Global Youth Tobacco Survey (GYTS) was conducted in United Nations Relief Works Agency (UNRWA) schools in Gaza, Jordan, Lebanon, Syria and the West Bank (including East Jerusalem) in 2022. Prevalences were presented as rates with 95 % confidence intervals, stratified by location and sex. A time series analysis of 2008-2022 was performed.
RESULTS: Among 13-15-year-old Palestine refugees (n = 9193), 24.7 % (95 % CI [21.0-27.7]) of boys and 16.4 % (95 % CI [14.4-18.7]) of girls currently use tobacco products (including cigarettes, smoked tobacco products such as waterpipe, and smokeless tobacco). E-cigarettes are used by 18.1 % (95 % CI [15.4-21.2]) of boys and 9.3 % (95 % CI [7.5-11.5]) of girls. Tobacco and e-cigarette use is highest in the West Bank and lowest in Gaza. The prevalence of tobacco use has remained largely unchanged since 2013-2014. E-cigarette use among girls increased in Lebanon, Jordan, and the West Bank, but decreased in Gaza. Additionally, 39.7 % (95 % CI [36.4-43.1]) of adolescents are exposed to secondhand smoke in enclosed public spaces.
CONCLUSION: The decline in tobacco use has stagnated over the past decade, and e-cigarette use among girls is on the rise, except in Gaza. Immediate and stringent enforcement of national and school policies, along with continued targeted gender-sensitive programs, are essential to curb the rising trend of e-cigarette use and maintain progress in reducing tobacco consumption.
METHODS: The Global Youth Tobacco Survey (GYTS) was conducted in United Nations Relief Works Agency (UNRWA) schools in Gaza, Jordan, Lebanon, Syria and the West Bank (including East Jerusalem) in 2022. Prevalences were presented as rates with 95 % confidence intervals, stratified by location and sex. A time series analysis of 2008-2022 was performed.
RESULTS: Among 13-15-year-old Palestine refugees (n = 9193), 24.7 % (95 % CI [21.0-27.7]) of boys and 16.4 % (95 % CI [14.4-18.7]) of girls currently use tobacco products (including cigarettes, smoked tobacco products such as waterpipe, and smokeless tobacco). E-cigarettes are used by 18.1 % (95 % CI [15.4-21.2]) of boys and 9.3 % (95 % CI [7.5-11.5]) of girls. Tobacco and e-cigarette use is highest in the West Bank and lowest in Gaza. The prevalence of tobacco use has remained largely unchanged since 2013-2014. E-cigarette use among girls increased in Lebanon, Jordan, and the West Bank, but decreased in Gaza. Additionally, 39.7 % (95 % CI [36.4-43.1]) of adolescents are exposed to secondhand smoke in enclosed public spaces.
CONCLUSION: The decline in tobacco use has stagnated over the past decade, and e-cigarette use among girls is on the rise, except in Gaza. Immediate and stringent enforcement of national and school policies, along with continued targeted gender-sensitive programs, are essential to curb the rising trend of e-cigarette use and maintain progress in reducing tobacco consumption.