Smokeless Tobacco in Uganda: Perceptions among Tobacco Control Stakeholders
The use and sale of smokeless tobacco (SLT) is prohibited in Uganda under the Tobacco Control Act (TCA), 2015. Nonetheless, SLT products remain available, and there are limited and inconsistent data on SLT users. Additionally, the perceptions of tobacco control stakeholders on SLT are unknown, makin...
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Veröffentlicht in: | International journal of environmental research and public health 2022-03, Vol.19 (6), p.3398 |
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creator | Male, Denis Kansabe, Shirley Lukwata, Hafsa Rubanga, Alexander Siddiqi, Kamran Bauld, Linda McNeill, Ann Dobbie, Fiona |
description | The use and sale of smokeless tobacco (SLT) is prohibited in Uganda under the Tobacco Control Act (TCA), 2015. Nonetheless, SLT products remain available, and there are limited and inconsistent data on SLT users. Additionally, the perceptions of tobacco control stakeholders on SLT are unknown, making it difficult to determine barriers to enforcing the ban. This study examined perceptions of tobacco control stakeholders regarding SLT in Uganda. Qualitative semi-structured interviews were conducted with stakeholders who were purposively selected from ministries, semi-autonomous government agencies and Civil Society Organizations. Interviews explored knowledge, attitudes, perceptions of SLT appeal, and user demographics. Data were analysed using Nvivo V.12 software. Participants demonstrated a general lack of awareness of SLT product types and the extent of their use. They believed SLT use was increasing among females and minors and was as harmful to health and the economy as smoking. SLT products were thought to be cheaper than cigarettes and to appeal to minors. Discreet use was thought to help users overcome the cultural aversion towards tobacco use among women and youth in Uganda. There is an urgent need to strengthen the implementation of the SLT ban whilst also increasing efforts to reduce tobacco smoking. |
doi_str_mv | 10.3390/ijerph19063398 |
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Nonetheless, SLT products remain available, and there are limited and inconsistent data on SLT users. Additionally, the perceptions of tobacco control stakeholders on SLT are unknown, making it difficult to determine barriers to enforcing the ban. This study examined perceptions of tobacco control stakeholders regarding SLT in Uganda. Qualitative semi-structured interviews were conducted with stakeholders who were purposively selected from ministries, semi-autonomous government agencies and Civil Society Organizations. Interviews explored knowledge, attitudes, perceptions of SLT appeal, and user demographics. Data were analysed using Nvivo V.12 software. Participants demonstrated a general lack of awareness of SLT product types and the extent of their use. They believed SLT use was increasing among females and minors and was as harmful to health and the economy as smoking. SLT products were thought to be cheaper than cigarettes and to appeal to minors. Discreet use was thought to help users overcome the cultural aversion towards tobacco use among women and youth in Uganda. There is an urgent need to strengthen the implementation of the SLT ban whilst also increasing efforts to reduce tobacco smoking.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19063398</identifier><identifier>PMID: 35329084</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Aversion ; Bans ; Cigarettes ; Civil society ; Demographics ; Demography ; Female ; Government agencies ; Humans ; Interviews ; Male ; Perceptions ; Public health ; Smoking ; Stakeholders ; Tobacco ; Tobacco smoking ; Tobacco Use - epidemiology ; Tobacco, Smokeless ; Uganda - epidemiology</subject><ispartof>International journal of environmental research and public health, 2022-03, Vol.19 (6), p.3398</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c373t-1d95c4017d3eed4b1f0b8bacee448c317ffb146080047ff97d17090bc855f4de3</cites><orcidid>0000-0003-1620-609X ; 0000-0002-8294-8203 ; 0000-0002-6223-4000</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950400/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950400/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35329084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Male, Denis</creatorcontrib><creatorcontrib>Kansabe, Shirley</creatorcontrib><creatorcontrib>Lukwata, Hafsa</creatorcontrib><creatorcontrib>Rubanga, Alexander</creatorcontrib><creatorcontrib>Siddiqi, Kamran</creatorcontrib><creatorcontrib>Bauld, Linda</creatorcontrib><creatorcontrib>McNeill, Ann</creatorcontrib><creatorcontrib>Dobbie, Fiona</creatorcontrib><title>Smokeless Tobacco in Uganda: Perceptions among Tobacco Control Stakeholders</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The use and sale of smokeless tobacco (SLT) is prohibited in Uganda under the Tobacco Control Act (TCA), 2015. 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Discreet use was thought to help users overcome the cultural aversion towards tobacco use among women and youth in Uganda. 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Nonetheless, SLT products remain available, and there are limited and inconsistent data on SLT users. Additionally, the perceptions of tobacco control stakeholders on SLT are unknown, making it difficult to determine barriers to enforcing the ban. This study examined perceptions of tobacco control stakeholders regarding SLT in Uganda. Qualitative semi-structured interviews were conducted with stakeholders who were purposively selected from ministries, semi-autonomous government agencies and Civil Society Organizations. Interviews explored knowledge, attitudes, perceptions of SLT appeal, and user demographics. Data were analysed using Nvivo V.12 software. Participants demonstrated a general lack of awareness of SLT product types and the extent of their use. They believed SLT use was increasing among females and minors and was as harmful to health and the economy as smoking. SLT products were thought to be cheaper than cigarettes and to appeal to minors. 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subjects | Adolescent Aversion Bans Cigarettes Civil society Demographics Demography Female Government agencies Humans Interviews Male Perceptions Public health Smoking Stakeholders Tobacco Tobacco smoking Tobacco Use - epidemiology Tobacco, Smokeless Uganda - epidemiology |
title | Smokeless Tobacco in Uganda: Perceptions among Tobacco Control Stakeholders |
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