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Predictors and health outcomes of cigarette and shisha smoking among men in Gaza

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Tobacco smoking, a significant public health concern globally, is associated with a rise in noncommunicable diseases (NCDs) and preventable deaths, with pronounced impacts in conflict zones like Gaza. A cross-sectional study, conducted in 2020, in Gaza focused on individuals over 40 years of age, aiming to identify predictors of tobacco use and its links to diseases like coronary artery disease (CAD), chronic lung disease (CLD), and stroke using regression analysis. The research, based on the Gaza NCD study data with 4576 participants and a 96.6% response rate, found an overall tobacco smoking prevalence of 19.4%, with higher rates among men. After adjusting for various factors, the study identified significant associations between cigarette smoking in men and adverse health outcomes, such as CAD and CLD, with adjusted odds ratios (OR) of 1.67, 95% CI (1.22–2.29) and 1.68, 95% CI (1.21–2.33) respectively. However, after adjusting for independent variables, shisha smoking in men showed no association with these health outcomes. The findings of this study could assist other researchers in designing interventions aimed at reducing smoking prevalence by utilizing the associated factors identified in our analysis, such as age, education level, physical activity, and body mass index among men in Gaza.

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Funding Information: The data supporting the findings of this study are available upon request from the Gaza NCD study dataset, in accordance with data sharing policies established by the UK\u2019s Department for International Development (DFID), the Medical Research Council (MRC), the Economic and Social Research Council (ESRC), and Welcome Trust\u2019s Health Systems Research Initiative (HSRI) (Grant Number: MR/S012877/1). Funding Information: We would like to thank the tremendous efforts of the data collectors and field supervisors in the Gaza Strip who showed courage, resilience, and dedication to conducting this survey in the most challenging circumstances. The original study was funded by the UK\u2019s Department for International Development (DFID), the Medical Research Council (MRC), the Economic and Social Research Council (ESRC) and Welcome Trust\u2019s Health Systems Research Initiative (HSRI) (MR/S012877/1). AI, LH, HD, MK, and IS would like to acknowledge the training received under the Scholars in HeAlth Research Program (SHARP) that was in part supported by the Fogarty International Center and Office of Dietary Supplements of the National Institutes of Health (Award Number D43 TW009118). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The publication of this article was funded by the Weill Cornell Medicine \u2013 Qatar Health Sciences Library. Publisher Copyright: © The Author(s) 2024.

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Cigarette Gaza NCDs Shisha Smoking Tobacco General SDG 3 - Good Health and Well-being

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