A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change

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dc.contributor.authorReddy, Priscilla
dc.contributor.authorJames, Shamagonam
dc.contributor.authorSewpaul, Ronel
dc.contributor.authorYach, Derek
dc.contributor.authorResnicow, Ken
dc.contributor.authorSifunda, Sibusiso
dc.contributor.authorMthembu, Zanele
dc.contributor.authorMbewu, Anthony
dc.date.accessioned2021-10-08T07:18:01Z
dc.date.available2021-10-08T07:18:01Z
dc.date.issued2013
dc.description.abstractBACKGROUND: The South African (SA) government has implemented comprehensive tobacco control measures in line with the requirements of the Framework Convention on Tobacco Control. The effect of these measures on smoking prevalence and smoking-related attitudes, particularly among young people, is largely unknown. OBJECTIVE: To describe the impact of a comprehensive health promotion approach to tobacco control amongst SA school learners. METHODS: Four successive cross-sectional Global Youth Tobacco Surveys (GYTSs) were conducted in 1999, 2002, 2008 and 2011 among nationally representative samples of SA grades 8 - 10 school learners. We assessed the prevalence of current smoking (having smoked a cigarette on ≥1 day in the 30 days preceding the survey) and smoking-related attitudes and behaviours. RESULTS: Over the 12-year survey period current smoking among learners declined from 23.0% (1999) to 16.9% (2011) - a 26.5% reduction. Reductions in smoking prevalence were less pronounced amongst girls and amongst black learners. We observed an increase in smoking prevalence amongst learners between 2008 and 2011. Smoking-related attitudes and behaviours showed favourable changes over the survey period. CONCLUSION: These surveys demonstrate that the comprehensive and inter-sectorial tobacco control health promotion strategies implemented in SA have led to a gradual reduction in cigarette use amongst school learners. Of concern, however, are the smaller reductions in smoking prevalence amongst girls and black learners and an increase in smoking prevalence from 2008 to 2011. Additional efforts, especially for girls, are needed to ensure continued reduction in smoking prevalence amongst SA youth.
dc.identifier.apacitationReddy, P., James, S., Sewpaul, R., Yach, D., Resnicow, K., Sifunda, S., ... Mbewu, A. (2013). A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change. <i>South African Medical Journal</i>, 103(11), 835 - 177. http://hdl.handle.net/11427/34886en_ZA
dc.identifier.chicagocitationReddy, Priscilla, Shamagonam James, Ronel Sewpaul, Derek Yach, Ken Resnicow, Sibusiso Sifunda, Zanele Mthembu, and Anthony Mbewu "A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change." <i>South African Medical Journal</i> 103, 11. (2013): 835 - 177. http://hdl.handle.net/11427/34886en_ZA
dc.identifier.citationReddy, P., James, S., Sewpaul, R., Yach, D., Resnicow, K., Sifunda, S., Mthembu, Z. & Mbewu, A. et al. 2013. A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change. <i>South African Medical Journal.</i> 103(11):835 - 177. http://hdl.handle.net/11427/34886en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Reddy, Priscilla AU - James, Shamagonam AU - Sewpaul, Ronel AU - Yach, Derek AU - Resnicow, Ken AU - Sifunda, Sibusiso AU - Mthembu, Zanele AU - Mbewu, Anthony AB - BACKGROUND: The South African (SA) government has implemented comprehensive tobacco control measures in line with the requirements of the Framework Convention on Tobacco Control. The effect of these measures on smoking prevalence and smoking-related attitudes, particularly among young people, is largely unknown. OBJECTIVE: To describe the impact of a comprehensive health promotion approach to tobacco control amongst SA school learners. METHODS: Four successive cross-sectional Global Youth Tobacco Surveys (GYTSs) were conducted in 1999, 2002, 2008 and 2011 among nationally representative samples of SA grades 8 - 10 school learners. We assessed the prevalence of current smoking (having smoked a cigarette on ≥1 day in the 30 days preceding the survey) and smoking-related attitudes and behaviours. RESULTS: Over the 12-year survey period current smoking among learners declined from 23.0% (1999) to 16.9% (2011) - a 26.5% reduction. Reductions in smoking prevalence were less pronounced amongst girls and amongst black learners. We observed an increase in smoking prevalence amongst learners between 2008 and 2011. Smoking-related attitudes and behaviours showed favourable changes over the survey period. CONCLUSION: These surveys demonstrate that the comprehensive and inter-sectorial tobacco control health promotion strategies implemented in SA have led to a gradual reduction in cigarette use amongst school learners. Of concern, however, are the smaller reductions in smoking prevalence amongst girls and black learners and an increase in smoking prevalence from 2008 to 2011. Additional efforts, especially for girls, are needed to ensure continued reduction in smoking prevalence amongst SA youth. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 11 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2013 SM - 0038-2469 T1 - A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change TI - A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change UR - http://hdl.handle.net/11427/34886 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34886
dc.identifier.vancouvercitationReddy P, James S, Sewpaul R, Yach D, Resnicow K, Sifunda S, et al. A decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change. South African Medical Journal. 2013;103(11):835 - 177. http://hdl.handle.net/11427/34886.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue11
dc.source.journalvolume103
dc.source.pagination835 - 177
dc.source.urihttps://dx.doi.org/10.7196/samj.6910
dc.subject.otherAdolescent
dc.subject.otherChild
dc.subject.otherCross-Sectional Studies
dc.subject.otherFemale
dc.subject.otherHealth Behavior
dc.subject.otherHealth Policy
dc.subject.otherHealth Promotion
dc.subject.otherHumans
dc.subject.otherMale
dc.subject.otherPolitics
dc.subject.otherPrevalence
dc.subject.otherSmoking
dc.subject.otherSmoking Cessation
dc.subject.otherSmoking Prevention
dc.subject.otherSouth Africa
dc.subject.otherSurveys and Questionnaires
dc.titleA decade of tobacco control: The South African case of politics, health policy, health promotion and behaviour change
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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