PURPOSE: To study the prevalence and tobacco consumption patterns among UAE nationals.
METHODS: We studied 170,409 UAE nationals aged ≥ 18 years (44% women and 56% men) in the Weqaya population-based screening program in Abu Dhabi residents during the period April 2008 - June 2010. Demographics, self reported smoking, past history of cardiovascular events, HbA1C level, lipid profile, blood pressure, body mass index (BMI) and waist hip ratio was recorded. Logistic and multinomial regression models were performed to determine factors associated with smoking.
RESULTS: The prevalence of smoking was 24.2% in men and 0.78% in women and highest in males aged 20-29 (27.4%) and 30-39 (28.2%). Mean age (SD) of smokers was 32.8 (11.1) years, 32.7 (11.1) in men and 35.7 (12.1) in women. The mean age of onset of smoking was 22.2 (7.8) years overall, 22.4 (8.3) in cigarette smokers, 20.9 (6.7) in midwakh (a form of traditional pipe) smokers, 23.9 (8.1) in shisha smokers and 23.5 (8.4) in cigar smokers. Cigarette smoking was the commonest form of tobacco use (78% of smokers), followed by midwakh (13%), Shisha (5%), Cigar (0.5%) and use of multiple tobacco types (3.5%). The mean durations of smoking for cigarettes, shisha, midwakh and cigars were 11, 8, 9 and 11 years, respectively. Smoking in men is associated with the following variables after controlling for age and gender (odds ratio, 95% confidence interval): obesity (0.8, 0.7- 0.97), central obesity (1.57, 1.34 - 1.84), pre-diabetes (0.84, 0.70 - 1.00), hypertension (1.24, 1.00 - 1.54), dyslipidemia (OR= 1.56, 1.34 - 1.82) and family history of cardiovascular disease (OR=1.46, 1.12 - 1.89) but not overweight, diabetes, past history of heart disease or past history of stroke.
CONCLUSIONS: Smoking is most predominant among young UAE national men
CLINICAL IMPLICATIONS: The relatively young age of onset of smoking midwakh is of particular concern and comprehensive tobacco control laws targeting the young population are needed.
DISCLOSURE: The following authors have nothing to disclose: Mohammed Al-Houqani, Cother Hajat
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