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Urban-rural and gender differences in tobacco and alcohol use, diet and physical activity among young black South Africans between 1998 and 2003

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dc.date.accessioned 2013-10-01 en
dc.date.accessioned 2020-12-08T16:15:55Z
dc.date.available 2020-12-08T16:15:55Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/2834
dc.description.abstract Non-communicable chronic diseases (NCDs) have increased in South Africa over the past 15 years. While these usually manifest during mid-to-late adulthood, the development of modifiable risk factors that contribute to NCDs are usually adopted early in life. Objective: To describe the urban rural and gender patterns of NCD risk factors in black adolescents and young adults (15- to 24-year-olds) from two South African Demographic and Health Surveys conducted 5 years apart. An observational study based on interviews and measurements from two cross-sectional national household surveys. Changes in tobacco and alcohol use, dietary intake, physical inactivity, and overweight/obesity among 15- to 24-year-olds as well as urban rural and gender differences were analysed using logistic regression. The 'Survey set' option in Stata statistical software was used to allow for the sampling weight in the analysis. Data from 3,186 and 2,066 black 15- to 24-year-old participants in 1998 and 2003, respectively, were analysed. In males, the prevalence of smoking (1998: 21.6%, 2003: 19.1%) and problem drinking (1998:17.2%, 2003: 15.2%) were high and increased with age, but in females were much lower (smoking - 1998:1.0%, 2003: 2.1%; problem drinking - 1998: 4.2%, 2003: 5.8%). The predominant risk factors in females were overweight/obesity (1998: 29.9%, 2003: 31.1%) and physical inactivity (2003: 46%). Urban youth, compared to their rural counterparts, were more likely to smoke (odds ratio (OR): 1.39, 95% confidence interval (CI):1.09-1.75), have high salt intake (OR: 1.75, 95% CI: 1.12-2.78), be overweight/obese (OR: 1.39, 95% CI: 1.14-1.69), or be physically inactive (OR: 1.45, 95% CI: 1.12-1.89). However, they had lower odds of inadequate micronutrient intake (OR: 0.46, 95% CI 0.34-0.62), and there was no overall significant urban-rural difference in the odds for problem drinking but among females the odds were higher in urban compared to rural females. Considering that the prevalence of modifiable NCD risk factors was high in this population, and that these may persist into adulthood, innovative measures are required to prevent the uptake of unhealthy behaviours, and regular surveillance is needed. en
dc.format.medium Print en
dc.subject YOUTH en
dc.subject NUTRITION en
dc.subject EATING BEHAVIOUR en
dc.subject PHYSICAL ACTIVITY en
dc.subject ADOLESCENT BOYS en
dc.subject RISK BEHAVIOUR en
dc.subject OBESITY en
dc.subject SMOKING en
dc.title Urban-rural and gender differences in tobacco and alcohol use, diet and physical activity among young black South Africans between 1998 and 2003 en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 6 en
dc.BudgetYear 2013/14 en
dc.ResearchGroup Population Health, Health Systems and Innovation en
dc.SourceTitle Global Health Action en
dc.ArchiveNumber 7875 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=13629 en
dc.PageNumber Online en
dc.outputnumber 6525 en
dc.bibliographictitle Peer, N., Bradshaw, D., Laubscher, R., Steyn, N. & Steyn, K. (2013) Urban-rural and gender differences in tobacco and alcohol use, diet and physical activity among young black South Africans between 1998 and 2003. <i>Global Health Action</i>. 6:Online. http://hdl.handle.net/20.500.11910/2834 en
dc.publicationyear 2013 en
dc.contributor.author1 Peer, N. en
dc.contributor.author2 Bradshaw, D. en
dc.contributor.author3 Laubscher, R. en
dc.contributor.author4 Steyn, N. en
dc.contributor.author5 Steyn, K. en


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