Conference Abstract | Volume 9 (ConfPro8): Abstract 04 | Published: 01 Oct 2026
Fiifi Asuma-Perprem1, &
1Ensign Global University, Kpong, along the Tema-Akosombo Highway, Eastern Region, Ghana
&Corresponding author: Fiifi Asuma-Perprem, Ensign Global University, Kpong, along the Tema-Akosombo Highway, Eastern Region, Ghana, Email: fiifi.asuma@st.ensign.edu.gh
Received: 04 Mar 2026, Accepted: 28 Aug 2026, Published: 01 Oct 2026
Domain: Infectious Disease Epidemiology
Keywords: Tobacco use, Côte d’Ivoire, Demographic and Health Survey, socioeconomic determinants, noncommunicable diseases
©Fiifi Asuma-Perprem et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Fiifi Asuma-Perprem et al., Prevalence and socioeconomic determinants of tobacco use among Ivorian males aged 15–49 years: Analysis of the 2021 Côte d’Ivoire Demographic and Health Survey. Journal of Interventional Epidemiology and Public Health. 2026;9(ConfPro8):04. https://doi.org/10.37432/JIEPH-CONFPRO8-0004
Tobacco use is a leading preventable cause of illness and death, particularly in low- and middle-income countries. Nationally representative evidence on the socioeconomic patterning of male tobacco use in Côte d’Ivoire is limited. This study examined the prevalence of tobacco use among Ivorian males aged 15–49 years and its association with education, household wealth, and other sociodemographic factors
This cross-sectional analysis used the 2021 Côte d’Ivoire Demographic and Health Survey. The sample comprised 7,591 males aged 15–49 years. The outcome was current use of any smoked or smokeless tobacco. Chi-square tests assessed bivariate associations; multivariable logistic regression estimated adjusted odds ratios (AORs) with 95% confidence intervals (CIs), adjusting for covariates including age, education, household wealth, residence, and region. Analyses accounted for the complex survey design and sampling weights.
Overall prevalence was 12.48%. In bivariate analysis, prevalence rose from 8.08% among men aged 15–24 years to 17.01% at 35–44 years, and was highest among men with primary education (16.15%), the poorest wealth quintile (14.90%), and rural residents (14.22% versus 10.91% urban); all associations were statistically significant. After adjustment, compared with men aged 15–24 years, those aged 25–34 (AOR 1.68; 95% CI 1.27–2.22) and 35–44 years (AOR 2.17; 95% CI 1.59–2.95) had higher odds. Education, wealth, and residence were not statistically significant after adjustment (richest versus poorest quintile: AOR 0.65, 95% CI 0.38–1.10; rural versus urban: AOR 1.18, 95% CI 0.90–1.54). Odds were lower in Savanes, Woroba, Vallée du Bandama, and Gôh-Djiboua than in Abidjan.
Tobacco use was more prevalent among older men and showed socioeconomic gradients in unadjusted analyses, but only age remained consistently associated with use after adjustment. Attenuated socioeconomic associations may reflect overlapping characteristics; causality cannot be inferred from cross-sectional data. Tobacco-control and cessation efforts should prioritize men aged 25–44 years while monitoring socioeconomic inequalities.
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