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Prevalence and predictors of active and passive smoking in Saudi Arabia: A survey among attendees of primary healthcare centers in Riyadh

S. Nasser, Mamdouh M. Shubair, Amani Alharthy, Faris Fattani, Badr F. Al-Khateeb, A. Aldubikhi, A. Alshahrani, Lubna Alnaim et al.

Tobacco Induced Diseases, 2025

14,239 participants · 15 citations

Abstract

INTRODUCTION Smoking remains a leading cause of preventable diseases worldwide, including cancer, heart disease, and respiratory disorders. In Saudi Arabia, the prevalence of smoking has been increasing, particularly among men and adolescents. However, limited research has focused on the prevalence and predictors of active and passive smoking in the region, particularly within the adult population. Understanding the sociodemographic and health-related factors that influence smoking behaviors can inform tobacco control strategies. The aim of the study is to investigate the prevalence and predictors of active and passive smoking among adults attending primary healthcare centers in Riyadh, Saudi Arabia. METHODS This cross-sectional study was conducted in Riyadh, Saudi Arabia, between March and July 2023, targeting patients aged ≥18 years who visited primary healthcare centers. Multistage cluster sampling was used to select 48 healthcare centers from an initial list of 103 centers. Participants were recruited from the waiting areas, and a total of 14239 individuals completed an electronic questionnaire. The questionnaire assessed sociodemographic information, smoking behavior, and health conditions. Data were analyzed using SPSS version 26.0 for Windows, with Descriptive statistics and multivariable logistic regression analyses to identify factors associated with active and passive smoking. Statistical significance was set at p<0.05. RESULTS The prevalence of active smoking was…

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