Détails du projet

Highlights

Lifetime cigarette use was reported by 15.2% of adolescents, past-12-month use by 10.3%, and past-30-day use by 7.8%.

Tobacco use was generally higher among boys, with rates being 2 to 4 times greater than those among girls across most products and measures.

Among MedSPAD students, 13.2% reported using e-cigarettes at least once in their lifetime, 9.2% in the past year, and 6.4% in the past month. Lebanon showed the highest prevalence (37.2%, 25.8% and 20.4% respectively).  Morocco had the lowest rates of past-month use (3.3%).

12.9% of adolescents have tried water pipes, with 8.7% using them in the past year and 6.5% in the past month. Lebanon shows the highest prevalence, while Morocco reports the lowest. Boys report significantly higher use than girls, with last-year and last-month rates about four times higher for males.

Early initiation (by age 13 or younger) was reported by 7.6% for cigarettes, 4.0% for e-cigarettes, 2.5% for chewing tobacco, and 5.3% for water pipe use.

Overall 3.1% of adolescents reported having started daily cigarette smoking by age 13, with the highest prevalence in Egypt (4.9%) and the lowest in Tunisia (0.8%).

Boys were more likely than girls to start using nicotine-based products at a younger age.

One in five students (20.8%) reported easy access to cigarettes, with the highest availability in Lebanon (42.5%), followed by Morocco (30.5%), Tunisia (23.9%), and Egypt (15.1%).

Over half of MedSPAD students (52.4%) reported having at least one family member who smokes cigarettes, with the highest rate in Tunisia (64.4%) and the lowest in Morocco (43.0%). The prevalence is lower when referring to e-cigarette use (18.4%).

About two in five students (38.2%) indicated having a friend who smokes, with Tunisia again showing the highest percentage (57.1%) and Egypt the lowest (28.7%). In a smaller proportion (25.9%) MedSPAD students reported having at least one friend who uses e-cigarettes.

On average, 45.6% of MedSPAD students believed that regular cigarette smoking (one or more packs of cigarettes per day) carries little to no risk. About the same percentage believes that regular e-cigarette use is not risky. The prevalence increases when asked about waterpipe use (50.9%).