eprintid: 10078422 rev_number: 16 eprint_status: archive userid: 608 dir: disk0/10/07/84/22 datestamp: 2019-07-23 11:26:02 lastmod: 2021-10-09 22:35:30 status_changed: 2019-07-23 11:26:02 type: article metadata_visibility: show creators_name: Brathwaite, R creators_name: Addo, J creators_name: Kunst, AE creators_name: Agyemang, C creators_name: Owusu-Dabo, E creators_name: De-Graft Aikins, A creators_name: Beune, E creators_name: Meeks, K creators_name: Klipstein-Grobusch, K creators_name: Bahendeka, S creators_name: Mockenhaupt, FP creators_name: Amoah, S creators_name: Galbete, C creators_name: Schulze, MB creators_name: Danquah, I creators_name: Smeeth, L title: Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study ispublished: pub divisions: UCL divisions: B03 divisions: C03 divisions: F21 divisions: K56 keywords: Smoking habits, Europe, Religion, Ghana, Culture, Islam, Behavior, Economics of migration note: Copyright © 2017 Brathwaite et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. abstract: BACKGROUND: Although the prevalence of smoking is low in Ghana, little is known about the effect of migration on smoking. Comparing Ghanaians living in their country of origin to those living in Europe offers an opportunity to investigate smoking by location of residence and the associations between smoking behaviours and migration-related factors. METHODS: Data on a relatively homogenous group of Ghanaians living in London (n = 949), Amsterdam (n = 1400), Berlin (n = 543), rural Ghana (n = 973) and urban Ghana (n = 1400) from the cross-sectional RODAM (Research on Obesity & Diabetes in African Migrants) study were used. Age-standardized prevalence rates of smoking by location of residence and factors associated with smoking among Ghanaian men were estimated using prevalence ratios (PR: 95% CIs). RESULTS: Current smoking was non-existent among women in rural and urban Ghana and London but was 3.2% and 3.3% in women in Amsterdam and Berlin, respectively. Smoking prevalence was higher in men in Europe (7.8%) than in both rural and urban Ghana (4.8%): PR 1.91: 95% CI 1.27, 2.88, adjusted for age, marital status, education and employment. Factors associated with a higher prevalence of smoking among Ghanaian men included European residence, being divorced or widowed, living alone, Islam religion, infrequent attendance at religious services, assimilation (cultural orientation), and low education. CONCLUSION: Ghanaians living in Europe are more likely to smoke than their counterparts in Ghana, suggesting convergence to European populations, although prevalence rates are still far below those in the host populations. date: 2017-05-07 date_type: published official_url: https://doi.org/10.1371/journal.pone.0177291 oa_status: green full_text_type: pub pmcid: PMC5419606 language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1669474 doi: 10.1371/journal.pone.0177291 pii: PONE-D-16-31655 lyricists_name: De-Graft Aikins, Ama lyricists_id: ADEGR87 actors_name: De-Graft Aikins, Ama actors_id: ADEGR87 actors_role: owner full_text_status: public publication: PLOS ONE volume: 12 number: 5 article_number: e0177291 event_location: United States issn: 1932-6203 citation: Brathwaite, R; Addo, J; Kunst, AE; Agyemang, C; Owusu-Dabo, E; De-Graft Aikins, A; Beune, E; ... Smeeth, L; + view all <#> Brathwaite, R; Addo, J; Kunst, AE; Agyemang, C; Owusu-Dabo, E; De-Graft Aikins, A; Beune, E; Meeks, K; Klipstein-Grobusch, K; Bahendeka, S; Mockenhaupt, FP; Amoah, S; Galbete, C; Schulze, MB; Danquah, I; Smeeth, L; - view fewer <#> (2017) Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study. PLOS ONE , 12 (5) , Article e0177291. 10.1371/journal.pone.0177291 <https://doi.org/10.1371/journal.pone.0177291>. Green open access document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10078422/1/Smoking%20prevalence%20differs%20by%20location%20of%20residence%20among%20Ghanaians%20in%20Africa%20and%20Europe%20The%20RODAM%20study.pdf