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GLOBAL YOUTH TOBACCO SURVEY PAKISTAN 2013

GLOBAL YOUTH TOBACCO SURVEY PAKISTAN 2013

GLOBAL YOUTH
TOBACCO SURVEY

FACT SHEET

PAKISTAN 2013

GLOBAL_YOUTH_TOBACCO_PAKISTAN_2013 GLOBAL YOUTH TOBACCO SURVEY
FACT SHEET
PAKISTAN 2013[/caption]

 

Country fact sheets
The World Health Organization (WHO) and the Centers for Disease Control and
Prevention (CDC), Atlanta, developed the Global Youth Tobacco Survey to track
tobacco use among youth across countries using a common methodology and core
questionnaire. Information from the Survey is compiled within the participating country
by a Research Coordinator nominated by the Ministry of Health, and technically
reviewed by WHO and CDC. The content has not otherwise been edited by WHO or
CDC.
All reasonable precautions have been taken by the World Health Organization to verify
the information contained in this publication. However, the published material is being
distributed without warranty of any kind, either expressed or implied. The responsibility
for the interpretation and use of the material lies with the reader. In no event shall the
World Health Organization be liable for damages arising from its use.

© World Health Organization 2014

GYTS│GLOBAL YOUTH TOBACCO SURVEY
FACT SHEET
PAKISTAN 2013
GYTS Objectives
The Global Youth Tobacco Survey (GYTS), a component of the
Global Tobacco Surveillance System (GTSS), is a global standard
for systematically monitoring youth tobacco use (smoking and
smokeless) and tracking key tobacco control indicators.
GYTS is a nationally representative school-based survey of
students in grades associated with age 13 to 15 years and is
designed to produce cross-sectional estimates for each country.
GYTS uses a standard core questionnaire, sample design, and
data collection protocol. It assists countries in fulfilling their
obligations under the World Health Organization (WHO)
Framework Convention on Tobacco Control (FCTC) to generate
comparable data within and across countries. WHO has
developed MPOWER, a package of selected demand reduction
measures contained in the WHO FCTC:
GYTS Methodology
GYTS uses a global standardized methodology that includes a
two-stage sample design with schools selected proportional to
enrollment size. The classrooms within selected schools are
chosen randomly and all students in selected classes are invited
to participate in the survey. The survey uses a standard global
core questionnaire with a set of optional questions that permits
adaptation to meet the needs of the country on tobacco use and
key tobacco control indicators. The questionnaire consists of the
following topics: tobacco use (smoking and smokeless),
cessation, secondhand smoke (SHS), pro- and anti-tobacco
media and advertising, access and availability to obtain tobacco
products, and knowledge and attitudes regarding tobacco. The
questionnaire is self-administered; using scannable, paper-based
bubble sheets, it is anonymous to ensure confidentiality.
In Pakistan, GYTS was conducted in 2013 jointly by the Tobacco
Control Cell and Pakistan Medical Research Council, under the
coordination of the WHO Pakistan Office. A total of 8,723 eligible
students in grades 7-10 completed the survey, of which 5,832
were aged 13-15 years. The overall response rate of all students
surveyed was 61.5%.
GYTS Highlights
TOBACCO USE
 10.7% overall, 13.3% of boys, and 6.6% of girls currently
used any tobacco products.
 7.2% overall, 9.2% of boys, and 4.1% of girls currently
smoked tobacco.
 3.3% overall, 4.8% of boys, and 0.9% of girls currently
smoked cigarettes.
 5.3% overall, 6.4% of boys, and 3.7% of girls currently
used smokeless tobacco.
 Almost 2 in 5 ever smokers initiated cigarette smoking
before the age of 10.
 11.2% of never tobacco users are susceptible to tobacco
use in the future.
CESSATION
 6 in 10 current smokers show signs of smoking
dependence.
 6 in 10 current smokers tried to stop smoking in the past
12 months.
SECONDHAND SMOKE
 21.0% of students were exposed to tobacco smoke at
home.
 37.8% of students were exposed to tobacco smoke inside
enclosed public places.
ACCESS & AVAILABILITY
 87.6% of current cigarette smokers obtained cigarettes by
buying them from a store, shop, street vendor, kiosk,
school canteen, or pharmacy.
 Among current cigarette smokers who bought cigarettes,
44.9% were not prevented from buying them because of
their age.
MEDIA
 5 in 10 students noticed anti-tobacco messages in the
media.
 3 in 10 students noticed tobacco advertisements or
promotions when visiting points of sale.
 1 in 10 students own something with a tobacco brand logo
on it.
KNOWLEDGE & ATTITUDES
 75.9% of students definitely thought other people’s
tobacco smoking is harmful to them.
 76.5% of students favor banning smoking inside enclosed
public places.
Last updated 10 Sept 2014
GYTS│GLOBAL YOUTH TOBACCO SURVEY
FACT SHEET
PAKISTAN 2013
TOBACCO USE
SMOKED TOBACCO OVERALL (%) BOYS (%) GIRLS (%)
Current tobacco smokers1 7.2 9.2 4.1
Current cigarette smokers2 3.3 4.8 0.9
Frequent cigarette smokers3 0.2 0.3 0.1
Current smokers of other tobacco4 4.2 4.9 3.1
Ever tobacco smokers5 18.7 22.6 12.7
Ever cigarette smokers6 13.7 17.8 7.2
Ever smokers of other tobacco7 7.3 7.9 6.5
SMOKELESS TOBACCO
Current smokeless tobacco users8 5.3 6.4 3.7
Ever smokeless tobacco users9 10.0 11.4 8.0
TOBACCO USE (smoked and/or smokeless)
Current tobacco users10 10.7 13.3 6.6
Ever tobacco users11 24.5 28.7 17.9
SUSCEPTIBILITY
Never tobacco users susceptible to tobacco use in
the future12 11.2 12.3 9.9
Never smokers who thought they might enjoy
smoking a cigarette13 15.2 15.7 14.7
CESSATION
OVERALL (%) BOYS (%) GIRLS (%)
Current smokers who tried to stop smoking in
the past 12 months 58.4 57.1 —
Current smokers who want to stop smoking now 57.9 62.7 —
Current smokers who thought they would be
able to stop smoking if they wanted to 63.2 65.8 —
Current smokers who have ever received
help/advice from a program or professional to
stop smoking
27.0 27.6 22.2
SECONDHAND SMOKE
OVERALL (%) BOYS (%) GIRLS (%)
Exposure to tobacco smoke at home†† 21.0 22.9 18.2
Exposure to tobacco smoke inside any enclosed
public place†† 37.8 44.5 27.8
Exposure to tobacco smoke at any outdoor
public place†† 30.0 37.1 19.3
Students who saw anyone smoking inside the
school building or outside on school property†
20.3 22.2 17.3
ACCESS & AVAILABILITY
OVERALL (%) BOYS (%) GIRLS (%)
Current cigarette smokers who obtained
cigarettes by buying them from a store, shop,
street vendor, kiosk, school canteen, or
pharmacy14
87.6 86.2 —
Current cigarette smokers who were not
prevented from buying cigarettes because of
their age15
44.9 46.6 —
Current cigarette smokers who
bought cigarettes as individual sticks16 35.2 37.0 —
MEDIA
TOBACCO INDUSTRY ADVERTISING OVERALL (%) BOYS (%) GIRLS (%)
Noticing tobacco advertisements or promotions
at points of sale17 32.6 31.7 33.8
Students who saw anyone using tobacco on
television, videos, or movies18 63.3 63.2 63.5
Students who were ever offered a free tobacco
product from a tobacco company representative 9.3 9.7 8.5
Students who own something with a tobacco
brand logo on it 13.4 14.6 11.5
ANTI-TOBACCO ADVERTISING
Noticing anti-tobacco messages in the media† 52.7 50.7 55.5
Noticing anti-tobacco messages at sporting or
community events19 36.2 36.4 35.7
Current smokers who thought about quitting
because of a warning label20 32.6 36.8 12.2
Students who were taught in school about the
dangers of tobacco use in the past 12 months 49.7 54.8 42.2
KNOWLEDGE & ATTITUDES
OVERALL (%) BOYS (%) GIRLS (%)
Students who definitely thought it is difficult to
quit once someone starts smoking tobacco 29.6 26.6 34.2
Students who thought smoking tobacco helps
people feel more comfortable at celebrations,
parties, and social gatherings
59.8 56.0 65.5
Students who definitely thought other people’s
tobacco smoking is harmful to them 75.9 75.8 76.2
Students who favor banning smoking inside
enclosed public places 76.5 76.1 77.1
Students who favor banning smoking at outdoor
public places 77.0 74.8 80.3
1 Smoked tobacco anytime during the past 30 days.
2 Smoked cigarettes anytime during the past 30 days.
3 Smoked cigarettes on 20 or more days of the past 30 days.
4 Smoked tobacco other than cigarettes anytime
during the past 30 days.
5 Ever smoked any tobacco, even one or two puffs. 6 Ever smoked cigarettes, even
one or two puffs. 7 Ever smoked tobacco other than cigarettes, even one or two puffs. 8 Used smokeless
tobacco anytime during the past 30 days.
9 Ever used smokeless tobacco. 10 Smoked tobacco and/or used
smokeless tobacco anytime during the past 30 days.
11 Ever smoked tobacco and/or used smokeless tobacco.
12 Susceptible to future tobacco use includes those who answered “Definitely yes”, “Probably yes”, or
“Probably not” to using tobacco if one of their best friends offered it to them or those who answered
“Definitely yes”, “Probably yes”, or “Probably not” to using tobacco during the next 12 months. 13 Those who
answered “Agree” or “Strongly agree” to the statement: “I think I might enjoy smoking a cigarette”. 14 How
cigarettes were obtained the last time respondents smoked cigarettes in the past 30 days.
15 Of those who
tried to buy cigarettes during the past 30 days. 16 Based on the last purchase, of those who bought cigarettes
during the past 30 days.
17 Among those who visited a point of sale in the past 30 days. 18 Among those who
watched television, videos, or movies in the past 30 days. 19 Among those who attended sporting or
community events in the past 30 days.
20 Among those who noticed warning labels on cigarette packages in
the past 30 days. 212008 data is from Karachi region only. † During the past 30 days. †† During the past 7 days.
NOTE: Students refer to persons aged 13-15 years who are enrolled in school. Data have been weighted to be
nationally representative of all students aged 13-15 years. Percentages reflect the prevalence of each indicator
in each group, not the distribution across groups.
–Indicates estimate based on less than 35 unweighted cases and has been suppressed.