Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Walid Q. Alali, Joseph C. Longenecker, Rehab Alwotyan, Hessa AlKandari, Fahd Al-Mulla, Qais Al Duwairi

Research output: Contribution to journalArticlepeer-review


The study objective was to assess tobacco smoking prevalence in Kuwaiti adults in relation to sociodemographic characteristics. A cross-sectional study survey was conducted in 2014 on 3917 Kuwaiti citizens (18–69 years) following the World Health Organization (WHO) STEPwise Approach to Surveillance (STEPS) methodology. The study assessed prevalence of self-reported ever-smoking or currently smoking tobacco products and exposure to secondhand smoke in relation to demographic and smoking-related characteristics. The prevalence of “ever smoker” in men and women was 49.9% and 4.4%, respectively, whereas the prevalence of “current smoker” was 39.2% and 3.3%, respectively. Sex (adjusted OR [AOR], 19.2 [95% confidence interval (CI) 13.0–28.3], male versus female) was significantly associated with current smoking. Among daily smokers, 87.1% used manufactured cigarettes. The average daily number of manufactured cigarettes for men and women was 21.8 and 13.0, respectively. Mean age at smoking initiation was 17.5 years (95% CI 17.2–17.9). The prevalence of secondhand smoke at home and work was 38.6% and 29.9%, respectively. Half of Kuwaiti men have smoked at some point in their life with most of these being current smokers. Secondhand smoke is a common exposure at home and work, posing serious health risks to the population.

Original languageEnglish (US)
Pages (from-to)10053-10067
Number of pages15
JournalEnvironmental Science and Pollution Research
Issue number8
StatePublished - Feb 2021
Externally publishedYes


  • Kuwait
  • Public health
  • Secondhand smoke
  • Shisha
  • Tobacco
  • Tobacco use prevalence

ASJC Scopus subject areas

  • Environmental Chemistry
  • Pollution
  • Health, Toxicology and Mutagenesis


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