Concurrent tobacco use and risky drinking in South Africa: results from the South African National Health and Nutrition Examination Survey

The aim of this study was to examine socio-demographic and psychosocial correlates of concurrent tobacco use and risky drinking . We analysed data from the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) 2011-2012 . The sample included 14 764 adolescents and adults aged 15 years and older . They responded to questions on tobacco and alcohol use, psychosocial, and socio-demographic indicators . Results indicate that 9 .6% (16 .8% among men and 3 .5% among women) of South Africans were involved in concurrent tobacco use and risky drinking, 18 .2% in current tobacco use only, and 20 .3% in risky drinking only . In covariate adjusted analysis, being 25 to 64 years, being male, belonging to the coloured population group, residing in urban areas, having experienced three or more traumatic events, and poor self-rated health were associated with concurrent tobacco use and risky drinking . Findings suggest socio-demographic and health factors are important for public health interventions in addressing concurrent tobacco and alcohol use in South Africa .

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Publication Details

Journal
Human Science Research Council SA
Published
2026-05-23
DOI
https://doi.org/10.14749/32381100
Primary Topic
Smoking Behavior and Cessation
Type
article
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article

Concurrent tobacco use and risky drinking in South Africa: results from the South African National Health and Nutrition Examination Survey

Human Sciences Research Council
Human Science Research Council SA
Smoking Behavior and Cessation
article

Concurrent tobacco use and risky drinking in South Africa: results from the South African National Health and Nutrition Examination Survey

Human Sciences Research Council
article en

Abstract

The aim of this study was to examine socio-demographic and psychosocial correlates of concurrent tobacco use and risky drinking . We analysed data from the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) 2011-2012 . The sample included 14 764 adolescents and adults aged 15 years and older . They responded to questions on tobacco and alcohol use, psychosocial, and socio-demographic indicators . Results indicate that 9 .6% (16 .8% among men and 3 .5% among women) of South Africans were involved in concurrent tobacco use and risky drinking, 18 .2% in current tobacco use only, and 20 .3% in risky drinking only . In covariate adjusted analysis, being 25 to 64 years, being male, belonging to the coloured population group, residing in urban areas, having experienced three or more traumatic events, and poor self-rated health were associated with concurrent tobacco use and risky drinking . Findings suggest socio-demographic and health factors are important for public health interventions in addressing concurrent tobacco and alcohol use in South Africa .

Human Science Research Council SA
Good health and well-being
Openalex Percentile: Top 5%
Smoking Behavior and Cessation
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