Objective To examine the prevalence and sociodemographic factors associated with tobacco smoking, smokeless tobacco and dual use among adults in Ghana using the 2022 Demographic and Health Survey (GDHS). Population A representative sample of 22 058 individuals (females, 15 014 aged 15–49; males, 7044 aged 15–59) Primary and secondary outcome measures Current tobacco smoking, smokeless tobacco use and dual use.
Results Prevalence for smoking, smokeless tobacco and dual use was 4.7 (4.1–5.4), 1.6 (1.3–2.0) and 0.6 (0.4–0.9) among males and 1.0 (0.8–1.3), 0.08 (0.05–0.1) and 0.1 (0.05–0.1) among females, respectively. Among males, smoking was associated with higher age (30–44 years: AOR: 2.3, 95% CI 1.7 to 3.1; 45–59 years: AOR: 2.6, 95% CI 1.8 to 3.7).
Higher education was protective for both sexes [(males: AOR: 0.4, 95% CI 0.2 to 0.8) and (females: AOR: 0.4, 95% CI 0.2 to 0.8)] compared with their counterparts who had no education.
BMJ Open published a clinical update in Research Highlights on 03 Jun 2026.
The item focuses on Tobacco use and associated factors among adults in Ghana: evidence from the 2022 Ghana Demographic and Health Survey.
Review the original article for the full source wording and details.