RESUMO
BACKGROUND: Adolescent cigarette smoking is of public health importance since many adult smokers had initiated the habit as adolescents. This study aims to determine the prevalence of cigarette smoking among in-school adolescents in Yilo Krobo Municipality, Ghana and factors associated with cigarette smoking. METHODS: A school-based cross-sectional analytic study was conducted in February 2017 in Yilo Krobo Municipality in the Eastern Region of Ghana. A stratified random sampling method was applied to select 700 students. After obtaining informed consent, structured questionnaires were administered to collect information on demographic characteristics, behaviours, family, peer and school factors. Data was entered into SPSS and analysed with level of significant as p-value of less than 0.05. Univariate, bivariate and multivariate analysis were applied to determine prevalence and risk factors of cigarette smoking. RESULTS: A total of 700 students participated in the study and the prevalence of cigarette smoking was 14.3% (100) and 77.5% (76) were introduced to smoking by their peers. Those who started smoking cigarette at the age of 10 years and below were 32% (32). Factors associated with cigarette smoking were being in JHS 1 (AOR:2.23, p=0.006), close friends smoking cigarette (AOR: 2.26, p=0.001), having drank alcohol before (AOR: 6.0, p<0.001) and having ever used marijuana (AOR: 6.48, p<0.001). However, recognizing marijuana usage to be wrong was protective against cigarette smoking (AOR: 0.58, p=0.006). CONCLUSION: Cigarette smoking among in-school adolescents exists in Yilo Krobo Municipality and school-based interventions such as counselling services on substance use should be implemented to address these behaviours. FUNDING: No external funding was received to conduct the study.