{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:34:28Z","timestamp":1780389268107,"version":"3.54.1"},"reference-count":84,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use: Research and Treatment"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Tobacco use is the major preventable cause of premature death worldwide, responsible for about 8 million deaths per year, mostly in low- and middle-income countries, such as Morocco. Adolescents\u2019 tobacco use is a matter of concern, because early initiation increases the risk of becoming a lifelong user. There exists a notable gap in the synthesis of evidence concerning tobacco use among Moroccan adolescents. Thus, the purpose of this study was to provide a comprehensive view of the prevalence of tobacco products\u2019 use and associated factors among adolescents in Morocco.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We systematically searched PubMed, Scopus, Web of Science and ScienceDirect for relevant studies reporting prevalence rates of tobacco products\u2019 use among Moroccan adolescents, published until June 2024, using inclusion and exclusion criteria in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Additional searches were completed on other sources to reach unpublished reports. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess the quality of included studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After the final screening, 22 papers met the inclusion criteria. Life-time prevalence of tobacco use ranged from 7.8% to 20.4% for cigarettes smoking, from 10.6% to 21.9% for waterpipe, from 7.9% to 9.1% for chewing tobacco and from 9.2% to 12.4% for snuff. The last 12-month prevalence of cigarette smoking was comprised between 6.9% and 10.8%. As for the prevalence of current use, ranges of (1.8%-16.4%) and (4.9%-8.4%) were noted for cigarettes and waterpipe, respectively. The most commonly highlighted risk factors for tobacco use included male sex, older age, having friends or family members who use tobacco and low perception of risk associated with tobacco use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings reveal an alarming situation of tobacco use among Moroccan adolescents. Therefore, it is crucial that all stakeholders engage in concerted efforts to develop and implement evidence-based preventive interventions among early adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357241272370","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T18:48:48Z","timestamp":1724266128000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence of Tobacco Products\u2019 Use and Associated Factors Among Adolescents in Morocco: A Systematic Review"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8935-1928","authenticated-orcid":false,"given":"Salma Ghofrane","family":"MOUTAWAKKIL","sequence":"first","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelfettah","family":"EL-AMMARI","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hicham","family":"EL MALKI","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed El Amine","family":"RAGALA","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"},{"name":"Department of Biology and Geology, Teacher\u2019s Training College (Ecole Normale Sup\u00e9rieure), Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karima","family":"EL RHAZI","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Btissame","family":"ZARROUQ","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohammed Ben Abdallah University, Fez, Morocco"},{"name":"Department of Biology and Geology, Teacher\u2019s Training College (Ecole Normale Sup\u00e9rieure), Sidi Mohammed Ben Abdallah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"bibr1-29768357241272370","unstructured":"WHO. 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