BackgroundArticle 20 of the World Health Organisation Framework Convention on Tobacco Control calls for a cross-country surveillance of tobacco use through population-based surveys. We aimed to provide country-level prevalence estimates for current smoking and current smokeless tobacco use and to assess social determinants of smoking.MethodsData from Demographic and Health Surveys done between 2005 and 2012, among men and women from nine North African, Central and West Asian countries and six Latin American and Caribbean countries were analyzed. Weighted country-level prevalence rates were estimated for ‘current smoking’ and ‘current use of smokeless tobacco (SLT) products’ among men and women. In each country, social determinants of smoking among men and women were assessed by binary logistic regression analyses by including men's and women's sampling weights to account for the complex survey design.FindingsPrevalence of smoking among men was higher than 40% in Armenia (63.1%), Moldova (51.1%), Ukraine (52%), Azerbaijan (49.8 %), Kyrgyz Republic (44.3 %) and Albania (42.52%) but the prevalence of smoking among women was less than 10% in most countries except Ukraine (14.81%) and Jordan (17.96%). The prevalence of smokeless tobacco use among men and women was less than 5% in all countries except among men in the Kyrgyz Republic (10.6 %). Smoking was associated with older age, lower education and poverty among men and higher education and higher wealth among women. Smoking among both men and women was associated with unskilled work, living in urban areas and being single.ConclusionSmoking among men was very high in Central and West Asian countries. Social pattern of smoking among women that was different from men in education and wealth should be considered while formulating tobacco control policies in some Central and West Asian countries.

This graph shows the Percentage of households led by a female householder with no spouse present with own children under 18 years living in the household in the U.S. in 2021, by state. In 2021, about 4.24 percent of Californian households were single mother households with at least one child.

Additional information on single mother households and poverty in the United States

For most single mothers a constant battle persists between finding the time and energy to raise their children and the demands of working to supply an income to house and feed their families. The pressures of a single income and the high costs of childcare mean that the risk of poverty for these families is a tragic reality. Comparison of the overall United States poverty rate since 1990 with that of the poverty rate for families with a female householder shows that poverty is much more prevalent in the latter. In 2021, while the overall rate was at 11.6 percent, the rate of poverty for single mother families was 23 percent. Moreover, the degree of fluctuation tends to be lower for single female household families, suggesting the rate of poverty for these groups is less affected by economic conditions.

The sharp rise in the number of children living with a single mother or single father in the United States from 1970 to 2022 suggests more must be done to ensure that families in such situations are able to avoid poverty. Moreover, attention should also be placed on overall racial income inequality given the higher rate of poverty for Hispanic single mother families than their white or Asian counterparts.