Introduction: La consommation d'alcool et la consommation de tabac entraînent chacune des risques importants pour la santé. L'objectif de cette étude était d'étudier la prévalence de la co-consommation d'alcool et de tabac ainsi que les facteurs associés dans la commune de Natitingou en 2016.

MÉthodes: Il s'agissait d'une étude transversale à caractère analytique. L'enquête s'est déroulée en octobre 2016 et a porté sur un échantillon de 270 sujets. Elle a été menée selon une technique de sondage aléatoire à plusieurs degrés. Les données collectées ont été analysées avec le logiciel .

RÉsultats: Sur les 270 sujets interrogés, 72,2 % étaient des hommes. L'âge moyen était de 30,7 ± 9,2 ans. La prévalence de la co-consommation était de 33,7 % [IC : 28,1 %-39,7 %]). Les facteurs associés à la co-consommation d'alcool et de tabac étaient : le sexe masculin (OR = 2,1 ;  = 0,023), la dipsomanie (OR = 1,4 ;  = 0,032), le fait d'avoir des amis buveurs ou fumeurs (OR = 2,8 ;  = 0,004), le fait de suivre les publicités des médias sur les boissons alcoolisées (OR = 1,9 ;  = 0,029) et le faible coût /accessibilité des deux substances (OR = 2,1 ;  = 0,011).

Conclusion: Cette étude a montré qu'il est important de dépasser la prévention centrée sur la personne qui consiste à sensibiliser et à prendre en charge pour adopter des mesures de prévention structurelle (notamment législatives).

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