Tobacco use among adolescents remains a significant public health challenge, contributing to long-term morbidity and mortality. This cross-sectional study assessed the prevalence and determinants of tobacco use among 1,200 adolescents (13–18 years) in urban schools. Data were collected using a structured questionnaire covering sociodemographic factors, peer influence, parental smoking, and knowledge of health risks. Results indicated a prevalence of 18% for current tobacco use, with higher rates among males (22%) compared to females (13%). Peer pressure, parental smoking, and low awareness of health risks were significant predictors (p<0.01). Findings highlight the need for targeted school-based interventions and community awareness programs to prevent adolescent tobacco use.

Keywords:
Tobacco Use, Adolescents, Public Health, Prevention, Risk Factors