scholarly journals Tobacco use and self-reported morbidity among rural Indian adults

2016 ◽  
Vol 17 (05) ◽  
pp. 514-523
Author(s):  
Anamitra Barik ◽  
Rajesh Kumar Rai ◽  
Abhijit Chowdhury
Keyword(s):  
Logistic Regression ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
General Pattern ◽  
Population Based ◽  
Family Welfare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Objective ◽  
Smokeless Tobacco Use

AimTo measure the prevalence of self-reported morbidity and its associated factors among adults (aged ⩾15 years) in a select rural Indian population.BackgroundSelf-reporting of smoking has been validated as population-based surveys using self-reported data provide reasonably consistent estimates of smoking prevalence, and are generally considered to be sufficiently accurate for tracking the general pattern of morbidity associated with tobacco use in populations. However, to gauge the true disease burden using self-reported morbidity data requires cautious interpretation.MethodsDuring 2010–2011, a cross-sectional survey was conducted under the banner of the Health and Demographic Surveillance System, Birbhum, an initiative of the Department of Health and Family Welfare, Government of West Bengal, India. With over 93.6% response rate from the population living in 12 300 households, this study uses the responses from 16 354 individuals: 8012 smokers, and 8333 smokeless tobacco users. Smokers and smokeless tobacco users were asked whether they have developed any morbidity symptoms due to smoking, or smokeless tobacco use. Bivariate, as well as multivariate logistic regression analyses were deployed to attain the study objective.FindingsOver 20% of smokers and over 9% of smokeless tobacco users reported any morbidity. Odds ratio (OR) with 95% confidence interval (CI) estimated using logistic regression shows that women are less likely to report any morbidity attributable to smoking (OR: 0.69; CI: 0.54–0.87), and more likely to report any morbidity due to smokeless tobacco use (OR: 1.68; CI: 1.36–2.09). Non-Hindus have higher odds, whereas the wealthiest respondents have lower odds of reporting any morbidity. With a culturally appropriate intervention to change behaviour, youth (both men and women) could be targeted with comprehensive tobacco cessation assistance programmes. A focussed intervention could be designed for unprocessed tobacco users to curb hazardous effects of tobacco use.

scholarly journals An Assessment of Awareness on Oral Cancer Among Smokeless Tobacco Users in Rural Skirts of Tamil Nadu, India

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 57s-57s
Author(s):  
M.P. Joseph
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Tamil Nadu ◽  
Demographic Data ◽  
Risk Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chewing Tobacco ◽  
Screening Programs ◽  
Smokeless Tobacco Use

Background: Smokeless tobacco (ST) is tobacco consumed orally, not smoked. It has been in use for as long as other forms of tobacco consumption and its use have increased. The deleterious effects of smokeless tobacco use are perhaps not as well-known as those produced by smoking. Smokeless tobacco use has been recognized as a cause of cancer. In developing countries, tobacco is mostly chewed with other ingredients. Despite the claims by some tobacco companies and a few harm reduction proponents that using smokeless tobacco products is less harmful than smoking or that smokeless tobacco should be used as a tool to help smokers quit smoking (but continue using tobacco in the form of smokeless tobacco), the fact remains that using smokeless tobacco still exposes users to many harmful chemicals and still heightens a user's risk for many of the same health problems as smoking. The aim of this study is to assess the awareness of health hazards of tobacco among smokeless tobacco users in Kancheepuram District, Tamil Nadu, India. Methodology: The inhabitants of the villages in Kancheepuram district, who have completed 18 years were included in the study. Ethical clearance from the board, permission from the village panchayat leader and informed consent from the participants to conduct the study was obtained. Inhabitants of the villages aged 18 to 75 years and present on the day data collection and who were willing to participate in the study were included. Random sampling method was used and data were collected from a cross-sectional survey, using a pretested questionnaire, which included demographic data, tobacco habits, its frequency and form. Antitobacco counseling was given on the spot and followed. The data collected was analyzed using SPSS version 15. Results: The study population consisted of total 400 individuals, male 200 and females 200. From the results it is observed that more than 70% were unaware of the harmful effects of tobacco. Majority of the females use smokeless tobacco and smoking tobacco was common among males. Most common cause of tobacco use was pleasure 32.5%, inducing factor were friends 43.7% followed by parents and siblings. Effectiveness of antitobacco counseling is greater among the females compared with males. Conclusion: The dangers from smoking and chewing tobacco are well documented within the literature but the public's lack of knowledge of the risks is a concern. Health professionals are encouraged to disseminate information on the subject as widely as possible and improve existing screening programs to ensure that the public is made aware of these risks, especially those within high-risk groups.

scholarly journals Oral Hygiene and Tobacco Use Practices in Rural Villages of Jhapa District, Nepal

2020 ◽  
Vol 18 (1) ◽  
pp. 59-63
Author(s):  
Bishal Babu Basnet ◽  
Khem Raj Sharma
Keyword(s):  
Oral Health ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Oral Hygiene ◽  
Educational Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Dental Floss ◽  
Rural Villages

Background: Smoking and use of smokeless tobacco affect oral as well as general health. People are reluctant to achieve good oral health in lieu of the avoidance of deleterious habits. The objective of this study was to analyze two contrasting health behaviors; the oral hygiene practices against tobacco use in a sample from eastern Terai.Methods: This is questionnaire-based cross-sectional survey carried out in Jhapa district located in eastern Nepal. In this report, practice of toothbrushing, use of fluoridated toothpaste, frequency of using tobacco related products (paan, gutkha, chilim, cigarette, bidi, hukkah) was assessed. Association of health behavior to sociodemographic variables were tested with regression analysis at 95% confidence limits.Results: A total of 1178 respondents (response rate = 96.8%) completed the interview, among them 80.8% were males. Mean age was 52.21 years (SD = 15.943). Overall 72.6% used fluoridated toothpaste and toothbrush for cleaning teeth, 58.8% consumed tobacco related products. Interdental aids utilization was very less (1.2% using dental floss). Age was significantly related to both toothbrushing and tobacco-consuming. Educational status was related significantly to toothbrushing (p<0.05). Other sociodemographic variables (marital status, ethnicity, educational status) were not related to consumption of deleterious products (p>0.05).Conclusions: Our results showed that consumption of tobacco related products is moderately high in Terai village and oral health practice was found to be influenced by educational status. More such studies to identify status of oral health and impact of tobacco are recommended.Keywords: Oral health; smokeless tobacco; smoking; tobacco

scholarly journals Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Md Shariful Islam ◽  
K. M. Saif-Ur-Rahman ◽  
Md. Mofijul Islam Bulbul ◽  
Deepak Singh
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Wealth Status ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Tobacco Marketing ◽  
Legal Provisions ◽  
Lower Education ◽  
Smokeless Tobacco Use ◽  
Nationally Representative

Abstract Background Tobacco consumption causes almost 638,000 premature deaths per year in India. This study sought to examine the prevalence and determinants of tobacco use among men in India. Methods We analyzed data from the fourth round of the National Family Health Survey in India. These nationally representative cross-sectional sample data were collected from January 20, 2015, to December 4, 2016. A total of 112,122 men aged 15–54 years were included in this study. Primary outcomes were tobacco use categorized into smoking, smokeless, any tobacco, and both smoked and smokeless tobacco use. Complex survey design and sampling weights were applied in both the descriptive analyses and logistic regression models. We present the findings using odds ratios. Results The prevalence of tobacco use among men in India for the studied period was 45.5% (95% CI 44.9–46.1), smoking was 24.6% (95% CI 24.1–25.1), smokeless tobacco use was 29.1% (95% CI 28.6–29.6), and both smoked and smokeless tobacco use was 8.4% (95% CI 8.1–8.7). The prevalence of tobacco use among men was higher among the elderly, separated/divorced/widowed individuals, those with lower education and wealth status, alcohol consumers, manual workers, and residents of the northeast region. Multivariate analysis showed that age, lower education, occupation, region, alcohol consumption, separated/divorced/widowed status, and economic status were substantially associated with tobacco use among Indian men. Conclusions Innovative and cost-effective strategies targeting high-risk groups are crucial to curbing the tobacco epidemic in India. Anti-smoking campaigns should also focus on mitigating alcohol abuse. Reducing tobacco marketing and implementing formal education about the dangers of tobacco use, progressive taxing, packaging, and labeling of tobacco products and price strategies should be harmonized in legal provisions.

scholarly journals Prevalence of intermittent claudication in rural and urban Vellore, Tamil Nadu, India: a population-based study

2018 ◽  
Vol 5 (7) ◽  
pp. 2620
Author(s):  
Manjunath Krishna ◽  
Anu M. Oommen ◽  
Jackwin Sam Paul G. ◽  
Vinod J. Abraham ◽  
Kuryan George
Keyword(s):  
Intermittent Claudication ◽  
Tobacco Use ◽  
Tamil Nadu ◽  
Population Level ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban ◽  
Background Population

Background: Population based estimates from India on the prevalence of Peripheral Artery Disease (PAD) are scarce. This study aimed to assess the population-based prevalence of PAD in rural and urban Vellore, Tamil Nadu, South India.Methods: A cross sectional survey was conducted using the WHO STEPS methodology and the WHO/Rose questionnaire for intermittent claudication for identifying symptomatic PAD among adults aged 30-64 years. The study was done in nine villages of one rural block and in 48 urban wards of Vellore, between 2011-12. Risk factors for PAD such as sociodemographic factors, tobacco use, anthropometry, known medical conditions, Fasting Plasma Glucose and lipid profile were also assessed and association with PAD estimated using odds ratios, chi-square tests and logistic regression.Results: Among 5429 adults aged 30-64 years, the prevalence of PAD (intermittent claudication) was 4.9/1000 (95% Confidence Interval CI: 3.0/1000 - 6.8/1000). The prevalence in urban Vellore was higher than in the rural area (6.9/1000 vs. 3.8/1000).  After adjusting for sociodemographic factors and other confounding factors, current tobacco use was found to be significantly associated with the presence of PAD (adjusted Odds Ratio: 2.89, 95% CI: 1.10-7.54).Conclusions: This study provides estimates of the burden of PAD in rural and urban adults in Vellore, Tamil Nadu. The trend of this condition needs to be monitored in various locations to assess the public health significance and the need for population level measures for diagnosis, treatment and screening. Education regarding harmful effects of tobacco use should also involve education regarding risk of PAD.

scholarly journals Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

2017 ◽  
Vol 15 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Jitendra Kumar Singh ◽  
Dilaram Acharya ◽  
Rajendra Kadel ◽  
Samaj Adhikari ◽  
Daniel Lombard ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Pregnant Women ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Smokeless Tobacco Use ◽  
Pregnant Mothers

Background: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal.Methods: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use.Results: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers’ group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts.Conclusions: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.

scholarly journals Pattern of tobacco use among adolescents in urban slums of Jorhat, Assam

2017 ◽  
Vol 4 (11) ◽  
pp. 4232
Author(s):  
Netri Das ◽  
Anadi S. Tasa ◽  
Anuradha H. Medhi
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Tobacco Product ◽  
Urban Slums ◽  
Community Based ◽  
Cross Sectional ◽  
Change Communication ◽  
Smokeless Tobacco Use

Background: Tobacco use is a leading cause of preventable death worldwide and an estimated 250 million children and adolescents in developing countries die prematurely because of tobacco consumption. The objectives of the study were to determine the pattern of tobacco use among the adolescents and assess the factors associated with its use in urban slums of Jorhat, Assam.Methods: A community-based cross-sectional study was conducted in two randomly selected urban slums of Jorhat district from September 2015 to February 2016 among 110 adolescents using predesigned pretested proforma. Data were analyzed using SPSS - trial version 16; risk analysis was done using odds ratios with 95% confidence intervals.Results: 106 (96.36%) adolescents had ever used a tobacco product and 97 (88.18%) were current users. 57.73% consumed smokeless form and 3.1% used smoking form exclusively while 39.17% used both smoking and smokeless tobacco. Exclusive smokeless tobacco use was more common among girls. Smoking as well as combined smoking and smokeless tobacco was more common among boys. Gutkha was most common smokeless product (94.84%) and cigarette was commonest smoking form (34.02%) used. Awareness regarding its harmful effects was high (77.28%). Tobacco use in family is significantly associated with current use of tobacco (OR 5.88).Conclusions: Tobacco consumption is an emerging threat to health of adolescents in urban slums. Smokeless tobacco use is high in our study, especially among girls. Tobacco use by family is a major reason behind using tobacco indicating an urgent need to carry out behaviour change communication (BCC) activities among adolescents and their family members. 

Erosive Tooth Wear among 12-Year-Old Schoolchildren: A Population-Based Cross-Sectional Study in Montevideo, Uruguay

2015 ◽  
Vol 49 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Licet Alvarez Loureiro ◽  
Anunzziatta Fabruccini Fager ◽  
Luana Severo Alves ◽  
Ramón Alvarez Vaz ◽  
Marisa Maltz
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Public Health Problem ◽  
Tooth Wear ◽  
Population Based ◽  
Risk Indicators ◽  
Permanent Teeth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Erosive Tooth Wear

The aim of this study was to assess the prevalence, extent, severity, intraoral distribution and risk indicators for erosive tooth wear (ETW) among 12-year-old schoolchildren from Montevideo, Uruguay. A population-based, cross-sectional survey was conducted using a representative sample of 1,136 12-year-old schoolchildren attending public and private schools. Parents answered questions on socioeconomic status and general health. Schoolchildren answered questions on dietary and oral hygiene habits. Two calibrated examiners recorded ETW on permanent teeth according to the Basic Erosive Wear Examination (BEWE) score system. Logistic regression models were performed to assess the association between the predictor variables and the prevalence of ETW (overall and severe ETW). Odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated. The prevalence of ETW was 52.9%, being mild erosion (BEWE = 1) in the vast majority of cases (48.5%). Severe erosion (BEWE ≥2) was detected in 4.4% of schoolchildren. The overall prevalence of ETW differed significantly between categories of gender and socioeconomic status, but only between gender in the severe ETW analysis. The overall extent of ETW was significantly different between categories of gender, socioeconomic status, and swish before swallow. The extent of severe ETW differed between categories of swish before swallow and brushing frequency. In the logistic regression analysis, no association was found between the studied variables and the overall prevalence of ETW. Males were more likely to have severe ETW than females (OR = 3.22, 95% CI = 1.50-6.89). ETW may be considered a public health problem among 12-year-old-Uruguayan schoolchildren.

Sign in / Sign up

Export Citation Format

Share Document