Are cohort data on smokeless tobacco use and pancreatic cancer confounded by alcohol use?

The use of smokeless tobacco products by adolescents has reportedly increased. The purpose of this study was to examine the use of smokeless tobacco by young adolescents across geographic locations and to look at patterns of use and variables associated with continued use beyond experimentation. Participants were 2018 students in sixth through ninth grades. Forty-five percent were male and 76% were white. Use of smokeless tobacco products was reported by 12% of the total population, and 25% reported smoking. Smokeless tobacco use was associated with cigarette smoking, alcohol use, and parental substance abuse. Those reporting alcohol use were more than four times more likely to be users of smokeless tobacco than nondrinkers. We found increased age, being male, being white, smoking, drinking, perceived effects of smokeless tobacco use, and friends' smoking behavior to be significantly associated with continued use beyond experimentation. Smokeless tobacco use was reportedly greater in rural areas. Adolescents who reported initiating use between 6 and 8 years of age were using on a more frequent basis than those who had initiated use when older. This study demonstrated the need for targeting elementary schools for educational interventions aimed at reducing smokeless tobacco use.

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Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4)

Annals of Oncology ◽

10.1093/annonc/mdq613 ◽

2011 ◽

Vol 22 (6) ◽

pp. 1420-1426 ◽

Cited By ~ 49

Author(s):

P. Bertuccio ◽

C. La Vecchia ◽

D.T. Silverman ◽

G.M. Petersen ◽

P.M. Bracci ◽

...

Keyword(s):

Pancreatic Cancer ◽

Tobacco Use ◽

Smokeless Tobacco ◽

Case Control ◽

Cancer Case ◽

Smokeless Tobacco Use

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Cigarette Smoking and Smokeless Tobacco Use among Male South Asian Migrants in the United Arab Emirates: a cross-sectional study

10.21203/rs.2.21047/v1 ◽

2020 ◽

Author(s):

Raghib Ali ◽

Tom Loney ◽

Mohammed Al-Houqani ◽

Iain Blair ◽

Faisal Aziz ◽

...

Keyword(s):

Public Health ◽

Alcohol Use ◽

Cigarette Smoking ◽

United Arab Emirates ◽

Tobacco Use ◽

South Asian ◽

Smokeless Tobacco ◽

Current Cigarette Smoking ◽

Current Cigarette ◽

Smokeless Tobacco Use

Abstract Background The prevalence of tobacco use among South Asian migrants in the United Arab Emirates (UAE) has not been evaluated. We examined the prevalence of cigarette smoking and smokeless tobacco use along with their associated factors among male South Asian migrants in the UAE.Methods A representative sample of South Asian adult migrant males was recruited in Al Ain, UAE in 2012. The sample included Indian (n=433), Pakistani (n=383) and Bangladeshi (n=559) nationalities. Prevalence and measures of association using bi-variable and multi-variable logistic regression models were used to identify correlates of tobacco use.ResultsA total of 1.375 South Asian migrant males participated in the study (response rate 76%) with a mean age of 34 years (SD ± 10). The prevalence of current cigarette smoking was 21%, 23% and 37% among participants from India, Pakistan and Bangladesh, respectively. The prevalence of current smokeless tobacco use was 6%, 12%, and 16% for Indian, Pakistani, and Bangladeshi participants, respectively. Bangladeshi nationality, hypertension, and alcohol use were significant correlates of current cigarette smoking. Increase in age, less than college level education, alcohol use and Pakistani or Bangladeshi nationality were significant correlates of exposure to smokeless tobacco.Conclusions The high prevalence of cigarette smoking and smokeless tobacco use in South Asian migrants, highlights the public health burden of tobacco use in migrant populations in the UAE. Public health measures are needed to address tobacco use in migrant population.

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