scholarly journals Central Australian Aboriginal women’s pregnancy, labour and birth outcomes following maternal smokeless tobacco (pituri) use, cigarette use or no-tobacco use: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Angela Ratsch ◽  
Fiona Bogossian ◽  
Kathryn Steadman
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Tobacco Plant ◽  
Indigenous Populations ◽  
Maternal Outcomes ◽  
Cigarette Use ◽  
Australian Aboriginal ◽  
Aboriginal Women ◽  
Smokeless Tobacco Use

Abstract Background Outcomes related to maternal smoked tobacco (cigarette) use have been substantially examined over the past 50 years with resultant public health education targeted towards the reduction of use during pregnancy. However, worldwide the effects of maternal smokeless tobacco use have been less well explored and in Australia, there has been no examination of maternal outcomes in relation to the use of Australian Nicotiana spp. (tobacco plant) as a smokeless tobacco, colloquially known as pituri. The aim of this study is to describe the maternal outcomes of a group of central Australian Aboriginal women in relation to their self-reported tobacco use. Methods Eligible participants were > 18 years of age, with a singleton pregnancy, > 28 weeks gestation, and who planned to birth at the Alice Springs Hospital (the major regional hospital for central Australia, in the Northern Territory, Australia). The sample consisted of 73 conveniently recruited women categorized by tobacco-use status as no-tobacco users (n = 31), pituri chewers (n = 19), and smokers (n = 23). Results There were differences in the groups in relation to teenage pregnancies; 35% of no-tobacco users, compared with 5% of pituri users, and 13% of smokers were <  20 years of age. The chewers had a higher rate (48%) of combined pre-existing and pregnancy-related elevated glucose concentrations compared with smokers (22%) and no-tobacco users (16%).The pituri chewers had the lowest rate (14%) of clinically significant post-partum hemorrhage (> 1000 ml) compared with 22% of smokers and 36% of the no-tobacco users. Conclusions This is the first research to examine pituri use in pregnancy and the findings indicate possible associations with a range of adverse maternal outcomes. The use of smokeless tobacco needs to be considered in maternal healthcare assessment to inform antenatal, intrapartum and postpartum care planning. Implications for public health Female smokeless tobacco use is a global phenomenon and is particularly prevalent in low and middle income countries and in Indigenous populations. The findings contribute to the developing knowledge around maternal smokeless tobacco use and maternal outcomes. Maternal screening for a broader range of tobacco and nicotine products is required. Note to readers In this research, the central Australian Aboriginal women chose the term ‘Aboriginal’ to refer to themselves, and ‘Indigenous’ to refer to the broader First Peoples. That choice has been maintained in the reporting of the research findings.

scholarly journals Public Health Implications of Smokeless Tobacco Use as a Harm Reduction Strategy

2006 ◽  
Vol 96 (11) ◽  
pp. 1934-1939 ◽  
Author(s):  
David A. Savitz ◽  
Roger E. Meyer ◽  
Jason M. Tanzer ◽  
Sidney S. Mirvish ◽  
Freddi Lewin
Keyword(s):  
Public Health ◽  
Harm Reduction ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Reduction Strategy ◽  
Health Implications ◽  
Harm Reduction Strategy ◽  
Smokeless Tobacco Use

scholarly journals Smoke-Free Ordinances and Policies Protect Youth, but Ordinances Appear to Have Little Impact on Non-Combustible Tobacco Use

Children ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. 44
Author(s):  
Nell Valentine ◽  
Emily McClelland ◽  
Robert McMillen
Keyword(s):  
High School Students ◽  
Cigarette Smoking ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Cigarette Use ◽  
Lower Prevalence ◽  
Tobacco Products ◽  
Shs Exposure ◽  
Smokeless Tobacco Use ◽  
Cigar Smoking

Smoke-free ordinances and policies protect youth from exposure to secondhand smoke (SHS) and cigarette use. This study investigated whether smoke-free ordinances also protect youth from the use of other tobacco products. We compared the prevalence of SHS exposure, cigarette smoking, cigar smoking, smokeless tobacco use, and e-cigarette use among high school students living in a municipality with or without a smoke-free ordinance and in homes with and without smoke-free policies. Data were analyzed using the 2017 Mississippi Youth Tobacco Survey (n = 1923). Smoke-free ordinances were found to be associated with lower prevalence of SHS exposure (41.9% vs. 51.5%), cigarette smoking (5.1% vs. 11.4%), and cigar smoking (7.2% vs. 10.9%). There were no differences in smokeless tobacco use (6.6% vs. 6.5%) or e-cigarette use (11.2% vs 12.1%). Smoke-free homes were associated with lower prevalence of SHS exposure (38.0% vs 74.6%), cigarette smoking (4.8% vs. 17.6%), cigar smoking (6.4% vs. 16.4%), smokeless tobacco use (4.9% vs. 13.2%), and e-cigarette use (9.6% vs. 19.5%), p < 0.05 for all comparisons. The results suggest that smoke-free ordinances and policies protect against exposure to tobacco smoke and use of combustible tobacco products, but smoke-free ordinances do not protect from smokeless tobacco and e-cigarette use. Tobacco-free, rather than smoke-free, ordinances might offer more protection.

Disparities between Public Health Educational Materials and the Scientific Evidence that Smokeless Tobacco Use Causes Cancer

2004 ◽  
Vol 19 (1) ◽  
pp. 17-28 ◽  
Author(s):  
JOHN W. WATERBOR ◽  
REX M. ADAMS ◽  
JOSHUA M. ROBINSON ◽  
FORREST G. CRABTREE ◽  
NEIL A. ACCORTT ◽  
...  
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Scientific Evidence ◽  
Educational Materials ◽  
Smokeless Tobacco Use

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

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.

Smokeless Tobacco Use among Ontario Students

1988 ◽  
Vol 18 (4) ◽  
pp. 353-357
Author(s):  
Edward M. Adlaf ◽  
Reginald G. Smart
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Health Concern ◽  
Public Health Concern ◽  
Age And Gender ◽  
Probability Sample ◽  
Smokeless Tobacco Use ◽  
And Gender

The use of smokeless tobacco among adolescents has emerged as a public health concern. We report here estimates of use and characteristics of users among a probability sample of 4,267 Ontario (Canada) students aged thirteen to nineteen years. The results indicated that smokeless tobacco use was not common, varying from 1 percent to 3 percent depending upon age and gender, but was more likely to occur among smokers (10% to 32%). The group most prone to use was young smoking males.

scholarly journals Trends in E-Cigarette, Cigarette, Cigar, and Smokeless Tobacco Use Among US Adolescent Cohorts, 2014–2018

2020 ◽  
Vol 110 (2) ◽  
pp. 163-165 ◽  
Author(s):  
Rebecca Evans-Polce ◽  
Phil Veliz ◽  
Carol J. Boyd ◽  
Vita V. McCabe ◽  
Sean Esteban McCabe
Keyword(s):  
United States ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Prevention Programs ◽  
The United States ◽  
Tobacco Prevention ◽  
Cigarette Use ◽  
Smokeless Tobacco Use ◽  
Prospective Research

Objectives. To examine changes in age of initiation of e-cigarette, cigarette, cigar, and smokeless tobacco use among adolescents in the United States. Methods. We used data from 5 cohorts of the National Youth Tobacco Survey (2014–2018; n = 26 662). Results. In 2014, 8.8% of lifetime e-cigarette users initiated use at 14 years or younger, as compared with 28.6% of lifetime e-cigarette users in 2018. There was no such change in initiation ages for cigarettes, cigars, and smokeless tobacco among lifetime users of each of these products. Conclusions. US adolescents are initiating e-cigarette use at younger ages in recent years. This is concerning given the association of e-cigarette use with subsequent cigarette use. Continued surveillance of these trends and additional prospective research are needed. Tobacco prevention programs, policies, and regulations that make it more difficult for youths to obtain e-cigarettes are warranted.

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