scholarly journals Smokeless tobacco use and reproductive outcomes among women: a systematic review

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1171
Author(s):  
A.G. Radhika ◽  
Sutapa B. Neogi ◽  
Preetha GS ◽  
Sumant Swain ◽  
Jaswinder Kaur ◽  
...  
Keyword(s):  
Systematic Review ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Research Question ◽  
Reproductive Outcomes ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Urinary Cotinine ◽  
Organ Systems ◽  
Smokeless Tobacco Use

Background: Both smoked and smokeless tobacco use have deleterious effects on most major organ systems including the reproductive system. We conducted a systematic review on smokeless tobacco (SLT) use and reproductive outcomes among women. Methods: We searched Pubmed, ProQuest, Cochrane, Wiley and Emerald databases for studies involving smokeless tobacco use in women with any or a combination of three conditions: infertility, menstrual disorders and pelvic inflammatory disease (PID). Eligibility criteria included English language publications from 1st January 1990 - 31st October 2020. CADIMA software used for filtering the studies and modified SIGN checklist for the quality assessment. The findings are reported as per the PRISMA guidelines. The AXIS and ROBIN E tool were used for assessment of risk of bias. Results: In total, three studies addressed our research question. Two studies addressed infertility (prospective cohort: n=501, cross sectional: n=192) of which, the cross-sectional study compared the mean cotinine levels between those with infertility, menstrual disorders and PID. This study also explored the association between SLT and PID. PID was the most common gynecological complaint. Women with PID had significantly higher urinary cotinine levels = 24.95±12.259) ng/ ml (p=0.0144). Mean urinary cotinine in women with menstrual complaints was 19.32±10.29 ng/ml.  The other study used population-based sampling of 501 couples who attempted pregnancy (enrolled in the LIFE Study).  Results showed that only 2% (n=28) of men and none of the women used smokeless tobacco.  Compared with never users of tobacco, smoking by females was individually associated with longer time-to-pregnancy;  smoking among males remained significant when modeling partners together. Conclusions: Available studies exploring associations between SLT and reproductive outcomes are inconclusive due to limitations in the study methodologies. More studies with robust study designs are required from low- and middle-income countries with high prevalence of SLT use.

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.

Naswar (Smokeless Tobacco) Use and the Risk of Oral Cancer in Pakistan: A Systematic Review With Meta-Analysis

2017 ◽  
Vol 21 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Zohaib Khan ◽  
Rizwan Abdulkader Suliankatchi ◽  
Thomas L Heise ◽  
Steffen Dreger
Keyword(s):  
Systematic Review ◽  
Oral Cancer ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Meta Analysis ◽  
Smokeless Tobacco Use

scholarly journals The association between smokeless tobacco use and pancreatic adenocarcinoma: A systematic review

2014 ◽  
Vol 38 (6) ◽  
pp. 647-653 ◽  
Author(s):  
Matthew D. Burkey ◽  
Shari Feirman ◽  
Han Wang ◽  
Samuel Ravi Choudhury ◽  
Surbhi Grover ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Adenocarcinoma ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Smokeless Tobacco Use

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 Smokeless tobacco use and circulatory disease risk: a systematic review and meta-analysis

Open Heart ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e000846 ◽  
Author(s):  
Brian L Rostron ◽  
Joanne T Chang ◽  
Gabriella M Anic ◽  
Manju Tanwar ◽  
Cindy M Chang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Heart Disease ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Disease Risk ◽  
Meta Analysis ◽  
Circulatory Disease ◽  
Increased Risk ◽  
Disease Risks ◽  
Smokeless Tobacco Use

ObjectiveSmokeless tobacco use is a public health issue throughout the world, but reviews and analyses of circulatory disease risks associated with smokeless tobacco use may be outdated or incomplete. This study provides a thorough and comprehensive review and meta-analysis of circulatory disease risks in high-income countries, including recently published study estimates.MethodsWe conducted a systematic review of studies of circulatory disease risks associated with smokeless tobacco use in Europe and North America that were identified from electronic databases and reference lists. Study estimates were extracted by region, smokeless tobacco use status, cigarette smoking status, and circulatory condition and combined in meta-analysis using a random-effects model. We used the Newcastle-Ottawa scale to assess study quality and risk of bias.ResultsWe identified 17 relevant cohort studies, two pooled analyses, five case–control studies and one cross-sectional analysis. We found increased risk of heart disease (relative risk (RR) 1.17, 95% CI 1.09 to 1.27) and stroke (RR 1.28, 95% CI 1.01 to 1.62) among US smokeless tobacco users compared with non-users. Increased circulatory disease risk was not observed among Swedish smokeless tobacco users.ConclusionUS smokeless tobacco users were found to have increased risk of heart disease and stroke.

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