scholarly journals Pattern of current tobacco use in a rural block of North India

2017 ◽  
Vol 4 (10) ◽  
pp. 3802 ◽  
Author(s):  
Anuj Jangra ◽  
J. S. Malik ◽  
Srishti Singh ◽  
Nitika Sharma
Keyword(s):  
Tobacco Use ◽  
Tobacco Smoking ◽  
Rural Areas ◽  
Sampling Technique ◽  
Control Programme ◽  
North India ◽  
Systematic Random Sampling ◽  
Risk Of Death ◽  
Increased Risk ◽  
Current Tobacco

Background: Tobacco is the only legal drug that kills many of its users when used exactly as intended by manufacturers. WHO has estimated that tobacco use (smoking and smokeless) is currently responsible for the death of about six million people across the world each year. Although often associated with ill-health, disability and death from non-communicable chronic diseases, tobacco smoking is also associated with an increased risk of death from communicable diseases. This study was conducted with aim to observe the current pattern of tobacco use in a rural block of north India. Methods: The study was conducted in Lakhanmajra block (rural) of Haryana, India, in year 2015-2016 among 1000 study subjects aged 15-64 years selected by systematic random sampling technique. Results: The overall prevalence of current tobacco-smoking use to be 12.8% and it was higher among males (11.2%) as compared to females (3.2%). The median age for initiation of smoking tobacco was 18 years, smokeless tobacco was 20 years. Conclusions: Our study stresses is the need to have rural orientation in the National Tobacco Control Programme since the poorly educated individuals living in rural areas are at the maximum risk of using tobacco, identifying ways and means of reaching out to these communities will be critical to the success or failure of the program. 

ACHIEVEMENT MOTIVATION AMONG ADOLESCENTS

2021 ◽  
pp. 24-26
Author(s):  
M. Adenna Naik
Keyword(s):  
Achievement Motivation ◽  
Rural Areas ◽  
Urban Areas ◽  
Andhra Pradesh ◽  
Sampling Technique ◽  
High Achievement ◽  
Systematic Random Sampling ◽  
Made In ◽  
Gender Type ◽  
Type Of Management

An attempt was made in the present investigation is Aim: Achievement motivation among adolescents. Objectives: To study the inuence of gender, type of management and locality on achievement motivation among adolescents. Sample: The sample of the present investigation was selected 200 adolescent's students in Chittoor district of Andhra Pradesh State of India. The subjects were in the age group from 15 to 18 years and using systematic random sampling technique. Tool: The Pratibha Deo and Asha Mohan (2011) accomplishment motivation scale was used as a tool. Research Design: As there are three independent variables i.e., gender (male & female), type of management (government & private) and locality (rural & urban), each is divided in to two categories, a 2×2×2 factorial design was employed in the present study. Statistical Analysis: Means, SDs and Analysis of Variance (ANOVA) were used. Results: Results revealed signicant impact of gender, type of management and locality with regard to achievement motivation among adolescents. Conclusions: Males have high achievement motivation than females; there is no signicant inuence of type of management on achievement motivation and students of urban areas have high achievement motivation than students of rural areas.

scholarly journals Tobacco Smoking and Increased Risk of Death and Progression for Patients With p16-Positive and p16-Negative Oropharyngeal Cancer

2012 ◽  
Vol 30 (17) ◽  
pp. 2102-2111 ◽  
Author(s):  
Maura L. Gillison ◽  
Qiang Zhang ◽  
Richard Jordan ◽  
Weihong Xiao ◽  
William H. Westra ◽  
...  
Keyword(s):  
Cancer Progression ◽  
Tobacco Smoking ◽  
Oropharyngeal Cancer ◽  
Radiation Therapy Oncology Group ◽  
Phase Iii ◽  
Tobacco Exposure ◽  
Primary Tumors ◽  
Risk Of Death ◽  
Oropharynx Cancer ◽  
Increased Risk

Purpose Tobacco smoking is associated with oropharynx cancer survival, but to what extent cancer progression or death increases with increasing tobacco exposure is unknown. Patients and Methods Patients with oropharynx cancer enrolled onto a phase III trial of radiotherapy from 1991 to 1997 (Radiation Therapy Oncology Group [RTOG] 9003) or of chemoradiotherapy from 2002 to 2005 (RTOG 0129) were evaluated for tumor human papillomavirus status by a surrogate, p16 immunohistochemistry, and for tobacco exposure by a standardized questionnaire. Associations between tobacco exposure and overall survival (OS) and progression-free survival (PFS) were estimated by Cox proportional hazards models. Results Prevalence of p16-positive cancer was 39.5% among patients in RTOG 9003 and 68.0% in RTOG 0129. Median pack-years of tobacco smoking were lower among p16-positive than p16-negative patients in both trials (RTOG 9003: 29 v 45.9 pack-years; P = .02; RTOG 0129: 10 v 40 pack-years; P < .001). After adjustment for p16 and other factors, risk of progression (PFS) or death (OS) increased by 1% per pack-year (for both, hazard ratio [HR], 1.01; 95% CI, 1.00 to 1.01; P = .002) or 2% per year of smoking (for both, HR, 1.02; 95% CI, 1.01 to 1.03; P < .001) in both trials. In RTOG 9003, risk of death doubled (HR, 2.19; 95% CI, 1.46 to 3.28) among those who smoked during radiotherapy after accounting for pack-years and other factors, and risk of second primary tumors increased by 1.5% per pack-year (HR, 1.015; 95% CI, 1.005 to 1.026). Conclusion Risk of oropharyngeal cancer progression and death increases directly as a function of tobacco exposure at diagnosis and during therapy and is independent of tumor p16 status and treatment.

scholarly journals Determinants of Under-Five Child Mortality in Arab Countries. Are the Effects Homogeneous Across Birth Order and Among Countries?

2021 ◽  
Vol 14 (23) ◽  
pp. 34-49
Author(s):  
Chellai Fatih
Keyword(s):  
Birth Order ◽  
Child Mortality ◽  
Rural Areas ◽  
Urban Areas ◽  
Arab Countries ◽  
Policy Implications ◽  
Educational Levels ◽  
Under Five ◽  
Risk Of Death ◽  
Increased Risk

Abstract Under-five-child mortality remains a major challenge for governments in the Arab world to achieve Sustainable Development Goals. Thus, further studies are needed to analyze the determinants of child mortality. The Multiple Indicators Cluster Surveys (MICS) datasets of six Arab countries (Algeria, Egypt, Iraq, Mauritania, Sudan, and Tunisia) have been used, which are consisting of 249.000 children nested within 54.644 mothers. The study was designed in a women-parity-covered one to six birth order. Binary multivariable logistic models were used to estimate the risk ratios of death by adjusting for child sex, birth outcome (twin vs. singleton), mother’s education level, maternal age, previous birth interval, place of residence (rural vs. urban), and the family wealth index. The findings revealed that the under-five child mortality rates were 87, 70,66,35,36, and 21 per 1000 live births in Sudan, Mauritania, Egypt, Iraq, Algeria, and Tunisia, respectively). First-born infants in these six countries have a higher risk of mortality during their five years of life. Second, third-and fourth-born infants were at a decreased risk of death compared to first-born infants in all countries; in contrast, fifth-and-sixth-born infants were at an increased risk in all countries except Sudan and Mauritania. Twin children have a higher risk of death than singletons in all countries and across all birth orders. Children of mothers with higher educational levels living in urban areas are at lower risk of death than their peers across all birth orders. Regarding policy implications, decision-makers can target three main axes: first, enhancing women’s educational levels; second, increasing birth intervals (birth spacing policies); and third, improving living standards and healthcare strategies, especially in rural areas to improve child and mother health.

scholarly journals Tobacco use and associated factors among Rwandan youth aged 15-34 years: Findings from a nationwide survey, 2013

2019 ◽  
Author(s):  
François Habiyaremye ◽  
Samuel Rwunganira ◽  
Clarisse Musanabaganwa ◽  
Marie Aimée Muhimpundu
Keyword(s):  
Tobacco Use ◽  
Rural Areas ◽  
Associated Factors ◽  
Disease Risk ◽  
Communicable Disease ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Southern Province ◽  
Significant Difference ◽  
Current Tobacco

AbstractIntroductionTobacco use is the single most preventable cause of death in the world. The objective of this study was to determine the prevalence of current tobacco use and identify associated factors among Rwandans aged 15-34 years.MethodsThis cross-sectional analytical study analysed secondary data collected during the nationally representative Non-Communicable Disease Risk Factors Surveillance survey conducted in 2013 to explore the prevalence of tobacco use in Rwanda and identify factors associated with tobacco use. This study analysed data collected from 3,900 youth participants (15-34 years old), selected using multistage cluster sampling technique. The overall proportion of current smokers, as well as demographic and socioeconomic characteristics of the sample were determined and multivariable logistic regression employed to identify factors independently associated with current tobacco use.ResultsThe prevalence (weighted) of current tobacco use (all forms) was 8% (95%CI: 7.08-9.01). Prevalence statistically significant was found in the following group: higher prevalence was found among males, young adults aged 24-34, youth with primary school education or less, those from Southern province, people with income (work in public, private organizations and self-employed) and young married adults.There was no statistically significant difference in prevalence of tobacco use between participants from urban or rural areas (7.8% vs. 8.0%). Factors that were found to be associated with current tobacco use through the multivariate analysis included being a male, aged 25 years and above, having an income, and residing in Eastern, Kigali City and Southern Province compared to Western province.ConclusionThe association between smoking and sociodemographic characteristics among Rwandan youth identified in this study provides an opportunity for policy makers to tailor future policies, and implement coordinated, high-impact interventions to prevent initiation of tobacco use among the youth.

scholarly journals Current tobacco smoking and risk from COVID-19: results from a population symptom app in over 2.4 million people

2020 ◽  
Author(s):  
Nicholas S Hopkinson ◽  
Niccolo Rossi ◽  
Julia El-Sayed Moustafa ◽  
Anthony A Laverty ◽  
Jennifer K Quint ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Tobacco Smoking ◽  
Smoking Status ◽  
Severity Of Illness ◽  
Tissue Expression ◽  
Current Smoking ◽  
Information Gap ◽  
Increased Risk ◽  
Subcutaneous Adipose ◽  
Current Tobacco

Background: The association between current tobacco smoking, the risk of developing COVID-19 and the severity of illness is an important information gap. Methods: UK users of the COVID Symptom Study app provided baseline data including demographics, anthropometrics, smoking status and medical conditions, were asked to log symptoms daily from 24th March 2020 to 23rd April 2020. Participants reporting that they did not feel physically normal were taken through a series of questions, including 14 potential COVID-19 symptoms and any hospital attendance. The main study outcome was the association between current smoking and the development of classic symptoms of COVID-19 during the pandemic defined as fever, new persistent cough and breathlessness. The number of concurrent COVID-19 symptoms was used as a proxy for severity. In addition, association of subcutaneous adipose tissue expression of ACE2, both the receptor for SARS-CoV-2 and a potential mediator of disease severity, with smoking status was assessed in a subset of 541 twins from the TwinsUK cohort. Results: Data were available on 2,401,982 participants, mean(SD) age 43.6(15.1) years, 63.3% female, overall smoking prevalence 11.0%. 834,437 (35%) participants reported being unwell and entered one or more symptoms. Current smokers were more likely to develop symptoms suggesting a diagnosis of COVID-19; classic symptoms adjusted OR[95%CI] 1.14[1.10 to 1.18]; >5 symptoms 1.29[1.26 to 1.31]; >10 symptoms 1.50[1.42 to 1.58]. Smoking was associated with reduced ACE2 expression in adipose tissue (Beta(SE)= -0.395(0.149); p=7.01x10-3). Interpretation: These data are consistent with smokers having an increased risk from COVID-19.

Marijuana/tobacco use and patient-reported outcomes (PROs) in adult survivors of childhood cancer.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 175-175
Author(s):  
I-Chan Huang ◽  
James L. Klosky ◽  
Nickhill Bhakta ◽  
Melissa M. Hudson ◽  
Leslie L. Robison
Keyword(s):  
Childhood Cancer ◽  
Tobacco Use ◽  
Smoking Status ◽  
Marijuana Use ◽  
Adult Survivors ◽  
Serum Cotinine ◽  
Increased Risk ◽  
Patient Reported ◽  
Survivors Of Childhood Cancer ◽  
Current Tobacco

175 Background: In 2017, the National Academy of Medicine reported adverse physical and psychosocial outcomes associated with marijuana use, and an increased risk of marijuana use among those who use tobacco. However, the association of marijuana and/or tobacco use with PROs has not been well-studied in survivors of childhood cancer. Methods: A random sample (stratified on self-reported smoking status) of 287 adult survivors of childhood cancer was selected from the St. Jude Lifetime Cohort Study. Chemotherapy and radiotherapy were abstracted from medical records. Marijuana use was self-reported and classified as past/current vs. never use. Current tobacco use was determined using serum cotinine concentrations by liquid chromatography tandem mass spectrometry. PROs were evaluated by physical and mental component summary (PCS and MCS) scores from the Medical Outcomes Study SF-36. Linear regression was used to evaluate associations of marijuana and tobacco use with PROs after adjusting for covariates, and the results were stratified by treatment modality. Results: Survivors’ mean age at study participation was 33.6 years (SD = 9.1), mean years from diagnosis was 24.2 (SD = 6.2). 61.3% used marijuana and 39.4% were current tobacco users. 79.3% of the tobacco users had marijuana use. Marijuana and tobacco were independently associated with lower PCS (βs = -3.1 and -2.9, respectively, p’s < 0.05) and MCS (βs = -3.3 and -3.2, respectively, p’s < 0.01). Among survivors who received chemotherapy, marijuana and tobacco were associated with lower PCS (β = -4.3, p < 0.01; β = -2.8, p < 0.05, respectively) and MCS (βs = -4.8 and -3.1, respectively, p’s < 0.05). In survivors who received radiotherapy, marijuana, but not tobacco, use was associated with lower PCS (β = -3.6, p < 0.05) and MCS (β = -4.6, p < 0.05). Among those who received neither chemotherapy nor radiotherapy, each substance was independently associated, but not significantly, with lower PCS and MCS. Conclusions: Among adult survivors of childhood cancer, marijuana users likely co-used tobacco, and both substances were independently associated with lower PROs. When associations with treatment exposures were assessed, different profiles of PRO scores were identified.

Pattern and Predictors of Tobacco Use Among Undergraduates in Three Tertiary Institutions in North-Western Nigeria

2021 ◽  
pp. 0272684X2110049
Author(s):  
Muhammed Sani Ibrahim ◽  
Kabir Sabitu ◽  
Abdulhakeem Abayomi Olorukooba ◽  
Nuru Suleiman Muhammad ◽  
Aisha A. Abubakar ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Global Youth Tobacco Survey ◽  
Cross Sectional ◽  
Tertiary Institutions ◽  
University Admission ◽  
Multi Stage ◽  
Current Tobacco ◽  
North Western

Background Tobacco use is associated with medical, social and economic problems. There is paucity of data on tobacco use among undergraduates in northern Nigeria. This study assessed pattern and predictors of tobacco use among undergraduates in Zaria, North-western Nigeria. Method It was a cross-sectional study of undergraduates in three tertiary institutions. Multi-stage sampling technique was used to select 1,080 undergraduates. Data was collected using a questionnaire adapted from Global Adult Tobacco Survey and Global Youth Tobacco Survey. Bi-variate analysis was used to identify independent variables showing statistically significant association with current tobacco use. These were entered into step-wise logistic regression. Results Their median age was 24 years (range:15–47). Prevalence of current tobacco use was 27.0%. About 58.7% smoked tobacco daily and 40.0% used smokeless tobacco daily. Commonest places where tobacco was used were off campus accommodation (30.2%), social center (30.2%) and bar or club (28.1%). Predictors of tobacco use were being a male [2.64(1.82–3.84)], married [2.33(1.49–3.70)], experiencing tobacco promotional activity [1.56(1.12–2.17)], willing to use promotional objects [2.06(1.35–3.14)], using of promotional objects [2.74(1.90–3.96)], and exposure to secondhand smoke [14.10(4.16–47.81)]. Predictors of non-use of tobacco were spending two years or less awaiting university admission [0.65 (0.46–0.91)], parents currently together [0.48(0.33–0.69)], and supporting ban on tobacco [0.34 (0.23–0.48)]. Conclusion Prevalence of tobacco use and expenditure on tobacco were high. University authorities should commence programs to identify tobacco users and encourage cessation. The findings also highlight the need to establish effective tobacco surveillance system that includes students of tertiary institutions.

scholarly journals Current smoking and COVID-19 risk: results from a population symptom app in over 2.4 million people

Thorax ◽  
2021 ◽  
pp. thoraxjnl-2020-216422
Author(s):  
Nicholas S Hopkinson ◽  
Niccolo Rossi ◽  
Julia El-Sayed_Moustafa ◽  
Anthony A Laverty ◽  
Jennifer K Quint ◽  
...  
Keyword(s):  
Tobacco Smoking ◽  
Smoking Prevalence ◽  
Smoking Status ◽  
Severity Of Illness ◽  
Main Study ◽  
Current Smoking ◽  
Information Gap ◽  
Increased Risk ◽  
Persistent Cough ◽  
Current Tobacco

BackgroundThe association between current tobacco smoking, the risk of developing symptomatic COVID-19 and the severity of illness is an important information gap.MethodsUK users of the Zoe COVID-19 Symptom Study app provided baseline data including demographics, anthropometrics, smoking status and medical conditions, and were asked to log their condition daily. Participants who reported that they did not feel physically normal were then asked by the app to complete a series of questions, including 14 potential COVID-19 symptoms and about hospital attendance. The main study outcome was the development of ‘classic’ symptoms of COVID-19 during the pandemic defined as fever, new persistent cough and breathlessness and their association with current smoking. The number of concurrent COVID-19 symptoms was used as a proxy for severity and the pattern of association between symptoms was also compared between smokers and non-smokers.ResultsBetween 24 March 2020 and 23 April 2020, data were available on 2 401 982 participants, mean (SD) age 43.6 (15.1) years, 63.3% female, overall smoking prevalence 11.0%. 834 437 (35%) participants reported being unwell and entered one or more symptoms. Current smokers were more likely to report symptoms suggesting a diagnosis of COVID-19; classic symptoms adjusted OR (95% CI) 1.14 (1.10 to 1.18); >5 symptoms 1.29 (1.26 to 1.31); >10 symptoms 1.50 (1.42 to 1.58). The pattern of association between reported symptoms did not vary between smokers and non-smokers.InterpretationThese data are consistent with people who smoke being at an increased risk of developing symptomatic COVID-19.

scholarly journals Predictors of Clinician Tobacco Intervention Counseling in Six North Carolina Free Clinics

2012 ◽  
Vol 5 ◽  
pp. TUI.S9350 ◽  
Author(s):  
John G. Spangler ◽  
Eun-Young Song ◽  
Jessica Richardson Pockey ◽  
Erin L. Sutfin ◽  
Donald W. Helme ◽  
...  
Keyword(s):  
North Carolina ◽  
Tobacco Use ◽  
Fold Increase ◽  
Patient Characteristics ◽  
Free Clinics ◽  
The North ◽  
Increased Risk ◽  
Near Term ◽  
Current Tobacco ◽  
Tobacco Intervention

While the poor and the uninsured are at increased risk for tobacco use, up to two thirds of these patients express interest in near-term quitting. Nonetheless, tobacco counseling rates remain low in clinics serving these patients. As part of a larger tobacco intervention project in North Carolina free clinics, we gathered baseline data on patient characteristics in six randomly selected facilities affiliated with the North Carolina Association of Free Clinics. An exit interview was completed by 231 patients; 126 (54%) were tobacco users. Among all patients, 71% had been asked by a clinician about tobacco use in the past 3 months. Among tobacco users, 68% had received at least one other counseling step (assessment; advice; or assistance). Patients with asthma and current tobacco users had a two-fold increase in being asked about tobacco use. Patients' diagnoses–-in particular asthma–-can remind clinicians of tobacco intervention.

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