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

Author(s):  
Netri Das ◽  
Anadi S. Tasa ◽  
Anuradha H. Medhi

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. 

Author(s):  
Anjana Rameshan ◽  
Leyanna Susan George ◽  
Devraj Ramakrishnan ◽  
Anu Vasudevan

Background: Interstate migrant workers in the state of Kerala are increasing day by day. Tobacco usage is quite common among them; however, there are only few studies about oral smokeless tobacco consumption among them. The objectives of the study were to study the prevalence of oral smokeless tobacco use among migrant labourers in an urban settlement in Ernakulam district of Kerala and to assess the knowledge and attitude of users towards cessation.Methods: A cross sectional study was conducted among 140 migrant workers residing in an urban settlement in Kochi. Data regarding their socio demographic characteristics, knowledge, attitude and practices of smokeless tobacco consumption was collected using a questionnaire adapted from the global adult tobacco survey questionnaire (GATS). Data was entered into excel sheet and was analyzed using Epi Info.Results: The prevalence of oral smokeless tobacco was found to be 32.85%. Of which, majority of them used a tobacco-lime mixture called Khani (50%) and used tobacco on a daily basis (65.2%). It was observed that 71.74% of the users were unaware of the ill effects of the use of smokeless tobacco and 69.57% of them were not interested in quitting this habit. Among those who had quit, majority of them had done it on their will power alone.Conclusions: The use of smokeless tobacco is quite prevalent among the migrant population. Effective behavioural change communication activities need to be directed towards them.


2017 ◽  
Vol 15 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Jitendra Kumar Singh ◽  
Dilaram Acharya ◽  
Rajendra Kadel ◽  
Samaj Adhikari ◽  
Daniel Lombard ◽  
...  

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.


2016 ◽  
Vol 82 (5) ◽  
pp. 768 ◽  
Author(s):  
Maimoona Siddiqui ◽  
Muhammad Jawad Noon ◽  
Nadia Mehboob ◽  
Rabel Khalid ◽  
Salman Mansoor ◽  
...  

Author(s):  
Prashant Verma ◽  
Deepak Saklecha ◽  
Pradeep Kumar Kasar

Background: Tobacco use is one of the common risk factors for major non-communicable diseases. It succumbs half of its users to death. Estimates suggest that tobacco will cause about 150 million deaths in the first quarter of the century and 300 million in the second quarter. Prevalence of tobacco use in rural area is higher than urban area. While there is still paucity of data of tobacco consumption among tribal population. The study aims to determine the prevalence of tobacco consumption and its different modes among tribal population. Methods: A cross-sectional study carried out among 800 study subject 15 years and above of randomly selected villages of Mandla district of M.P., from January 2015 to June 2015 using a pre-designed pre-tested proforma. Results: Tobacco consumption was prevalent among 43.38% of the study subjects with khaini (68.3%) being the most common form of tobacco consumed followed by betel nut (9.5%). Its consumption was significantly associated with gender, age group, educational status and the marital status of the respondents. Conclusions: The prevalence of tobacco use is alarmingly high (43.38%). There is a need to strengthen IEC and Behaviour change communication activities focussing on the hazardous effects of tobacco through health education campaigns is needed in tribal areas. 


Author(s):  
Namratha Kulkarni ◽  
Pavan P. Havaldar ◽  
Vijiya A. Naik

Background: Tobacco imposes a colossal burden of disease and death leading to catastrophic health, social, economic, and environmental effects. “Tobacco” kills both men and women but sex-specific differences exist. Traditional forms of tobacco like dentifrice or tobacco tooth powder and betel quid, tobacco and lime mixture are commonly used and also, the new products use is increasing not only among men but even among children, teenagers, women of reproductive age. This study was done to know the patterns and other correlates of tobacco use among the rural women in the reproductive age group.Methods: A community based cross sectional study, conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in primary health centre, Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios and chi-square tests.Results: Tobacco consumption was seen in 9.7% of the study participants. A very high percentage of 79 (67.5%) had more than 10 years of exposure to tobacco amongst the users. Dentifrice was the most common form of tobacco used (85.5%) followed by 32 (27.4%) plain tobacco consumption. However, 49 (4.1%) consumed multiple forms of tobacco, most common being dentifrice along with plain tobacco or paan with beetelquid or used snuff.Conclusions: The distribution of tobacco consumption is likely to maintain, and perhaps increase, the current considerable socioeconomic differentials in health in India. Dual users are at much higher health risks than those who consume the individual tobacco product. It also emphasizes the variations in patterns of using tobacco among rural women. There is a need for periodical surveys using more consistent definitions of tobacco use and eliciting information on different types of tobacco consumed. 


Author(s):  
Namratha Kulkarni ◽  
Nikhil Hawal ◽  
Vijaya A. Naik

Background: Tobacco is a killer of men and women but sex specific differences exists. Along with the risk of suffering from the various health hazards from tobacco use, women are more prone to unique risks related to menstrual and reproductive function reproductive health hazards. This study was done to know the prevalence of tobacco consumption among the rural women in the reproductive age group and its association with the regularity of menstrual cycles and dysmenorrhoea.Methods: A community based cross sectional study, conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in Primary Health Centre (PHC) Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios and chi-square tests.. Results: The prevalence of tobacco consumption was 9.7%. 11 (10.9%) of currently pregnant women were consuming tobacco. Among the tobacco users, 89 (76.1%) had regular cycles. The association of tobacco consumption with irregular menstrual cycles was statistically significant (χ2=5.575, df=1, p=0.018). Further in this study, a very high percentage of 100 (85.5%) of the tobacco users had dysmenorrhoea. The difference was statistically strongly significant. (χ2=266.593, df=1, p<0.001). Among the tobacco users with irregular menstrual cycles, the most common manifestation was oligomenorrhoea 12 (42.9%) followed by 9 (32.1%) and 7 (25%) of menorrhagia and polymenorrhoea respectively. Conclusions: Significant association was found between tobacco consumption and the irregularity of menstrual cycles and dysmenorrhoea. It has become the need of the hour to provide enough evidence on the correlates of tobacco use in the community to assist government policy makers, health professionals and the public in developing realistic models towards effective tobacco control to cater to different sections of community in need. 


2019 ◽  
Vol 34 (2) ◽  
Author(s):  
Saba Alkhairy Farnaz Siddiqui Mazhar-ul-Hassan, Arif Nayani

Purpose: To find the frequency of cataract and to study the relationship between cataract development and tobacco use. Study Design: Cross sectional study. Place and Duration of Study: Single day eye camp at Dow University Hospital Karachi in August 2016. Material and Methods: All patients presenting to the camp were screened through standard eye examination including refraction and fundoscopy. After dilatation of pupil these patients were examined with a slit lamp by a consultant ophthalmologist for confirmation of the presence of cataract and its type. Participants were then questioned regarding the type of tobacco use and its duration and frequency with which it was consumed. Those patients with a history of tobacco consumption for more than ten years were included in the study. Results: A total of 550 patients presented to the eye camp of which 120 (21.81%) subjects were found to have a cataract. The mean age of the subjects was 58.02 ± 8.3 years. There were 67 (55.8%) males and 53 (44.2%) females. Among the patients diagnosed with cataract 89 (74.2%) had no history of tobacco usage while 31 (25.8%) gave a positive response regarding tobacco consumption. In nonsmokers the most common cataract was cortical where as in cigarette smokers it was nuclear 8 (57.1%) and in users of smokeless tobacco it was posterior subcapsular 5 (38.5%). There were no pseudophakic patients seen as almost all came from remote areas where there was lack of surgical facility. Conclusion: Tobacco consumption has a strong association with cataract development. Cigarette Smoking as well as chewing smokeless tobacco should be curtailed or avoided altogether. Keywords: Cataract, tobacco, visual acuity.


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