scholarly journals Study on oral smokeless tobacco use among migrant labourers and their attitude towards tobacco cessation in an urban settlement in Ernakulam district of Kerala

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.

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. 


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.


2021 ◽  
Vol 8 (8) ◽  
pp. 1178
Author(s):  
Prathvimraj B. U. ◽  
Jubina Bency A. T.

Background: According to domestic labour migrant report about 2.35 lakh migrant workers continue to arrive every year to Kerala and they are comparatively neglected group in the society and high level of smoking and other modes of tobacco consumption is seen in this population on general observation. Tobacco use is the leading cause of preventable death in the world and linked to 90% of oral cancer in South East Asia and cigarette smokers are 8.6 times higher risk for lung cancer than non-smokers. These are attributed to nicotine and several harmful carcinogens in tobacco products. Objectives were to study the prevalence and pattern of tobacco use among migrant labourers and to assess the associated risk factors among the study participants.Methods: A cross sectional study was done in a district, Pathanamthitta, Kerala among migrant labourers over a period of 2 months using WHO steps questionnaire for tobacco consumption and Fagerstrom test for nicotine dependence.Results: Majority of study participants belonged to age group of less than 25 years. 20.8% of the participants smoked nicotine products but only 1 participant had high dependence. The 75% of participants consumed smokeless tobacco products with 37% of those participants showing high dependence to the products.Conclusions: A field-based study will give an in depth understanding of problems of migrant population including their environment. It will also help in application of health planning and health education at community level.


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

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.


2020 ◽  
Vol 10 (1) ◽  
pp. 8-13
Author(s):  
Ujjwal Joshi ◽  
Megha Pradhan ◽  
Srijana Dahal ◽  
Krishan Kumar Tyagi

Background: Smokeless tobacco use is prevalent in Nepal, and various Smokeless tobacco products are widely available in the country. Areca nut chewing habit is common in Nepal especially in the Terai region adjoining India. This study was aimed to assess the Smokeless Tobacco use and betel nut chewing among adolescents of Bhaktapur and to assess their knowledge about Oral Submucous Fibrosis (OSMF). Methods: Cross-sectional study was performed among adolescents (age group 10-18) years studying in high schools and colleges in Bhaktapur. Random sampling methods was carried out to select 400 adolescents after taking written consent for questionnaire. Descriptive statistical analysis was done using SPSS version 16. Results: Among 400 adolescents, only 24 (6%) admitted to using smokeless tobacco and tobacco based products. One hundred sixty-two (40.5%) participants had experienced betel nut chewing where the most common form was betel nut alone. Sixty one (37.8%) of them had tried at special traditional functions. OSMF was never heard before among 392 (98%) of participants. Conclusions: Smokeless tobacco usage was seen to be less among the participants but areca nut chewing was comparatively high. Traditional functions and predominant usage of betel nut chewing at home emphasizes the need for awareness of harmful effect of betel nut chewing in any forms to be reinforced at one’s home and community. Knowledge about OSMF was seen to be scanty in the adolescents.


BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033178
Author(s):  
Ankur Singh ◽  
Monika Arora ◽  
Rebecca Bentley ◽  
Matthew J Spittal ◽  
Loc G Do ◽  
...  

ObjectiveThis study aims to quantify the extent to which people’s use of tobacco products varies by local areas (city ward and village) across India and the variation in this clustering by tobacco products.DesignCross-sectional study.Setting and participantsData on 73 954 adults across 2547 city wards and villages were available for analysis from 30 states and 2 union territories in India.Primary and secondary outcome measuresWe included as primary outcomes self-reported any tobacco use, current cigarette smoking, current bidi smoking, current smokeless tobacco use and a derived variable for dual use describing respondents who engaged in both smoking and smokeless tobacco use.ResultsThe median risk of an individual using tobacco was 1.64 times greater if a person hypothetically moved from an area of low to high risk of tobacco use (95% CI: 1.60 to 1.69). Area-level partitioning of variation differed by tobacco product used. Median ORs ranged from 1.77 for smokeless tobacco use to 2.53 for dual use.ConclusionsTobacco use is highly clustered geographically in India. To be effective in India, policy interventions should be directed to influence specific local contextual factors on adult tobacco use. Where people live in India influences their use of tobacco, and this association may be greater than has been observed in other settings. Tailoring tobacco control policies for local areas in India may, therefore, provide substantial public health benefits.


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