scholarly journals Defining the socio-economic and environmental determinants for high tobacco consumption behaviors among interstate migrant construction workers in Chennai: an observational analysis

Author(s):  
Sree T. Sucharitha ◽  
Balaji Arumugam ◽  
Suganya E. ◽  
Divyadharshini S. ◽  
Akshaya P.

Background: Global Adult Tobacco Survey-2 (GATS) reveals significant improvements in the decline of tobacco consumption in the past decades, however vulnerable population groups such as migrant construction workers tobacco consumption behaviors in Chennai remain understudied, thus the study was planned to estimate the socio-economic and environmental determinants for high tobacco consumption behaviors among interstate migrant construction workers in Chennai.Methods: A cross sectional survey was undertaken using a pre-tested structured questionnaire adapted from GATS survey questionnaire assessing the socio-demographic and environmental determinants for tobacco use among study population across 13 construction sites in Chennai during May-September 2019. Data was entered in MS-Excel and analysed using SPSS.Results: Among 345 migrant construction workers, mean age of the subjects was 28.42±8.7 years, 338 (98%) were current tobacco users by smoking, chewing, snuffing, of whom 198 (58.6%) used smokeless forms of tobacco like gutkha, khaini, chewing tobacco leaves, betel quid, tobacco snuff, 98 (29%) were smokers and 42 (12.4%) were dual users i.e. both cigarettes and beedis. Khaini (57%) is the dominant form of tobacco used among migrant construction workers. Mean age of initiation of tobacco use was 21.58 years and 21.17, and 22.73 and 19.5 years for smoking, SLT and dual users respectively. The migrant construction workers with no formal literacy(p=0.000), monthly income of more than 10000 (p=0.020) Indian rupees and migrants for less than one year duration (p=0.05)were more likely using the smokeless tobacco than any other socio demographic group.Conclusions: Tobacco prevalence especially smokeless tobacco use is alarmingly high among interstate migrant construction workers to Chennai.

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 57s-57s
Author(s):  
M.P. Joseph

Background: Smokeless tobacco (ST) is tobacco consumed orally, not smoked. It has been in use for as long as other forms of tobacco consumption and its use have increased. The deleterious effects of smokeless tobacco use are perhaps not as well-known as those produced by smoking. Smokeless tobacco use has been recognized as a cause of cancer. In developing countries, tobacco is mostly chewed with other ingredients. Despite the claims by some tobacco companies and a few harm reduction proponents that using smokeless tobacco products is less harmful than smoking or that smokeless tobacco should be used as a tool to help smokers quit smoking (but continue using tobacco in the form of smokeless tobacco), the fact remains that using smokeless tobacco still exposes users to many harmful chemicals and still heightens a user's risk for many of the same health problems as smoking. The aim of this study is to assess the awareness of health hazards of tobacco among smokeless tobacco users in Kancheepuram District, Tamil Nadu, India. Methodology: The inhabitants of the villages in Kancheepuram district, who have completed 18 years were included in the study. Ethical clearance from the board, permission from the village panchayat leader and informed consent from the participants to conduct the study was obtained. Inhabitants of the villages aged 18 to 75 years and present on the day data collection and who were willing to participate in the study were included. Random sampling method was used and data were collected from a cross-sectional survey, using a pretested questionnaire, which included demographic data, tobacco habits, its frequency and form. Antitobacco counseling was given on the spot and followed. The data collected was analyzed using SPSS version 15. Results: The study population consisted of total 400 individuals, male 200 and females 200. From the results it is observed that more than 70% were unaware of the harmful effects of tobacco. Majority of the females use smokeless tobacco and smoking tobacco was common among males. Most common cause of tobacco use was pleasure 32.5%, inducing factor were friends 43.7% followed by parents and siblings. Effectiveness of antitobacco counseling is greater among the females compared with males. Conclusion: The dangers from smoking and chewing tobacco are well documented within the literature but the public's lack of knowledge of the risks is a concern. Health professionals are encouraged to disseminate information on the subject as widely as possible and improve existing screening programs to ensure that the public is made aware of these risks, especially those within high-risk groups.


Author(s):  
Vibha Joshi ◽  
Sourabh Chakraborty ◽  
Nitin Kumar Joshi ◽  
Komal Bajaj ◽  
Bhawana Sati ◽  
...  

Background: Socio-economic status can be an important determinant for patterns of tobacco consumption and its related health risks. Easy availability and affordable price may lead to the indulgence of smokeless tobacco; this deprived the section of society towards addiction of smokeless tobacco. Therefore, this study was conducted to ascertain smokeless tobacco use and its dependence in urban slum population of Jodhpur city.Methods: A cross-sectional survey was conducted in the urban-slum population of Jodhpur in 2019. A cluster sampling strategy was used to collect data from 1200 participants in different slums of Jodhpur city. The semi-structured questionnaire was used to obtain information on tobacco usage and willingness to quit.Results: Out of surveyed 1200 participants, 48.5% were males and 51.4% were females. 65.7% of the tobacco users reported in study population. Among tobacco user’s majority were using smokeless tobacco (75.4%), followed by 14.8% dual tobacco users and 9.8% were smoking tobacco. Out of female and male tobacco users, 95% females and 86.3% males were using smokeless forms of tobacco respectively. The frequency of daily tobacco use, time of tobacco chewing, duration of tobacco use was significantly associated with gender. No significant association was found between willingness to quit and gender.Conclusions: Smokeless tobacco was prevalent as compared to smoking form in urban-slums of Jodhpur city. Younger population and women were more attracted towards smokeless tobacco and willingness to quit tobacco was equally prevalent among males and females. An effective health education strategy for tobacco cessation should be designed according to age and gender of urban-slums.  


2020 ◽  
Vol 18 (1) ◽  
pp. 59-63
Author(s):  
Bishal Babu Basnet ◽  
Khem Raj Sharma

Background: Smoking and use of smokeless tobacco affect oral as well as general health. People are reluctant to achieve good oral health in lieu of the avoidance of deleterious habits. The objective of this study was to analyze two contrasting health behaviors; the oral hygiene practices against tobacco use in a sample from eastern Terai.Methods: This is questionnaire-based cross-sectional survey carried out in Jhapa district located in eastern Nepal. In this report, practice of toothbrushing, use of fluoridated toothpaste, frequency of using tobacco related products (paan, gutkha, chilim, cigarette, bidi, hukkah) was assessed. Association of health behavior to sociodemographic variables were tested with regression analysis at 95% confidence limits.Results: A total of 1178 respondents (response rate = 96.8%) completed the interview, among them 80.8% were males. Mean age was 52.21 years (SD = 15.943). Overall 72.6% used fluoridated toothpaste and toothbrush for cleaning teeth, 58.8% consumed tobacco related products. Interdental aids utilization was very less (1.2% using dental floss). Age was significantly related to both toothbrushing and tobacco-consuming. Educational status was related significantly to toothbrushing (p<0.05). Other sociodemographic variables (marital status, ethnicity, educational status) were not related to consumption of deleterious products (p>0.05).Conclusions: Our results showed that consumption of tobacco related products is moderately high in Terai village and oral health practice was found to be influenced by educational status. More such studies to identify status of oral health and impact of tobacco are recommended.Keywords: Oral health; smokeless tobacco; smoking; tobacco


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 138s-138s
Author(s):  
C.J. Francis

Background: India is the world's third largest tobacco-growing country. The Indian scenario as far as tobacco consumption is concerned is far worse because of the prevalence of the tobacco chewing habit which covers a wide spectrum of socioeconomic and ethnic groups and is spread over urbanized area as well as remote village. Tobacco use is alarming in terms of its current and projected future impact on global mortality. Recent shift in global tobacco consumption to developing countries indicate that an estimated 930 million of the world's 1.1 billon in India alone. Despite the facts, that the harmful effects of tobacco chewing and smoking are widely known, many young people start smoking during adolescence, largely because they believe that smoking will boost their social acceptability and image. This study was contemplated with an aim to assess tobacco/smoking habits and awareness about antismoking act among general public in Gurgaon, Haryana, India. Method: A structured questionnaire consisting of 14 questions related to tobacco/smoking habits and awareness about antismoking act were asked to general public and their response was recorded. Random sampling method was used and data were collected from a cross-sectional survey. Antitobacco counseling was given on the spot and followed. Results: The study population consisted of total 430 individuals, male 364 (84.65%) and females 66 (15.34%) . Then the questionnaires were asked and statistically analyzed. Around 286 (78.57%) from 364 male were indulged in some form of tobacco usage (smoker = 32.86%, tobacco chewer = 16.78%, both = 11.18%, alcohol + tobacco user = 21.67%). In the current study, most common cause of tobacco use was pleasure 40.5%, inducing factor were friends 53.1% followed by parents and siblings. 36.20% patients used tobacco as second hand exposure in job places. 54.8% were aware about the antismoking act in public places, so only 8.6% people from all males enrolled, were smoking in public places.


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. 


2016 ◽  
Vol 17 (05) ◽  
pp. 514-523
Author(s):  
Anamitra Barik ◽  
Rajesh Kumar Rai ◽  
Abhijit Chowdhury

AimTo measure the prevalence of self-reported morbidity and its associated factors among adults (aged ⩾15 years) in a select rural Indian population.BackgroundSelf-reporting of smoking has been validated as population-based surveys using self-reported data provide reasonably consistent estimates of smoking prevalence, and are generally considered to be sufficiently accurate for tracking the general pattern of morbidity associated with tobacco use in populations. However, to gauge the true disease burden using self-reported morbidity data requires cautious interpretation.MethodsDuring 2010–2011, a cross-sectional survey was conducted under the banner of the Health and Demographic Surveillance System, Birbhum, an initiative of the Department of Health and Family Welfare, Government of West Bengal, India. With over 93.6% response rate from the population living in 12 300 households, this study uses the responses from 16 354 individuals: 8012 smokers, and 8333 smokeless tobacco users. Smokers and smokeless tobacco users were asked whether they have developed any morbidity symptoms due to smoking, or smokeless tobacco use. Bivariate, as well as multivariate logistic regression analyses were deployed to attain the study objective.FindingsOver 20% of smokers and over 9% of smokeless tobacco users reported any morbidity. Odds ratio (OR) with 95% confidence interval (CI) estimated using logistic regression shows that women are less likely to report any morbidity attributable to smoking (OR: 0.69; CI: 0.54–0.87), and more likely to report any morbidity due to smokeless tobacco use (OR: 1.68; CI: 1.36–2.09). Non-Hindus have higher odds, whereas the wealthiest respondents have lower odds of reporting any morbidity. With a culturally appropriate intervention to change behaviour, youth (both men and women) could be targeted with comprehensive tobacco cessation assistance programmes. A focussed intervention could be designed for unprocessed tobacco users to curb hazardous effects of tobacco use.


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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