scholarly journals Smokeless tobacco and its dependence among the urban-slum population of Jodhpur city

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.  

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):  
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.


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.


1970 ◽  
Vol 38 (2) ◽  
pp. 48-52 ◽  
Author(s):  
Gias Uddin ◽  
Md Mizanur Rahman ◽  
Syed Md Akram Hussain

Tobacco consumption is harmful to health, and is one of the main causes of death in worldwide. It is evident that the prevalence of tobacco consumption is raising in most of low and middle income countries. Considering this, a cross sectional study was conducted in a selected urban area of southern Bangladesh with a view to assessing the prevalence of tobacco consumption and factors affecting the use of tobacco use. Multistage cluster sampling technique was adopted to select the urban ward and the respondents were selected systematically. A total of 399 respondents were interviewed face to face using a semi-structured interview schedule. Analysis shows that 30% of the population of aged 18 years above were currently using tobacco of any form. The mean age of starting tobacco use was 18.8 years. The most frequent form of tobacco use was smoking cigarette followed by Zarda with betal quid. Multivariate analysis revealed that illiterate respondents were 3.3 times more tobacco users than their educated counterparts. It was also higher among the Muslims (OR=4.979; 95% CI=1.255-19.754). Tobacco use was also high among the labourer (OR=8.541; 95% CI=2.422-30.120) and businessmen (OR=7.727, 95% CI=2.501-23.875). However, no statistically significant association was found between current tobacco use and age, sex, housing condition and knowledge on tobacco use (p>0.05). The finding of this study suggests that as tobacco use is more prevalent among the poor and illiterate segment of the population, strong implementation of anti-tobacco legislation is warranted.   DOI: 10.3329/bmj.v38i2.3573 Bangladesh Medical Journal 38(2) 2009 48-52


2016 ◽  
Vol 10 (2) ◽  
pp. 48-51
Author(s):  
N Navik ◽  
SS Billur ◽  
MA Tejashiwini ◽  
V Sanglikar ◽  
A Dhyani ◽  
...  

ABSTRACT BACKGROUND Majority of adults are aware of health hazards of tobacco, children and adolescents continue to get exposed to tobacco and many develop cancer in later years. AIM To document the smoking and tobacco consumption habits in adolescents in an English Medium school of age group between 17-18 years in the city of Belgaum. METHODOLOGY A cross-sectional survey was carried out by self-administered questionnaire to document the smoking and tobacco consumption among representative sample of 40 adolescent students selected by cluster sampling method. RESULTS In the School, 10% of students were using tobacco and cigarettes, 90% of students were not using them, 92.5% of students were aware of harmful effects of tobacco, supari and smoking, 92.5% of students saw other children using tobacco. CONCLUSION Health education should be given at school level to raise awareness about the use of tobacco, its related products and its consequences.


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.


2015 ◽  
Vol 40 (2) ◽  
pp. 47-51 ◽  
Author(s):  
MA Hannan ◽  
MTH Chowdhury ◽  
MAI Khan ◽  
AFMA Chowdhury ◽  
KM Shahidullah ◽  
...  

A cross-sectional survey, using cluster sampling technique, of slum population, was done to explore the oral health status and the prevalence of common oral diseases. A close ended questionnaire comprising Decayed, Missing and Filled Teeth (DMFT) Index, Gingival Index (Löe and Silness) and Plaque Index was applied to evaluate and record oral diseases, in both male and female population, covering a wide range of age groups. Clinical examination was carried out in different slum set ups, including slum schools by trained and calibrated examiners. Three thousand nine hundred and four (3904) slum dwellers participated in the survey. Prevalence of Caries was expressed in mean DMFT, recording of gingival status followed the method of Löe and Silness, oral hygiene status was evaluated using Plaque index. Mean decayed component, of the DMFT, was significantly higher than filling and missing component. Both decayed and missing components showed increasing trend, and filling components decreased as the age progressed. Prevalence of gingivitis and plaque accumulation was remarkably high among slum dwellers. Significantly high level of common oral diseases was found among Tongi slum dwellers.Bangladesh Med Res Counc Bull 2014; 40 (2): 47-51


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.


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