scholarly journals Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

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.

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

2021 ◽  
Vol 23 (2) ◽  
pp. 251-263
Author(s):  
H. Shriprasad ◽  
K.G. Kallihal

Tobacco and alcohol consumption is a major social problem and public health issue worldwide. A review of literature on the studies of tobacco and alcohol consumption among the students across the country reveals that there is considerable prevalence among boys and girls. In this context, a cross-sectional study was conducted on tobacco use and alcohol consumption among college-going students in Belagavi corporation area in Karnataka. The study found that, as a whole, 70%–80% of all students know the harmful health effect of different forms of abuses. Among the three abuses, alcohol ever users are the highest, followed by people smoking tobacco and smokeless tobacco. The ever users of smoking tobacco are almost four times higher among males than females. The age group comprising 16–20 years is a very sensitive age group for initiating smoking and alcohol consumption. Interestingly though students had their first experience for the first time with their friends; their own curiosity was the prime cause to set off any habit. The current users of alcohol (7.2%) were higher than the current users of smoking tobacco (4.7%) and smokeless tobacco (0.37%). The daily users of smoking tobacco and alcohol were 0.87% and 1.8%, respectively. Further, occasional users of smoking tobacco were three times higher than daily users, and occasional users of alcohol were almost four times higher than daily users. None of the students were daily users of smokeless tobacco. The 19–22-year age group and those staying outside home were more vulnerable towards getting into this habit. Therefore, policy intervention is required to this age group. Friends’ assistance is the single largest source to seek advice to quit from any abuse, while least assistance is taken by the professionals. This finding of the study has some critical implication for policy priority at the institutional level. This really calls for the more roles of professional counsellors to address the problem. As a whole, any single solution is not enough, however. Both exogenous and endogenous approaches are required for behavioural changes of youth.


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.


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.


2019 ◽  
Vol 32 (3) ◽  
pp. 137
Author(s):  
KhushaliDharmesh Parikh ◽  
MihirPrafulbhai Rupani ◽  
MiliJ Kakadia ◽  
MehaM Pathak ◽  
MalayR Patel ◽  
...  

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