scholarly journals TOBACCO USE AMONG STUDENTS OF RURAL BACKGROUND IN BHOPAL

2021 ◽  
pp. 68-70
Author(s):  
R.K. Gaur ◽  
Swapnil Jain ◽  
DK Shukla

Background: It is well known fact that tobacco kills up to half of its users. 8 million people are killed by the use of tobacco annually. Direct tobacco consumption is responsible for approx seven millions of these deaths and approx 1.2 million deaths due to tobacco use are due to the exposure of non smokers to second hand smoke. The present study was undertaken to study the prevalence of use of tobacco products among rural male students and their knowledge about its injurious effects. Aims and objectives:This study was undertaken to determine the prevalence of tobacco use among students residing in rural background and to assess their knowledge about injurious effects of tobacco products in any form. Material and Methods:The study was undertaken by using a detailed, predesigned questionnaire on the use of tobacco. Results: The prevalence of tobacco smoking was found to be 21% and smokeless tobacco as 37% on regular basis. Conclusion: Present study clearly demonstrates the common practice of tobacco consumption among students living in rural background and it is of deep concern. Knowledge about harmful effects of tobacco use certainly have role in restraining the tobacco habit among students.

2018 ◽  
Vol 28 (Suppl 1) ◽  
pp. s20-s30 ◽  
Author(s):  
Nigar Nargis ◽  
Michal Stoklosa ◽  
Jeffrey Drope ◽  
Geoffrey T Fong ◽  
Anne C K Quah ◽  
...  

BackgroundThe price of tobacco products in relation to the income of tobacco users—affordability—is recognised as a key determinant of tobacco use behaviour. The effectiveness of a price increase as a deterrent to tobacco use depends on how much price increases in relation to the income of the potential users. The aim of this paper is to examine the distribution of and trends in the affordability of tobacco products in Bangladesh.MethodUsing four waves of International Tobacco Control Survey data on Bangladesh, this study measures affordability of tobacco products at the individual level as the ratio of self-reported price and self-reported income. The trends in affordability by brand categories of cigarettes and of bidi and smokeless tobacco are estimated using multivariate linear regression analysis.ResultsDespite significant increase in price, the affordability of cigarettes increased between 2009 and 2014–2015 due to income growth outpacing price increase. The increase was disproportionately larger for more expensive brands. The affordability of bidis increased over this period as well. The affordability of smokeless tobacco products remained unchanged between 2011–2012 and 2014–2015.ConclusionThe tax increases that were implemented during 2009–2015 were not enough to increase tobacco product prices sufficiently to outweigh the effect of income growth, and to reduce tobacco consumption. The findings from this research inform policymakers that in countries experiencing rapid economic growth, significant tax increases are needed to counteract the effect of income growth, in order for the tax increases to be effective in reducing tobacco use.


2020 ◽  
Vol 30 (3) ◽  
pp. 270-277
Author(s):  
A. G. Polupanov ◽  
A. A. Tolebaeva ◽  
I. S. Sabirov ◽  
A. T. Altymysheva ◽  
A. I. Sabirova ◽  
...  

The aim of the study was to assess the situation related to tobacco consumption among adolescents aged 13 – 15 in the Kyrgyz Republic.Materials and Methods. The study used a two-stage selection of schoolchildren in grades 7 – 9 (teenagers 13 – 15 years old) to conduct the survey. At the 1st stage, information was collected about all schools of the republic, where children of the target group study. the schools in which the survey was subsequently conducted were selected by the statistical sampling method according to the number of students in grades 7 – 9. The grades whose students participated in the questionnaire were set at stage 2 by random sampling in each school The survey includes 43 questions from the Standard main Questionnaire of the Global Youth Tobacco Survey (GYTS) and 30 supplementary questions (73 in total) with multiple choice of answers. The statistical processing was performed using the SUDAAN software package (US Centers for Disease Control and Prevention); a 95% confidence interval was calculated to calculate weighted prevalence estimates and standard errors (SE).Results. The survey found that 6.0% of schoolchildren (9.5% of boys and 2.4% of girls) currently use various types of tobacco; 4.4% of schoolchildren currently use tobacco (6.8% of boys and 2.0% of girls); 2.4% of schoolchildren smoke cigarettes; 2.4% use smokeless tobacco, 2.8% use other tobacco products (hookah); 2.8% of schoolchildren smoke electronic cigarettes (3.9% of boys and 1.7% of girls). Tobacco use most often begins before age 7 or after age 12. 16.8% of schoolchildren are exposed to tobacco smoke at home, of which 14.2% are in closed places and 14.8% in open public places. 87.2% of schoolchildren purchase cigarettes in a shop, kiosk, from a street vendor, and in the market. During the visit to the point of sale 26.7% noticed tobacco advertising and promotions; 49.7% saw anti-tobacco messages in the mass media. Definitely think that smoking tobacco by other people is bad for them, 71.2% of schoolchildren.Conclusion. A high percentage of teenagers consuming e-cigarettes, hookah, and smokeless tobacco products has been noted, although > 50% of them are aware of the dangers of tobacco use. Every 6th student is a passive smoker. The vast majority of schoolchildren aged 13 – 15 who try to quit smoking do not receive professional help in quitting tobacco use, and are exposed to protobacco media marketing campaigns.


1987 ◽  
Vol 17 (3) ◽  
pp. 201-211 ◽  
Author(s):  
Elbert D. Glover ◽  
Elizabeth W. Edmundson ◽  
Paul P. Alston ◽  
Don Holbert ◽  
Kathleen L. Schroeder

The purpose of this study was to determine prevalence and patterns of use for tobacco products, especially, the use of smokeless tobacco among students at a university in the Southeastern United States. Six-hundred and thirty-two students, representing both sexes, participated in the survey, which elicited information regarding current and former use of tobacco products. Smokeless tobacco use was considerably more prevalent among male students than among female students; the reverse was true for cigarette smoking. Overall, the prevalence of tobacco use in this study indicates a need to begin health education programs regarding the adverse health effects of smokeless tobacco use with males and to revise smoking education programs to place more emphasis on female usage.


Author(s):  
Masuma Pervin Mishu ◽  
Faraz Siddiqui ◽  
Radha Shukla ◽  
Mona Kanaan ◽  
Omara Dogar ◽  
...  

Abstract Background Tobacco uptake in adolescents is associated with a range of predictors. We examined the predictors of cigarette smoking, smokeless tobacco (ST) consumption and use of both ST and cigarettes among adolescents in four South Asian countries. Methods We analysed the Global Youth Tobacco Surveys (GYTS) data for Bangladesh (2013), India (2009), Pakistan (2013), and Sri-Lanka (2015), using multinomial regression to examine associations between several predictors and tobacco use. Results Data from 23,681 adolescents were analyzed. Overall, 82.8% of the study population were between 13 and 15 years and 52.7% were girls, 2% were cigarette smokers, 6.5% were ST users and 1.1% used both ST and cigarettes, in the past 30-days. Exposure to smoking in public places was associated with past 30-days smoking (RRR 5.59, 95%CI 4.28-7.28), ST use (RRR 2.07, 95%CI 1.84-2.32) and use of both ST and cigarettes (RRR 11.42, 95%CI 7.44-17.54). Exposure to tobacco use in electronic media and being offered free tobacco products were associated with all forms of tobacco use. Shopkeepers’ refusal to sell cigarettes protected adolescents from smoking (RRR 0.47, 95%CI 0.36-0.63) and ST use (RRR 0.65, 95%CI 0.45-0.95). However, exposure to anti-tobacco mass media messages was not protective for any form of tobacco use. Adolescents taught at school about harmful effects of tobacco were less likely to use ST; no evidence of this association was observed for smoking. Conclusion The associations between tobacco use and pro-tobacco factors were strong but the associations with anti-tobacco factors lacked strength and consistency in this study population.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 96s-96s
Author(s):  
A. Das

Background: Cancer incidence in northeast India including Assam state is higher than the Indian national average. The incidence of hypopharyngeal cancer mainly pyriform sinus is high in (14.7/100,000) Assam and other northeastern state like Meghalaya (East Khasi Hills). Recently published Global Adult Tobacco Survey (GATS 2) report has shown that there is a decrease in tobacco consumption in India from 34.6% to 28.6%. However, in Assam the rate has increased from 39.3% to 48.2% mainly in the form of smokeless tobacco. Cigarette smoker reduce from 8.8% (GATS 1, 2009-10) to 6.1% (GATS 2, 2017), but smokeless users increase from 32.7% (GATS 1, 2009-10) to 41.7% (GATS 2, 2017). By now in India we only have gutka and pan masala (Prohibition) act 2015, by which there is ban on gutka but not other smokeless tobacco product. Because of COTPA (Cigarettes-and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, there is reduction of smoking in India as well as in the state of Assam. But as we don't have stringent laws to control the use of smokeless tobacco, the users are increasing. Aim: To study the role of smokeless tobacco as a substantial etiological risk factor for high incidence of pyriform sinus cancer in Assam and to advocate for a strict law to prohibit or ban of smokeless tobacco in Assam. Methods: This is a retrospective study archived from hospital cancer registry database. 708 patients diagnosed with pyriform sinus carcinoma from January 2016 to December 2016 were analyzed. The relation between forms of tobacco use and gender, age group, place of residence and level of education were analyzed using IBM SPSS version 19. P < 0.05 was considered as statistically significant. Results: 584 (82.5%) patients had the habit of tobacco consumption of whom 128 (21.9%) were smokers, 220 (37.6%) consumed smokeless tobacco and the remaining 237 (40.5%) cases consumed both forms of tobacco products. Forms of tobacco use differ significantly with patient's gender ( P < 0.05). The patients in the age group ≥ 50 years or above 50 years, the highest frequency was observed in both forms of tobacco consumption (61/144 = 42.4% and 176/441 = 39.9%) respectively. Most of the patients from rural areas were habituated to both forms of tobacco use (201/499 = 40.3%) and most of them are mainly smokeless tobacco user. Conclusion: The current study shows that the incidence of smokeless tobacco user is alarmingly increasing in Assam and the northeastern part of India leading to high incidence of hypopharyngeal cancers. At present only gutka is banned in the India. So, further policies should be implemented to bring down the use of smokeless tobacco and thus reducing the burden of hypopharyngeal cancer in this part of the country.


Author(s):  
Murali Lingala ◽  
Sneha Simon ◽  
Bhagath . ◽  
Kavitha .

Background: Tobacco kills approximately 1 million people annually in India and is responsible for almost half of all cancers in men and quarter of all cancers in women. Smokeless tobacco (SLT) is one such form that is culturally and socially acceptable by women especially in rural India. The study was aimed to estimate the prevalence of smokeless tobacco consumption among women, prevalence of exposure to second hand smoke and to determine the factors associated with it.Methods: A community based cross sectional study was done among 190 women in the rural field practice area of department of community medicine of Kakatiya Medical College, Warangal during the period of October 2019 to December 2019. Data was collected using simple random sampling. A semi structured questionnaire was prepared with the help of global adult tobacco survey proforma. The data was analyzed using statistical package for the social sciences (SPSS) 20.00.Results: Prevalence of smokeless tobacco consumption was 57% and the most common form of tobacco being consumed was tobacco with pan (40.3%). The prevalence of exposure to second hand smoke at home was 61%. The most common reason for initiation was peer pressure. High prevalence of consumption of smokeless tobacco was seen in unemployed and illiterate women.Conclusions: The prevalence of smokeless tobacco consumption is higher among women in this study and this indicates the lack of awareness and the need for better strategies to reduce the burden.


Author(s):  
H Klus ◽  
M Kunze ◽  
S Koenig ◽  
E Poeschl

AbstractSmoking, especially cigarette smoking, is the most common form of tobacco consumption world-wide. It is generally accepted that smoking carries health risks for smokers. The combustion and pyrolysis products of tobacco generated during smoking are considered to be responsible for the harmful effects. Smokeless tobacco, another wide-spread form of tobacco use, is not subjected to burning and produces no combustion or pyrolysis products. Therefore, there is an increasingly intense debate about the potential role of smokeless tobacco in reducing the harm of tobacco use.An overview is presented on the different types of smokeless tobaccos consumed around the world. Commercial products differ widely in composition and patterns of use. The smokeless tobaccos of the Western world (Europe and North America) need to be clearly distinguished from those popular in Asia, Africa and South America. The modern smokeless tobaccos used in Europe and North America are reviewed regarding their chemical composition and toxicological properties. Agents of concern found in smokeless tobacco, especially the tobacco specific N-nitrosamines, are dealt with in particular.The epidemiological evidence is summarized concerning a wide range of health outcomes. Published reviews and studies are presented and interpreted regarding non-neoplastic oral diseases, various forms of cancer, circulatory diseases, several other diseases and pregnancy outcome. While many of the epidemiological studies have weaknesses and data are often inconsistent it is quite obvious that smokeless tobacco use is much less risky for consumers than smoking. In fact, for modern forms of European moist snuff such as Swedish snus, which is subject to strict quality standards, there is evidence for - if any - only very limited serious health risk.The ongoing public discussion centers around the influence smokeless tobacco may have on smoking rates (initiation or cessation) and the occurrence of tobacco specific diseases - with Sweden being a revealing example. There is an interesting controversy regarding product and marketing regulations for smokeless tobaccos in the European Union.


2020 ◽  
Author(s):  
Rufi Shaikh ◽  
Fanny Janssen ◽  
Tobias Vogt

Abstract Background: According to the smoking epidemic framework, societies undergo successive stages in which the prevalence of tobacco use first increases, and then declines. This pattern was has been extensively documented for developed countries, but evidence that it has occurred in low- and middle-income countries remains fragmented. We assessed the progression of the tobacco epidemic in India on the national and regional levels by gender, including trends in the consumption of smokeless tobacco, to provide a comprehensive overview of tobacco use in India and its states.Methods: We use information on current tobacco consumption among Indians aged 15-49 from three rounds of the National Family Health Survey (NFHS) (1998-99, 2005-06, 2015-16) to estimate the age-standardized smoking and smokeless tobacco prevalence across India and its states.Results: Age-standardized tobacco consumption prevalence in India increased between 1998-99 and 2005-06, and declined from 2005-06 to 2015-2016, simultaneously for men and women. There are substantial spatial differences in the progression of the tobacco epidemic in India. In the north-eastern states in particular, tobacco consumption prevalence remains higher than the national average, and is still increasing. Conclusions: Our results suggest that India and the majority of its states experienced a ‘compressed tobacco epidemic’ in which the prevalence of tobacco consumption increased and decreased simultaneously for women and men over a comparatively short period of time. Despite the overall progress in reducing tobacco use India has made, further lowering tobacco consumption remains a public health priority, as the prevalence of smoking and/or smokeless tobacco use remains high in a number of states. We therefore conclude that tobacco regulations should be expanded with the aim of reducing the overall health burden associated with tobacco consumption across India.


2012 ◽  
Vol 02 (03) ◽  
pp. 72-74
Author(s):  
Sarita Fernandes ◽  
Suchithra B. S.

AbstractA simple descriptive design was adopted for the study to assess the attitude among the adolescent regarding tobacco consumption. The sample consisted of 100 adolascents boys, Convenient sampling method was used to select the samples. The data collection for the study was done by using demographic performa, questionnaire and rating scales. The analysis of the data was based according to the objectives and hypothesis. The results showed that- Majority of the consumers 57 (57%) were between the age group of 16-19 years of age , 39 (39%) were have secondary education, Attitude of adolescent boys towards tobacco consumption is negative (32%). There was no association between attitude and demographic variable like age, education and economic status etc (p<0.05).Smoking of cigarettes , particularly of “beedies” (which consist of about 0.2 to 0.3g of tobacco rolled up in the leaf of another plant (tambourine) has been widespread for many decades among men in India. There have, however, been no substantial studies on the prevalence of tobacco use among youth in India. The tobacco prevalence among girls is alarming. The results of survey show the need to increase awareness about health hazards of tobacco use among students.


Author(s):  
Biplab Kumar Datta ◽  
Muhammad Jami Husain ◽  
Nigar Nargis

Since the ratification of the WHO Framework Convention on Tobacco Control (FCTC) in 2004, Pakistan has taken various measures of tobacco control. This study examines how these tobacco control measures are associated with change in household-level tobacco consumption patterns in Pakistan over the decade (2005 to 2016) after FCTC ratification. We used multiple waves of the household survey data of Pakistan from 2004–2005 to 2015–2016 for analyzing household-level tobacco use. We find that tobacco consumption remains at a significantly high level (45.5%) in Pakistan despite the recent declining trend in the post-FCTC era. During the preparatory phase of FCTC implementation between 2005 and 2008, the smoking rate was on the rise, and smokeless tobacco use was declining. Over the implementation phase of FCTC policies between 2008 and 2016, the pattern of change in tobacco use reversed—the smoking rate started to decrease while smokeless tobacco use started to rise. However, the decrease in the smoking rate was slower and the increase in smokeless tobacco use at the national level was driven by an increase among the poor and middle-income households. These trends resulted in the growing burden of tobacco expenditure among the poor and middle-income households relative to the wealthier households.


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