Factors Affecting Use of Tobacco among Higher Secondary Students of Kalimati, Kathmandu

Background: Tobacco product are products made entirely or partly of leaf tobacco as raw material, which are intended to be smoked, sucked, chewed, or snuffed. Tobacco use, among the adolescents is a growing public health problem the world has ever faced. More than 7 million deaths occur from tobacco use every day. Literature has shown that the prevalence of the tobacco uses was high among adolescents. Methodology: A cross-sectional descriptive study design was used.150 respondents were taken as sample size. Probability sampling technique and self- administered questionnaire modified from GYTS, Version 2011 was used as a research instruments. Analysis was done using SPSSversion 16. Findings: The study revealed that maximum 57.3% were male, majority 71.3% were from nuclear family, more than fifty 62.7% respondent's family uses tobacco products and majority75.8% tobacco is used by the respondent’s father. Majority 73.3% uses the hookah, more than half 64% gets tobacco from shop, and almost half 46.7% initiated tobacco product as experiment/curiosity and majority 74.7% uses in café. There is statically association found on frequency of tobacco used by the respondents with sex, residence of the respondent, time spend by the parents and initiated age of the tobacco. Greater strength of association on sex and initiated age of the tobacco use where lower strength of association on residence of the respondents and time spend by family. Conclusion: About 15-20% of each higher secondary school students involve on the use of tobacco products. Gender, living place, time spend by the parents, initiated age of tobacco use, increase café cultural, easy availability and accessibility were the common factors for the use of tobacco among higher secondary students. So buying and selling tobacco products everywhere must be prohibited and adolescents should be restricted to use tobacco products in café or public places. Key words: Tobacco, Higher Secondary Students, Factors.

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Tobacco use among school students in Manipur, North East India: a cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20205714 ◽

2020 ◽

Vol 8 (1) ◽

pp. 315

Author(s):

Jalina Laishram ◽

Mohammed Rafique ◽

Kh. Sonarjit Singh ◽

Brogen Singh Akoijam

Keyword(s):

Tobacco Use ◽

Nuclear Family ◽

Cross Sectional Study ◽

Tobacco Product ◽

P Value ◽

Age Group ◽

Sectional Study ◽

School Students ◽

Cross Sectional ◽

North East

Background: Tobacco use is one of the most common substance abuse indulged by adolescents worldwide. The current tobacco use among youths in the age group of 13-15 years was 14.6% (GYTS 2009, India). The tobacco situation in India is unique because of a vast spectrum of tobacco products available for smoking as well as smokeless use. This study was done to determine the prevalence of tobacco use among school students in Imphal, Manipur, India and to determine the association between tobacco use and socio-demographic characteristics.Methods: A cross sectional study was conducted among school students studying in class VII to class X in Imphal, Manipur using convenience sampling. Data were collected by questionnaire method. Descriptive statistics like mean, percentages and proportions were used. Chi-square test was used to determine the association and a p value of <0.05 was taken as significant.Results: The prevalence of ever use of tobacco among school students in Imphal was found to be 19.5%. And 43.4% of the ever users were current users. Ever use of tobacco was significantly associated with older age group (14-17 years), male gender, living in a nuclear family, studying in class X, being in a relationship and whose mother was educated below class X.Conclusions: Two out of every 10 students in the age group of 10-17 years in the study have ever used any kind of tobacco product. Smokeless form of tobacco was more commonly used as compared to smoked form.

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Knowledge, attitude and practice regarding various tobacco products and their effects on health and COTPA act among ≥15 years age group persons in urban field practice area of a medical college in Telangana

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202468 ◽

2020 ◽

Vol 7 (6) ◽

pp. 2180

Author(s):

Jyothi Veleshala ◽

Varun Malhotra

Keyword(s):

Tobacco Use ◽

Public Health Problem ◽

Major Public Health Problem ◽

Community Based ◽

Cross Sectional ◽

Tobacco Products ◽

Medical College ◽

Attitudes And Practices ◽

Supply And Distribution ◽

Almost All

Background: Tobacco use is a major public health problem. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act 2003”, which came into effect since 1st May 2004. Information on knowledge, attitudes, and practices of population regarding COTPA is necessary to effectively implement the legislation. Hence the present study was undertaken.Methods: The present study was a cross-sectional community-based survey carried out in urban slums of Nalgonda town. Data was collected using a structured schedule by interviewing 300 participants, aged above 15 years.Results: The current use of any tobacco was reported by 45.7% of the participants. Overall awareness of COTPA was 58.2%. Marital status, type of family, unemployment, Illiterates, lower SES, and age had a significant influence on tobacco use. Television (77.05%) was the major source of awareness regarding COTPA. The majority of smokers were aware of various sections of COTPA (>50%). About 34.8% of the participants had a favorable attitude towards COTPA. The positive attitude was more (53.7%) towards the display of health warnings on tobacco products among smokers. 11.2% had paid penalty for violation of the act and 32.4% have noticed a reduction in their habit to some extent.Conclusions: A concerted effort has to be made to increase the awareness of the act amongst the vulnerable population.

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Abstract P087: Youth Tobacco Users Perceive Less E-Cig Harm

Circulation ◽

10.1161/circ.137.suppl_1.p087 ◽

2018 ◽

Vol 137 (suppl_1) ◽

Author(s):

Delvon T Mattingly ◽

Lindsay K Tompkins ◽

Clara G Sears ◽

Kandi L Walker ◽

Joy L Hart

Keyword(s):

High School Students ◽

Tobacco Use ◽

Rural Areas ◽

Multinomial Logistic Regression ◽

Health Problems ◽

Tobacco Product ◽

Scientific Uncertainty ◽

Cigarette Use ◽

School Students ◽

Tobacco Products

Introduction: In Appalachia, youth tobacco use rates exceed the national average, and youth in these rural areas are increasingly aware of new and emerging tobacco products, such as e-cigarettes. Given that e-cigarettes are a commonly used tobacco product by youth, additional inquiry is needed to better understand both youth product perceptions and use patterns, especially in communities with entrenched acceptance of tobacco. Study Aim and Hypothesis: Our aim is to examine the prevalence of conventional tobacco and e-cigarette use among Appalachian youth and to examine associations between use and tobacco harm perceptions. We hypothesized that conventional tobacco users would be less likely than non-users to perceive e-cigarette use as harmful and that e-cigarette users would be less likely than non-users to perceive e-cigarette use as harmful. Methods: A survey of middle and high school students (n=1,008) was conducted in rural Appalachia. The primary outcome in this analysis, tobacco use, was categorized as never user, conventional tobacco only user (cigarettes or smokeless), or e-cigarette only user. Descriptive characteristics were compared among the three use groups. Relationships between harm perceptions and tobacco product use were assessed using multinomial logistic regression models adjusted for age, race, gender, and grade level. Results: Nearly one-fourth (23%) of the participants had tried e-cigarettes. Compared to never users, conventional users were more likely to indicate that e-cigarettes did not cause: (1) health problems (OR: 1.65; CI: 1.075-2.521) or (2) addiction (OR: 1.63; CI: 1.064-2.496). Youth who indicated e-cigarettes do not cause health problems were more likely to be e-cigarette users than non-e-cigarette users (OR: 2.04, CI: 1.460-2.838), and youth who indicated smoking does not cause addiction were more likely to be conventional users than never or e-cigarette only users (OR: 1.96; CI: 1.181-3.262). Conclusions: In summary, youth who use conventional tobacco products or e-cigarettes are less likely to perceive e-cigarettes as harmful. These findings reinforce the need for vigilance in restricting youth access to tobacco products, increased emphasis on health campaigns that clarify scientific uncertainty surrounding tobacco safety, and regulation of e-cigarette marketing that targets youth.

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Prevalence of Tobacco Use and Its Associated Factors among School Going Adolescents in Birgunj Sub-Metropolitan, Nepal

Journal of Health and Allied Sciences ◽

10.37107/jhas.40 ◽

2019 ◽

Vol 5 (1) ◽

pp. 72-76

Author(s):

Arbind Kumar Chaudhary ◽

Tulsi Ram Bhandari

Keyword(s):

Influencing Factors ◽

Tobacco Use ◽

Associated Factors ◽

Peer Pressure ◽

Tobacco Product ◽

Easy Access ◽

Global Youth Tobacco Survey ◽

Cross Sectional ◽

Tobacco Products ◽

Mortality And Morbidity

Tobacco use means consumption of any form of tobacco products either smoked or smokeless. Common used tobacco products are cigarette, cigars, pipe tobacco and favored Sisha tobacco, Surti/khaini, Panmasala, and Gutkha. It is one of the major causes of preventable mortality and morbidity worldwide. Objective of the study was to assess the prevalence of tobacco use and its associated factors among higher secondary school going adolescents of Birgunj Sub-metropolitan, Nepal. A schools based cross-sectional descriptive study was carried out using self-administrative questionnaire and it was prepared based on Global Youth Tobacco Survey. It was developed and validated for assessing the tobacco use among adolescents. Amongst 16 higher secondary schools, three public and three private schools were selected randomly. Similarly required sample (307) were recruited as proportionately from each school considering number of students studying in each selected school from August to December 2016. Prevalence of ever use of tobacco was 15.6 %. Cigarette was the most (70.8%) commonly used as tobacco product. The average age of initiation of tobacco use was 13.96++2.62 year. More than half (52.1%) of the tobacco users purchased tobacco from shops. Peer pressure (45.8%) was one of the major influencing factors of ever use of tobacco. Age, gender, friends pressure and parent's education were found significantly associated with ever use of tobacco among students. Nearly one-fifth adolescents used some type of tobacco products in last six month. Tobacco used by parents, peers and others family members at home and public places, and easy access of tobacco products were the major influencing factors of tobacco use among students. School and community based awareness programs and tobacco control legislations should be implemented consistently to control and discourage the consumption of tobacco products. Keywords: Adolescents, students, associated factors, tobacco use

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Cross-sectional study on tobacco advertising, promotion and sponsorship (TAPS) and violations of tobacco sale regulations in Myanmar: do these factors affect current tobacco use among Myanmar high school students?

BMJ Open ◽

10.1136/bmjopen-2019-031933 ◽

2020 ◽

Vol 10 (2) ◽

pp. e031933

Author(s):

Su Myat Cho ◽

Yu Mon Saw ◽

Nyi Nyi Latt ◽

Thu Nandar Saw ◽

Hein Htet ◽

...

Keyword(s):

High School ◽

High School Students ◽

Tobacco Use ◽

Cross Sectional Study ◽

Tobacco Product ◽

Sectional Study ◽

School Students ◽

Cross Sectional ◽

Tobacco Advertising ◽

Current Tobacco

ObjectivesTo examine the associations of current tobacco use with tobacco advertising, promotion and sponsorship (TAPS), and illicit tobacco sales exposures among Myanmar high school students.DesignA quantitative, cross-sectional study.SettingSeven high schools from both urban and rural areas of four states and regions in Myanmar.ParticipantsIn total, 1174 high school students (482 males and 692 females) were interviewed using a self-administered questionnaire.Main outcome measureCurrent tobacco use of participants, defined as using any kind of smoked or smokeless tobacco product at least one occasion within the past 30 days.ResultsThe prevalence of TAPS exposure was 90.9% among high school students in Myanmar. Current tobacco use was positively associated with being over 14 years old (adjusted OR (AOR) 9.81; 95% CI 4.54 to 21.19), being male (AOR 28.06; 95% CI 13.29 to 59.25), exposure to any kind of TAPS (AOR 6.59; 95% CI 2.33 to 18.64), having seen any smoked tobacco product for sale inside or within 100 feet of the school premises (AOR 4.17; 95% CI 1.65 to 10.58), having seen the sale or gifting of any smoked tobacco product to minors (AOR 6.46; 95% CI 2.18 to 19.12) and having seen the sale or distribution of any smoked tobacco product by minors (AOR 2.42; 95% CI 1.42 to 4.10). Having ever received health education about tobacco use (AOR 0.45; 95% CI 0.27 to 0.78), or having a higher perception score of tobacco use (AOR 0.17; 95% CI 0.10 to 0.30) were negatively associated with current tobacco use.ConclusionsThere was an alarming prevalence of TAPS exposure among Myanmar high school students. TAPS exposure and violations of tobacco sale regulations were strong risk factors for current tobacco use among Myanmar high school students, while health education about tobacco products was reported as an effective protective factor. Specific smokeless tobacco sale regulations for minors are needed immediately in Myanmar.

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Associations of Tobacco Advertising Appeal With Intentions to Use Alternative Tobacco Products Among Young Tobacco Users Experiencing Homelessness

American Journal of Health Promotion ◽

10.1177/0890117119878350 ◽

2019 ◽

Vol 34 (2) ◽

pp. 132-141 ◽

Cited By ~ 1

Author(s):

William G. Shadel ◽

Joan S. Tucker ◽

Rachana Seelam ◽

Daniela Golinelli ◽

Daniel Siconolfi

Keyword(s):

Los Angeles ◽

Tobacco Use ◽

Smokeless Tobacco ◽

Homeless Youth ◽

Electronic Cigarettes ◽

Tobacco Product ◽

Cross Sectional ◽

Tobacco Products ◽

Tobacco Advertising ◽

Advertising Appeal

Purpose: Virtually nothing is known about the potential effects of tobacco advertising on tobacco use among youth experiencing homelessness, a vulnerable population with high tobacco use rates. This study examines associations between the appeal of advertising for 5 classes of tobacco product (electronic cigarettes, hookah, cigars, cigarillos, and smokeless tobacco) and future intentions to use those products again among homeless youth who had indicated any level of lifetime use. Design: A cross-sectional design was used. Setting: Settings were 25 service and street sites in Los Angeles County. Participants: A probability sample of 469 young tobacco users experiencing homelessness (mean age = 22; 71% male; 29% non-Hispanic White) was recruited. Measures: Assessments included product-specific tobacco advertising appeal and future intentions to use the product again, as well as a range of covariate controls (eg, demographics, homelessness severity, current tobacco use, general advertising exposure). Analysis: Linear regression tested for associations between the appeal of advertising for a specific tobacco product and intentions to use that product again in the future, controlling for myriad covariates. Results: Advertising appeal was positively associated with future intentions to use again for electronic cigarettes ( P = .006) and hookah ( P = .001), but not cigars ( P = .486), cigarillos ( P = .126), or smokeless tobacco ( P = .109). Conclusion: Results suggest that advertising appeal may increase use of certain tobacco products among youth experiencing homelessness. However, differences in themes emphasized by advertising for specific tobacco products could differentially influence use in this population.

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Prevalence and Correlates of Current Tobacco use and Non-user Susceptibility to using Tobacco Product Among School-going Adolescents in 22 African Countries, 2013-2018

10.21203/rs.3.rs-1091675/v1 ◽

2021 ◽

Author(s):

Peter Bai James ◽

Abdulai Jawo Bah ◽

John Alimamy Kabba ◽

Said Abasse Kassim ◽

Philip Ayizem Dalinjong

Keyword(s):

Tobacco Use ◽

Secondhand Smoke ◽

Tobacco Industry ◽

Harmful Effect ◽

Tobacco Product ◽

African Countries ◽

Cross Sectional ◽

Tobacco Products ◽

Complex Sampling ◽

Exposure To Secondhand Smoke

Abstract Background Our study examined the prevalence and associated factors of tobacco product use and non-users’ susceptibility to using tobacco products among school-going adolescents in 22 African countries.MethodsWe analysed the cross-sectional 2013-2018 GYTS data from 22 African countries. We conducted complex sampling descriptive and logistic regression analyses. We reported our results using frequencies and proportions for descriptive statistics and adjusted odd ratios and 95% confidence intervals for logistic model.ResultsThe overall prevalence of current use of any tobacco product among adolescents was 19.1%, with more males (23.7%) than females (13.7%) being current users. Zimbabwe and Morocco were the highest (47.1%) and least (12.6%) reported prevalence respectively. Being male (AOR=1.930;95%CI:1.614-2.307), exposure to secondhand smoke within (AOR=2.069;95%CI:1.763-2.429) and outside (AOR=1.364;95%CI:1.138-1.635) the home, not knowledgeable about the harmful effect of secondhand smoke (AOR=1.413;95%CI:1.178-1.693), exposure to tobacco industry promotion (AOR=3.027;95%CI:2.653-3.453) and not in favour of banning smoking in enclosed places (AOR=1.222;95%CI:1.014-1.472) were associated with current use of any tobacco product. The prevalence of the susceptibility to using tobacco products among never users of tobacco products was 12.2%, with no significant gender difference. Mozambique (24.6%) and Algeria (4.5%) had the highest and least prevalence of the susceptibility to using tobacco products among never users, respectively. Exposure to tobacco industry promotion (AOR=1.730;95%CI:1.485-2.015) and those not in favour of banning smoking in enclosed places (AOR= 1.323;95%CI:1.142-1.532) were associated with susceptibility to using any tobacco product among never users of tobacco products.ConclusionOur study reports that tobacco use and non-user susceptibility to using tobacco product among school-going adolescents in the 22 African countries is high. As part of public health efforts, governments and other stakeholders need to fully implement anti-tobacco use campaigns, enforce a complete ban on tobacco promotion and advertising, institute educational programs for families, and anti-tobacco use education for the general public and in schools in line with WHO Framework Convention on Tobacco Control guidelines.

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Current Tobacco Use and Susceptibility To Using Tobacco Among Non-Users of Tobacco: A Cross-Sectional Study Among School-Going Adolescents in Sierra Leone

10.21203/rs.3.rs-798614/v1 ◽

2021 ◽

Author(s):

Peter Bai James ◽

John Alimamy Kabba ◽

Abdulai Jawo Bah ◽

Ayesha Idriss ◽

Chenai Kitchen ◽

...

Keyword(s):

High School ◽

High School Students ◽

Sierra Leone ◽

Tobacco Use ◽

Tobacco Product ◽

School Students ◽

Global Youth Tobacco Survey ◽

Cross Sectional ◽

Sierra Leonean ◽

Current Tobacco

Abstract Background Tobacco use is a global health threat associated with a high disease burden and deaths. Studies concerning current tobacco use and susceptibility to using tobacco products among adolescents who are potential adult tobacco users in Sierra Leone have not been explored. We aimed to estimate the prevalence and correlates of current tobacco use and tobacco non-users susceptibility to using tobacco amongst Sierra Leonean high-school students. Method We used data obtained from the 2017 Sierra Leone Global Youth Tobacco Survey (GYTS), which presented information collected from 6680 students aged 11-17years nationwide. Gender-based correlates of current use and susceptibility to using tobacco among non-tobacco users were determined by complex sample logistic regression analyses. Adjusted odds ratios (AOR) and respective 95% confidence intervals (CIs) were reported. p-values less than 0.005 were considered significant. Results The prevalence of current tobacco use among high school adolescents in Sierra Leone was 10.7% and was higher in males (12.2%) than in females (7.4%). Male [AOR = 1.32 (95%CI:1.01–1.72)], exposure to household secondhand smoke [AOR = 2.68(95%CI:1.71–4.20)], having peers who smoke [AOR = 3.07(1.53–6.16)] were more likely to be currently using tobacco. On the other hand, adolescents exposed to antismoking media messages were less likely to be current tobacco users [AOR = 0.45(95%CI: 0.24–0.83)]. The overall tobacco non-users susceptibility to using tobacco among adolescents in Sierra Leone was 18.2% [male (18.0%), female (18.5%)]. Exposure to tobacco promotion [AOR = 1.50(95%CI:1.07–2.11)] and non-exposure to antismoking education [AOR = 1.39(95%CI:1.04–1.85)] were significantly associated with tobacco non-users’ susceptibility to using tobacco. Conclusion Our study suggests that one-in-ten school-going adolescents currently use tobacco, with nearly one in five non-users susceptible to using tobacco. Given the high prevalence of tobacco product use among Sierra Leonean adults, our findings highlight the need for policies and interventions to prevent tobacco use behaviour among adolescents aimed at averting tobacco use in adulthood.

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Prevalence and determinants of tobacco use amongst South African adults with mental illness in the Eastern Cape

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v27i0.1637 ◽

2021 ◽

Vol 27 ◽

Author(s):

Linda K. Tindimwebwa ◽

Anthony I. Ajayi ◽

Oladele V. Adeniyi

Keyword(s):

Mental Health ◽

Mental Illness ◽

General Population ◽

Tobacco Use ◽

Depressive Disorders ◽

Smoking Prevention ◽

Eastern Cape ◽

Physical And Mental Health ◽

Cross Sectional ◽

Tobacco Products

Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population.Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit.Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa.Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products.Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants.Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region.

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An evaluation of compliance with the cigarettes and other tobacco products act 2003 in Koppal district, Karnataka

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192860 ◽

2019 ◽

Vol 6 (7) ◽

pp. 3113

Author(s):

Vijaykumar P. Mane ◽

Yuvaraj Bhanot Yenkanaik ◽

Shankrappa Dhanapur ◽

Sangappa Yallammanavar ◽

Rashmi Sreenivasamurthy

Keyword(s):

Tobacco Use ◽

Sample Selection ◽

Age Groups ◽

Data Entry ◽

Control Program ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Cross Sectional ◽

Tobacco Products

Background: Tobacco is a major risk factor for a number of diseases affecting all age groups. One person dies every six seconds due to tobacco use and up to half of current users will eventually die of a tobacco-related disease. Government of India has enacted cigarette and other tobacco products act (COTPA) in the year 2003 to control tobacco use. The objective of study was to estimate the level of compliance to selected sections (4 to 9) of COTPA (cigarette and other tobacco products – prohibition of advertisement and regulation of trade and commerce, production, supply and distribution) act, 2003 in Koppal district, Karnataka.Methods: The present study was a cross sectional study conducted as an independent evaluation of COTPA act 2003 in Koppal district as per National Tobacco Control Program guidelines. Cluster sampling technique was used for sample selection and sample consisted of 158 public places, 102 educational institutional, 87 shops/ sell points and 60 tobacco products. Data entry and analysis was done using microsoft office excel 2013.Results: The prevalence of compliance to section 4, 5, 6A, 6B, 7, 8 and 9 of COTPA act 2003 in Koppal district were 80.3%, 96.5%, 98.9%, 64.8%, 53.3%, 63.3% and 50% respectively.Conclusions: Compliance level was poor especially in relation to display of health warnings on tobacco products which needs to be tackled through strict enforcement of the existing laws.

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