Prevalence of Areca nut and Tobacco use in school going children in Ahmedabad

2019 ◽  
Vol 6 (1) ◽  
pp. 16 ◽  
Author(s):  
Megha Sheth ◽  
Azizfatma Khan ◽  
Priyasingh Rangey
Keyword(s):  
2020 ◽  
Vol 55 (12) ◽  
pp. 2025-2034
Author(s):  
Yu Lung ◽  
Shu-Sen Chang ◽  
Chia-Yueh Hsu ◽  
Shang-Chi Wu ◽  
Chuan-Yu Chen ◽  
...  

2020 ◽  
Vol 22 (11) ◽  
pp. 2022-2031 ◽  
Author(s):  
Himanshu A Gupte ◽  
Marina D’Costa ◽  
Leni Chaudhuri

Abstract Background Tobacco and areca-nut use among adolescents has been reported from different parts of India. Multiple factors influence initiation of tobacco use among adolescents. Initiation of one product gradually extends to multiple products. Studies on initiation lack documentation of the pathways and experiences post-initiation, which is required to holistically understand behavior patterns of adolescents for planning timely intervention. This study was conducted to trace pathways and identify factors influencing the initiation and continuation of tobacco and areca-nut among adolescents. Methods In this two-staged study, we conducted 14 focus group discussions (FGDs) with 166 adolescents studying in grades 7–9 (11–18 years) from six municipal schools in Mumbai, India. They had self-reported areca-nut or smoked or smokeless tobacco (SLT) use. Pathways of initiation were traced through in-depth interviews for 60 adolescents. Results Four multi-linear pathways of use were identified: (1) areca-nut only, (2) areca-nut to tobacco, (3) initiation with SLT, and (4) initiation with smoking. Raw or sweetened areca-nut, betel leaf, gutka, masheri, mawa, hookah, cigarette, bidi, and e-cigarettes were products reported to be used. Curiosity, easy access to tobacco products and normalization of tobacco use influenced initiation. Areca-nut acted as a precursor to tobacco use. Conclusion Tracing pathways in tobacco use helped to understand reasons for initiation, influences in continuation of use, and experiences of significance to the adolescents. Experiences of adolescents play a critical role in shaping the pathways of tobacco use. Understanding the pathways and influencers will further help to build effective health promotion communication, policies for sale to minors, and school-based cessation interventions. Implications Findings of the study provide an insight into unknown areas of information regarding products used by adolescents, their patterns of consumption, perceptions, and their pathways of initiation and continuation of primary and secondary products. This will help in developing specific public health awareness messages, policies regarding packaging and sale of areca-nut to children and interventions targeted for the adolescents and their specific products of use not just in India but for the South-East Asia region as areca-nut and tobacco use among adolescents is common in the region. The exercise of tracing the pathways provides basis for cessation counseling among adolescents.


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.


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