Tobacco Use
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2021 ◽  
Vol 2021 (11) ◽  
Kristin V Carson-Chahhoud ◽  
Malcolm P Brinn ◽  
Nadina A Labiszewski ◽  
Matthew Peters ◽  
Anne B Chang ◽  

2021 ◽  
Vol 3 (November) ◽  
pp. 1-9
Osayande Agbonlahor ◽  
Jayesh Rai ◽  
Delvon Mattingly ◽  
Joy Hart ◽  
Kandi Walker

2021 ◽  
Vol 8 (11) ◽  
pp. 357-363
Malay Kumar Das ◽  
Rabindranath Sinha ◽  
Nirmalya Manna

Introduction: Cost effective interventions (educational and behavioural interventions) for the reduction of non-communicable diseases risk factors should be promoted especially in the low and middle income countries such as India. Method: A pre-designed and pre-tested questionnaire was used in class-room setting to collect information from students regarding their socio- demographic characteristics and presence of behavioral risk factors of non-communicable diseases. Results: A total of 761 students of class VI-XII participated in the study of which 61.4% were boys and rests were girls. Most common risk factor was ‘intake of extra salt with food’ (54.7%), followed by fast food intake >3 times/week (33.8%). Statistical analysis by chi square test revealed that extra salt intake, tobacco use and alcohol use was significantly associated with age. Similarly, sex of the students was significantly associated with tobacco use, alcohol use and physical activity (p <0.05). Father’s education was significantly associated with extra salt intake in food. Mother’s education was significantly associated with unsatisfactory intake of fruits and vegetables (< 5 times/week), extra salt intakes in food and tobacco use (p <0.05). Father’s occupation was significantly associated with fast food intakes and physical activity whereas mother’s occupation had significant association with tobacco use (p <0.05). Conclusion: Healthy children are the foundation for a healthy nation. The universal belief is that schools are designated as an important setting in which children should develop behaviour and skills for physical, emotional and social well-being. Keywords: Adolescents, Behavioral Risk factor, Socio- Demographic characteristics, Rural school.

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Anne-Sophie Mazzoni ◽  
Hannah L. Brooke ◽  
Sveinung Berntsen ◽  
Karin Nordin ◽  
Ingrid Demmelmaier

Abstract Background Current knowledge about the promotion of long-term physical activity (PA) maintenance in cancer survivors is limited. The aims of this study were to 1) determine the effect of self-regulatory BCTs on long-term PA maintenance, and 2) identify predictors of long-term PA maintenance in cancer survivors 12 months after participating in a six-month exercise intervention during cancer treatment. Methods In a multicentre study with a 2 × 2 factorial design, the Phys-Can RCT, 577 participants with curable breast, colorectal or prostate cancer and starting their cancer treatment, were randomized to high intensity exercise with or without self-regulatory behaviour change techniques (BCTs; e.g. goal-setting and self-monitoring) or low-to-moderate intensity exercise with or without self-regulatory BCTs. Participants’ level of PA was assessed at the end of the exercise intervention and 12 months later (i.e. 12-month follow-up), using a PA monitor and a PA diary. Participants were categorized as either maintainers (change in minutes/week of aerobic PA ≥ 0 and/or change in number of sessions/week of resistance training ≥0) or non-maintainers. Data on potential predictors were collected at baseline and at the end of the exercise intervention. Multiple logistic regression analyses were performed to answer both research questions. Results A total of 301 participants (52%) completed the data assessments. A main effect of BCTs on PA maintenance was found (OR = 1.80, 95%CI [1.05–3.08]) at 12-month follow-up. Participants reporting higher health-related quality-of-life (HRQoL) (OR = 1.03, 95%CI [1.00–1.06] and higher exercise motivation (OR = 1.02, 95%CI [1.00–1.04]) at baseline were more likely to maintain PA levels at 12-month follow-up. Participants with higher exercise expectations (OR = 0.88, 95%CI [0.78–0.99]) and a history of tobacco use at baseline (OR = 0.43, 95%CI [0.21–0.86]) were less likely to maintain PA levels at 12-month follow-up. Finally, participants with greater BMI increases over the course of the exercise intervention (OR = 0.63, 95%CI [0.44–0.90]) were less likely to maintain their PA levels at 12-month follow-up. Conclusions Self-regulatory BCTs improved PA maintenance at 12-month follow-up and can be recommended to cancer survivors for long-term PA maintenance. Such support should be considered especially for patients with low HRQoL, low exercise motivation, high exercise expectations or with a history of tobacco use at the start of their cancer treatment, as well as for those gaining weight during their treatment. However, more experimental studies are needed to investigate the efficacy of individual or combinations of BCTs in broader clinical populations. Trial registration NCT02473003 (10/10/2014).

2021 ◽  
pp. tobaccocontrol-2021-056915
Ritesh Mistry ◽  
Michael J Kleinsasser ◽  
Namrata Puntambekar ◽  
Prakash C Gupta ◽  
William J McCarthy ◽  

BackgroundNeighbourhood tobacco retail access may influence adolescent tobacco use. In India, we examined the association between neighbourhood tobacco retail access and cognitive risks for tobacco use during early adolescence.MethodsIn 2019–2020, a population-based sample (n=1759) of adolescents aged 13–15 years was surveyed from 52 neighbourhoods in Mumbai and Kolkata. Neighbourhood tobacco retail access was measured as the frequency of visits to tobacco retailers, mapped tobacco retailer density and perceived tobacco retailer density. We estimated associations between neighbourhood tobacco retail access and cognitive risks for tobacco use (perceived ease of access to tobacco, perceived peer tobacco use and intention to use tobacco).ResultsThere was high neighbourhood tobacco retail access. Tobacco retailer density was higher in lower income neighbourhoods (p<0.001). Adolescent frequency of tobacco retailer visits was positively associated with cognitive tobacco use risks. Mapped tobacco retailer density was associated with perceived ease of access in Kolkata but not in Mumbai, and it was not associated with perceived peer tobacco use nor intention. Perceived tobacco retailer density was associated with perceived ease of access and perceived peer use, but not with intention. In Kolkata, higher perceived retailer density and frequency of tobacco retailer visits were negatively associated with perceived ease of access.ConclusionsEfforts to reduce neighbourhood tobacco retail access in India may reduce cognitive tobacco use risk factors in young adolescents. The frequency of tobacco retailer visits and perceived tobacco retailer density increased cognitive risks, though there were some exceptions in Kolkata that further research may explain.

2021 ◽  
Vol 9 ◽  
Siyu Dai ◽  
Chun Ting Au ◽  
Michael Ho Ming Chan ◽  
Richard Kin Ting Kam ◽  
Albert Martin Li ◽  

Background: Environmental tobacco smoke (ETS) exposure in children ranks one of the major public health problems in our time. Poor parental knowledge, attitude, and practice (KAP) on ETS often contribute to worse exposure of the kids. Thus, we aimed to document parental KAP regarding tobacco use, smoking cessation and children's ETS exposure, and to analyse how knowledge and attitude relate to practice.Methods: Self-administered KAP questionnaires were distributed to smoking parents recruited from the pediatric unit at the Prince of Wales Hospital, which provides pediatric service to a population of 1.2 million in Hong Kong. The 60-item questionnaire had a range of 0–38 for knowledge, 0–44 for attitude, and 0–40 for practice. Descriptive analyses were performed for KAP response, regression analyses were performed for the exploration of associations and identification of predictive indicators.Results: 145 smoking parents (mean age: 38.0 ± 6.7 yrs.; male: 85.5%) were included. Less than half (39.3%) of them reported a smoke-free policy at home. Among those parents who had private cars, less than half (45.2%) of them had smoke-free policy in their car that they never smoked in the car. Only 25.5% of the participants correctly answered ≥70% of the knowledge questions, and 11.8 % of the participants gave favorable responses to ≥70% of the attitude questions. The total knowledge and the total attitudes score were positively associated (r = 0.49, 95% CI: 0.35–0.79, p &lt; 0.001), yet they were only modestly correlated with parental practice on children's ETS exposure. By multivariate regressions, potential predictive factors for more favorable parental KAP included higher household income, lower parental nicotine dependence level and breastfeeding practice.Conclusions: Parental KAP related to tobacco use and children's ETS exposure needs improvement to address the significant gap between recommended and actual practice. The weak association between knowledge and practice suggested that parental education alone is not adequate to combat ETS exposure in children.

Sabuj Kanti Mistry ◽  
ARM Mehrab Ali ◽  
Uday Narayan Yadav ◽  
Md. Nazmul Huda ◽  
Saruna Ghimire ◽  

This study explored the perceived change in tobacco use during the COVID-19 pandemic and its associated factors among older adults residing in Rohingya refugee camps, also referred to as Forcibly Displaced Myanmar Nationals in Bangladesh. The study followed a cross-sectional design and was conducted in October 2020 among 416 older adults aged 60 years and above. A purposive sampling technique was applied to identify eligible participants, and face-to-face interviews were conducted using a pre-tested semi-structured questionnaire to collect the data. Participants were asked if they noted any change in their tobacco use patterns (smoking or smokeless tobacco) during the COVID-19 pandemic compared to pre-pandemic. Binary logistic regression models determined the factors associated with the perceived change in tobacco use. More than one in five participants (22.4%) were current tobacco users, of whom 40.8% reported a perceived increase in tobacco use during the COVID-19 pandemic. Adjusted analysis revealed that participants who were concerned about COVID-19 had significantly (p < 0.05) lower odds of perceived increase in tobacco use (aOR = 0.22, 95% CI: 0.06–0.73), while older adults who were overwhelmed by COVID-19 (aOR = 0.26, 95% CI: 0.06–1.18) and communicated less frequently with others during the pandemic than before (aOR = 0.19, 95% CI: 0.03–1.20) had marginally significantly (p < 0.1) lower odds of perceived increase in tobacco use during this pandemic. Relevant stakeholders, policymakers, and practitioners need to focus on strengthening awareness-raising initiatives as part of an emergency preparedness plan to control tobacco use during such a crisis period.

2022 ◽  
Vol 106 (1) ◽  
pp. 99-112
Frank T. Leone ◽  
Sarah Evers-Casey

2021 ◽  
Peter Bai James ◽  
Abdulai Jawo Bah ◽  
John Alimamy Kabba ◽  
Said Abasse Kassim ◽  
Philip Ayizem Dalinjong

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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