Sociocultural Reasons for Smokeless Tobacco Use Behavior

Farhad-Mollashahi, Leila

doi:10.5812/ijhrba.20002

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…In another study in Iran, 19.9% of students reported having smokeless tobacco use at least once, 30 days prior to the study. This indicates the high involvement of students in the use of this substance in Sistan and Baluchestan (6,13,14). Our study showed that smokeless tobacco users such as Pan 26 (24.8%), Gutkah 9 (8.6%), Biti 5 (4.8%), and NAS 4 (3.8 %) had used at least once in the last month of the study (Table 1).…”

Section: Resultsmentioning

confidence: 58%

Use of Smokeless Tobacco Among Students in the City of Chabahar: A Cross-Sectional Study

Solhi

Mehrabian

Rastaghi

et al. 2019

Int J High Risk Behav Addict

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The purpose of this study was to determine the prevalence of types of smokeless tobacco use between students in the city of Chabahar. A total of 105 students were selected from the schools of Chabahar city. The sample size was calculated using the G*Power software. For a questionnaire by the test-retest exam for knowledge and attitude structures, the reliability of the test (Pearson correlation coefficient's) was 98% and 94%. The Cronbach alpha of these structures was about 74%. The CVR for these structures was 93% for knowledge and 88% for the structure of the attitude. Data was analyzed using the SPSS16 software. In this study, 14 students (13%) had a history of previous use and 48 students (45.7%) reported having had tobacco use at least once, 30 days before studying. The Pearson Correlation Test indicated a significant relationship between smokeless tobacco use with the family number (-0.224), mother's literacy (0.219), and father's literacy (0.224). The number of smokeless tobacco users who had consumed at least once in the last month of the study were Pan 26 (24.8%), Gutkah 9 (8.6%), and Biti 5 (4.8%). The results of the study show that the prevalence of smokeless tobacco use in students around the city of Chabahar is high.

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Section: Resultsmentioning

confidence: 58%

Use of Smokeless Tobacco Among Students in the City of Chabahar: A Cross-Sectional Study

Solhi

Mehrabian

Rastaghi

et al. 2019

Int J High Risk Behav Addict

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“…The perception of treating toothache as enabling factor to quit Shammah as recalled by some participants was also evident in previous studies and may give us a hint about possible access disparities to oral health services in the region [ 18 , 21 ]. Fasting Ramadan was recited by many participants as enabler for Shammah quitting.…”

Section: Discussionmentioning

confidence: 54%

“…Many female participants shared a positive view toward using Shammah as a remedy. The use of Shammah as a remedy to cure a tooth pain was also evident in Southeast Asian countries [ 18 , 21 ]. Many participants shared unfavorable beliefs toward using Shammah, but these beliefs seem not sufficient for them to not use it.…”

Section: Discussionmentioning

confidence: 99%

Towards a better understanding of the psychosocial determinants associated with adults’ use of smokeless tobacco in the Jazan Region of Saudi Arabia: a qualitative study

et al. 2022

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Background Most diagnosed oral cancer cases in Saudi Arabia are in the Jazan region. A common type of smokeless tobacco "Shammah" is prevalent in this region. This study aimed to gain an in-depth understanding of the possible psychosocial determinants of Shammah consumption among adult Shammah users in Jazan region. Methods A qualitative study was conducted by means of one-on-one interviews among thirty adult Shammah users. Participants were recruited by means of a purposive sampling technique. Data were collected using a semi-structured interview guide utilizing face-to-face and phone-call interviews. Thematic analysis with hybrid approach was used to analyze the dataset. Results Twenty-four sub-codes within four overarching themes were generated. Participants revealed uncertainty related to Shammah composition, how to quit knowledge and Shammah prevention/cessation programs. Shammah use identified as a normal phenomenon in society. Its use was frequently reported in participants’ close network but most users faced family and peers’ disapproval. Some users expressed joy, happiness and focused when using Shammah. Others were disgusted or neutral. Many users believed Shammah causes cancer and tears oral tissues. Others believed it relieves toothache or has no effect. Majority of users were confident to quit and recalled some quitting aids. Toothache, craving, drinking tea and chewing Khat (leaves of Catha edulis plant that causes moderate euphoria) perceived to be triggers to use Shammah. Availability of Shammah, withdrawal symptoms, stress, lack of support, seeing others using Shammah, losing part of routine and toothache were barriers to quit. Conclusions Shammah use was associated with uncertainty about Shammah composition and quitting knowledge, social acceptability, influence from family/friends, a range of positive and negative attitudinal beliefs toward its use and high quitting efficacy beliefs. Future interventions targeting Shammah should address the acknowledged triggers and barriers in the present study including the dual use of Shammah and Khat.

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“…Items on addiction perceptions were adapted from the 'Ontario Tobacco Research Unit-Questions from Population Surveys of Tobacco Use in Canada' [16] and were modified to suit the survey population. Items to capture social and cultural factors were developed based on the literature on social and cultural factors related to tobacco use [6,[17][18][19][20][21]. Measures and related items are presented in Table 1 in English, Hindi and Marathi.…”

Section: Methodsmentioning

confidence: 99%

Addiction perceptions among users of smokeless or combustible tobacco attending a tertiary care hospital in India

Thawal

Tzelepis

Ahmadi

et al. 2022

Drug and Alcohol Review

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Introduction Addiction plays a key role in continued tobacco use. The study assessed association of perceived personal addiction and the perceived addictiveness of different forms of tobacco with type of tobacco product used, demographic characteristics and socio‐cultural factors. Methods A cross‐sectional survey of 607 adult tobacco users with age 18 years and above attending a general medicine out‐patient department was conducted. Participants were asked questions on perceived personal addiction to tobacco use and perception of addiction on tobacco products. Logistic regression was applied to investigate the association between demographic characteristics, type of tobacco, socio‐cultural factors and addiction perceptions. Results The odds of perceived addiction (PA) were lower among smokeless tobacco (SLT) users [OR (95% CI): 0.57 (0.37, 0.89) P = 0.01]. An increase in the odds of PA was seen as age increased [OR (95% CI):1.02 (1.00, 1.03) P = 0.01] and participants with secondary education and above had higher odds of PA compared to participants with no formal education [OR (95% CI): 1.68 (1.09, 2.58) P = 0.02]. The odds of perceiving SLT products to be addictive was lower among SLT users [OR (95% CI): 0.48 (0.30, 0.75) P = 0.002)] compared to combustible tobacco users. The odds of perceiving SLT products to be addictive was lower [(OR (95% CI): 0.35 (0.18, 0.67) P = 0.002)] among females. Participants with secondary education and above had higher odds of perceiving combustible [OR (95% CI): 1.80 (1.17, 2.77) P = 0.008)] and SLT products [OR (95% CI): 1.98 (1.20, 3.30) P = 0.008)] to be addictive compared to no schooling. Discussion and Conclusions There is a need to raise awareness in India of the addictiveness of tobacco, particularly for users of SLT, younger people and those with less education.

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Sociocultural Reasons for Smokeless Tobacco Use Behavior

Cited by 8 publications

References 7 publications

Use of Smokeless Tobacco Among Students in the City of Chabahar: A Cross-Sectional Study

Use of Smokeless Tobacco Among Students in the City of Chabahar: A Cross-Sectional Study

Towards a better understanding of the psychosocial determinants associated with adults’ use of smokeless tobacco in the Jazan Region of Saudi Arabia: a qualitative study

Addiction perceptions among users of smokeless or combustible tobacco attending a tertiary care hospital in India

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