Socioeconomic and cultural impact of tobacco in India

Shah, Sujay; Dave, Bela; Shah, Rutu; Mehta, Tejas; Dave, R I

doi:10.4103/jfmpc.jfmpc_36_18

Cited by 34 publications

(15 citation statements)

References 9 publications

(10 reference statements)

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“…13,14 It can be explained as in India, tobacco use among females is still socially unacceptable in many cultures. 31 In the current study, tobacco use was found to be significantly associated with employment status as tobacco users were more likely to be employed compared to unemployed (p=0.005) and our finding is in line with previous study. 15 A possible explanation could be economic independence associated with employment attributing for the easier procurement of tobacco.…”

Section: Discussionsupporting

confidence: 92%

Tobacco use and its clinical correlates among Psychiatric in-patients at a tertiary care Psychiatric Hospital: A cross sectional study

Swetha¹,

Kethawath²,

Rao³

2020

Telangana J Psychiatry

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Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tobacco consumption may predispose or worsen the psychiatric illnesses. Aims: To study the prevalence of tobacco use among psychiatric in-patients and to study the association between various sociodemographic variables and clinical variables with tobacco use. Materials and Methods: A cross sectional study was conducted among psychiatric in-patients (n=200) at a tertiary care psychiatric hospital. Consecutive sampling technique was applied. A semi-structured proforma was applied to capture the socio-demographic and clinical details of the participants. The Fagerstrom Test for Nicotine Dependence (FTND) was applied to assess for the tobacco dependence. Results: Prevalence of current tobacco use among the study population was 39.5%. Among the psychiatric illness, prevalence of tobacco use is significantly higher in substance use disorders when compared with mood disorders (χ2=7.757, p=0.005) and schizophrenia and other psychotic disorders (χ2=24.093, p<0.01). Tobacco use is significantly associated with male gender (χ2=20.820, p<0.01), employment (χ2=7.860, p= 0.005) and marital status (χ2=7.930, p= 0.019) among psychiatric patients. Conclusion: Prevalence of tobacco use was found to be high among psychiatric population. There is a need to focus on the adequate management of tobacco use along with primary psychiatric conditions.

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Section: Discussionsupporting

confidence: 92%

Tobacco use and its clinical correlates among Psychiatric in-patients at a tertiary care Psychiatric Hospital: A cross sectional study

Swetha¹,

Kethawath²,

Rao³

2020

Telangana J Psychiatry

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“…[ 15 17 ] In India, determinants of SLT use include wealth index, marginalized populations, such as scheduled tribe, peer pressure, lack of awareness, and misconceptions about SLT. [ 19 ] The inability to quit and chronic duration SLT use is associated with development of potentially malignant disorders of oral cavity leading to cancers of oral cavity, esophagus, and pancreas. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Workplace based potentially malignant oral lesions screening among tobacco consuming migrant construction site workers in Chennai, South India: A pilot study

Tirukkovalluri

Lück

Makesh

et al. 2020

J Family Med Prim Care

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Context: Vulnerable population groups such as migrant workers are identified as emerging high-risk groups for oral cancer owing to the high prevalence of smokeless tobacco consumption. Premature deaths due to oral cancer can be prevented by screening the population with high tobacco consumption practices and detecting early reversible stages of oral mucosal cavity lesions and facilitating linkages for further care. Aim: To assess prevalence of potentially malignant oral mucosal cavity lesions among tobacco consuming migrant construction workers in sub-urban Chennai, India. Settings and Designs: A workplace based cross-sectional study design. Materials and Methods: A cross-sectional study was conducted at workplaces i.e., construction sites for screening potentially malignant oral mucosal cavity lesions among migrant workers across 23 construction sites of Chennai during September 2019 - February 2020. An onsite, group health education session was provided about the harms of tobacco use to the migrants. Statistical Analysis Used: Data entered in MS Excel was analysed using SPSS and multivariate analysis was performed. Results: Among 640 migrants included in the study, 411 (64.2%) were less than 30 years of age, 623 (97.4%) were from north-eastern states of India such as West Bengal, Bihar, Rajasthan, Uttar Pradesh, Jharkhand. A considerable size (272, 42.5%) could not read or write and 355 (55.4%) earn a monthly income of less than ten thousand rupees. Current tobacco users were 619 (96.7%), smokeless tobacco users (463, 72.34%), smokers (206, 32.2%) and dual users (52,8.12%). Inflammatory mucosal lesions in the oral cavity were 70.97% and more among smokeless tobacco users comparable to 22.58% among tobacco smokers and was significantly associated with up to 20 years of tobacco consumption. Conclusions: Prevalence of Potentially malignant oral lesions among smokeless tobacco using interstate migrant construction site workers is very high and need urgent interventions.

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“…Being employed was associated with higher chances of tobacco use, as was observed in similar studies. While some studies report that unemployment was a predictor for tobacco use 20 , few analysed the various categories of occupations and their association with the forms of tobacco use 14,21 .…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic profile of tobacco use and its predictors in Kerala, India

Ramanarayanan¹,

Rajeev²

2020

Popul. Med.

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INTRODUCTION The burden of tobacco use is high in India. Tobacco use behaviour is influenced by sociodemographic factors. The Indian state of Kerala is considered unique compared to the rest of India in having high social development indices. The objective of this study was to explore the sociodemographic factors affecting tobacco use and its predictors in Kerala. METHODS A cross-sectional study was conducted using data obtained from the Global Adult Tobacco Survey 2 (2016-2017) for the state of Kerala in India. Questions from the survey pertaining to sociodemographic characteristics (age, gender, area of residence, marital status, religion, education level, and employment status) were selected and served as independent variables. Outcomes are reported as odds ratios. RESULTS A total of 2186 individuals (783 men and 1403 women) participated in GATS-2 of Kerala state. People aged <45 years were less likely to be smokers (OR=0.54; 95% CI: 0.39-0.75) and smokeless tobacco users (OR=0.20; 95% CI: 0.12-0.33). Men were more likely to use tobacco compared to women (OR=189.9; 95% CI: 46.95-768.10 for smoking tobacco, and OR=2.29; 95% CI: 1.55-3.38 for smokeless forms). CONCLUSIONS Tobacco use in Kerala was below the national average. Older age (≥45 years) was associated with tobacco use while poor literacy levels and employment status were significantly associated with smoking.

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Socioeconomic and cultural impact of tobacco in India

Cited by 34 publications

References 9 publications

Tobacco use and its clinical correlates among Psychiatric in-patients at a tertiary care Psychiatric Hospital: A cross sectional study

Tobacco use and its clinical correlates among Psychiatric in-patients at a tertiary care Psychiatric Hospital: A cross sectional study

Workplace based potentially malignant oral lesions screening among tobacco consuming migrant construction site workers in Chennai, South India: A pilot study

Sociodemographic profile of tobacco use and its predictors in Kerala, India

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