A study on associated risks of smoking, alcohol and smokeless tobacco on hypertension among advocates

Shanthi Edward, Praveena Periasamy


Background: Advocates, being stressed out and depressed in the law profession due to unstable work pattern, work overload and lack in coping up skills. They thrive a lot to survive in the profession. In such circumstances, lawyers may lean on alcohol or tobacco. In view of above issues, one of the main objectives of the study is to evaluate the association between use of alcohol, tobacco, smoking and hypertension among practising advocates.

Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method. Data was collected using structured interview schedule and analysed using SPSS.

Results: Around 263 (87.66%) study participants were non-smokers and 37 (12.33%) were tobacco smokers. Among the tobacco smokers, a majority of 24 (64.86%) were found to be hypertensives (p=0.002). In the current study among the alcohol consumers, a majority of 26 (55.32%) were hypertensives and among the non-consumers of alcohol, only 38.34% were hypertensives (p=0.044).

Conclusions: Advocates being professionals are well educated, informative and aware of complications. Adoption of healthy life style practices, the prevalence of hypertension may be reduced among the advocate community. Life style modifications such as cessation of smoking, alcohol and tobacco should be adopted. Promotive activities like arrangement of health camps in the court, health education, counselling on self-care, stress bursting leisure time activities would reduce the dependency on tobacco and alcohol.


Alcohol, Tobacco, Hypertension, Stress, Lifestyle

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World Health Organization. Fact sheet. Available at: /alcohol. Accessed on 21 September 2019.

The biggest challenges about becoming a lawyer. Available at: lawyer-career-drawbacks-2164594. Accessed on 31 May 2019.

Sarda K. The New Indian Express Donning lawyers robes, with no law to protect from stress. Accessed on 20 October: 2014.

Madhumitha M, Naraintran S, Manohar C, Revathi S, Biradar MK, Patil RS. Hypertension prevalence and risk factors among urban population in north Karnataka. Int J Cur Res Rev. 2014;6(7):39-45.

Westman EC. Does smokeless tobacco cause hypertension?. South Med J. 1995;88(7):716–20.

Skliros EA, Papadodima SA, Sotiropoulos A, Xipnitos C, Kollias A, Spiliopoulou CA. Relationship between alcohol consumption and control of hypertension among elderly Greeks. The Nemea primary care study. Hellenic J Cardiol. 2012;53:26–32.

Sesso HD, Cook NR, Buring JE, Manson JE, Gaziano JM. Alcohol consumption and the risk of hypertension in women and men. Hypertension. 2008;51:1080–7.

Beilin LJ, Puddey IB. Alcohol and hypertension: an update. Hypertension. 2006;47:1035–8.

Estruch R, Coca A, Rodicio JL. High blood pressure, alcohol and cardiovascular risk. J Hypertens.2005;23:226–9.

Klatsky AL. Alcohol-associated hypertension: when one drinks makes a difference. Hypertension. 2004;44:805–6.

Kaplan NM. Alcohol and hypertension. Lancet. 1995;345:1588–9.

Husain K, Ansari RA, Ferder L. Alcohol induced hypertension: Mechanism and prevention. World J Cardiol. 2014;6(5):245-52.

Son MK. Association between Alcohol Consumption and Hypertension. J Korean Soc Hypertens. 2011;17(2):65-73.

Sheps SG. Mayo clinic. Does drinking alcohol affect your blood pressure? Available at: http://www. blood-pressure. Accessed on 31 May 2019.