Assessment of nicotine dependence among tobacco chewers attending dental outpatient department in a tertiary care hospital
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20203908Keywords:
Tertiary care centers, Tobacco, Tobacco use disorder, SmokelessAbstract
Background: Smokeless tobacco is most common form of tobacco addiction. Nicotine dependence plays important role in tobacco addiction. In the present study we try to study sociodemographic factors, type of smokeless tobacco use and its pattern and smokeless tobacco chewers and nicotine dependence among them.
Methods: A cross sectional study was conducted for six months and responses from 854 smokeless tobacco chewers were collected from dental OPD of Government Medical College and Hospital, Latur, Maharashtra. A structured questionnaire was designed and filled by face to face interview and responses were analysed.
Results: Out of 854 study participants more than 50% i.e. 468 (54.80%) were in age group of 25-44 years. Illiterates compromised 27.87% of study participants. Almost one third (31.14%) of study participants started using smokeless tobacco before age of 18 years. Khaini or tobacco mixed with slaked lime is preferred type of smokeless tobacco by most of the smokeless tobacco users. Most common i.e. 51.87% of study participants consumed smokeless tobacco 5-9 times a day. Almost 50% of study participants i.e. 421 (49.30%) spent Rs 100-300 on smokeless tobacco per month. Nicotine dependence is seen in 38.20% of study participants.
Conclusions: Smokeless tobacco use is prevalent before age of maturity among teenagers. Nicotine dependence is seen in almost one third of smokeless tobacco users. Determining nicotine dependence is an important step in tackling nicotine dependence.
References
American Psychiatric Association (APA) Substance Use Disorder Practice Guidelines. Washington, D.C.: American Psychiartic Publishing Press; 2006.
Ziedonis DM, Guydish J, Williams J, Steinberg M, Foulds J. Barriers and solutions to addressing tobacco dependence in addiction treatment programs. Alcohol Res Health. 2006;29(3):228.
Jha P, Chaloupka FJ, Moore J, Gajalakshmi V, Gupta PC, Peck R, et al. Tobacco addiction. In Disease Control Priorities in Developing Countries. The International Bank for Reconstruction and Development/The World Bank. 2nd ed. 2006.
Sinha DN, Gupta PC, Ray CS, Singh PK. Prevalence of smokeless tobacco use among adults in WHO South-East Asia. Indian J Cacer. 2012;49(4):342.
Global Adult Tobacco Survey India 2009-2010 www.searo.who.int/tobacco/documents/2010-pub2.pdf. Accessed on 06 September 2015.
Siddiqi K, Shah S, Abbas SM, Vidyasagaran A, Jawad M, Dogar O, et al. Global burden of disease due to smokeless tobacco consumption in adults: analysis of data from 113 countries. BMC Med. 2015;13(1):194.
National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014. 5, Nicotine. Available from: http://www.ncbi.nlm.nih.gov/books/NBK294308/. Accessed on 06 September, 2015.
Indrayan A, Malhotra RK. Medical biostatistics. CRC Press; 2017:37-48.
Becoña, López E, Fernández A, Míguez E. Spanish adaptation of the NDSS (Nicotine Dependence Syndrome Scale) and assessment of nicotine-dependent individuals at primary care health centers in Spain. The Spanish J Psychol. 2010;13:951-60.
Mohesh M I, Abinaya V. Tobacco use and nicotine dependence among the adult males of different socioeconomic groups within a medical college campus in Ammapettai, Kancheepuram district of South India Tobacco Control and Public Health in Eastern Europe. 2014;4(1):5-39.
Singh A, Ladusingh L. Prevalence and determinants of tobacco use in India: evidence from recent Global Adult Tobacco Survey data. PloS one. 2014;9(12):e114073.
Chockalingam K, Vedhachalam C, Rangasamy S, Sekar G, Adinarayanan S, Swaminathan S, et al. Prevalence of tobacco use in urban, semi urban and rural areas in and around Chennai City, India. PLoS One. 2013;8(10):e76005.
Abbas SM, Alam AY, Usman M, Siddiqi K. Smokeless tobacco consumption in a multi-ethnic community in Pakistan: a cross-sectional study. East Mediterr Health J. 2014;20(6):385-90.
Gupta B. Burden of Smoked and Smokeless Tobacco Consumption in India - Results from the Global adult Tobacco Survey India (GATS-India)- 2009-2010. Asian Pacific J Cancer Prevent. 2013;14(5):3323-9.
Singh A, Arora M, English DR, Mathur MR. Socioeconomic Gradients in Different Types of Tobacco Use in India: Evidence from Global Adult Tobacco Survey 2009-10.BioMed Research International. 2015;2015.
Manimunda SP, Benegal V, Sugunan AP, Jeemon P, Balakrishna N, Thennarusu K, et al. Tobacco use and nicotine dependency in a cross-sectional representative sample of 18,018 individuals in Andaman and Nicobar Islands, India. BMC Public Health. 2012;12(1):515.
Sreeramareddy CT, Pradhan PM, Mir IA, Sin S. Smoking and smokeless tobacco use in nine South and Southeast Asian countries: prevalence estimates and social determinants from Demographic and Health Surveys. Population Health Metrics. 2014;12(1):22.
Panda R, Venkatesan S, Persai D, Trivedi M, Mathur MR. Factors determining intention to quit tobacco: exploring patient responses visiting public health facilities in India. Tobacco induced diseases. 2014;12(1):1.
Soni P, Raut DK. Prevalence and pattern of tobacco consumption in India. Int Res J Soc Sci. 2012;1:36-43.
Sinha DN, Palipudi KM, Jones CK, Khadka BB, Silva PD, Mumthaz M, et al. Levels and trends of smokeless tobacco use among youth in countries of the World Health Organization South-East Asia Region. Indian J Cancer. 2014;51(5):50.
Mishra GA, Kulkarni SV, Majmudar PV, Gupta SD, Shastri SS. Community-based tobacco cessation program among women in Mumbai, India. Indian J Cancer. 2014;51(5):54.
Ebbert JO, Patten CA, Schroeder DR. The Fangerström Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST). Addict Behav. 2006;31(9):1716-21.
Mini GK, Sarma PS, Thankappan KR. Pattern of tobacco use and its correlates among older adults in India. Asian Pac J Cancer Prev. 2014;15(15):6195-8.
Chahwala P, Kataria L, Shah S, Goyal P. Evaluating the effectiveness of a one point psycho-educational intervention for smokeless tobacco users delivered in an outpatient department in India. J Psychol Psychother. 2015;5(178):2161-87.