DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205674

Awareness of harmful effects on tobacco smoking among adult male smokers in Sri Lanka: a cross sectional study

Chathurika Udeni, Ashani N. Ariyadasa, Anjali N. Sathkoralage, Imasha T. P. Wimaladasa, Hiranya N. Fernando, Lahiru S. Galgamuwa, Prasanna Herath, Nishantha Kumarasinghe

Abstract


Background: Smoking of tobacco products is the second major cause of morbidity and mortality in worldwide. The objective of this study was to evaluate the awareness of the harmful effects on tobacco smoking among adult male smokers and their spouses in Sri Lanka.

Methods: A cross sectional study was conducted among adult male smokers in Gampaha district was recruited. An interviewer administered questionnaire inquired participants' awareness about diseases caused by smoking.

Results: Majority of participants (95.3%) were aware of the adverse effects of tobacco consumption on health. A total of 93.4% had knowledge that smoking is harmful to others. Majority of male smokers were aware of adverse effects on respiratory, cardiac and circulatory systems. However, the awareness of the association between impotence, infertility, birth defects and premature births with smoking is low in smokers.

Conclusions: Majority of smokers have sufficient knowledge of harmful effects on health from smoking. Community awareness programs of adverse effects must be held targeting all the population including school children. Anti-smoking campaigns must be initiated in a broad manner, specially targeting the smoking population.


Keywords


Health effect, Sri Lanka, Smoking, Tobacco

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References


Onyeonoro U, Chukwuonye I, Madukwe O, Ukegbu A, Akhimien M, Ogah O. Awareness and perception of harmful effects of smoking in Abia State, Nigeria. Niger J Cardio. 2015;12:27-33.

Kassel JD, Stroud LR, Paronis CA. Smoking, stress, and negative affect: correlation, causation, and context across stages of smoking. Psychol Bull. 2003;129:270-304.

Jha P, Peto R. Global effects of smoking, of quitting, and of taxing tobacco. N Engl J Med. 2014;370:60-8.

Ekpu VU, Brown AK. The economic impact of smoking and of reducing smoking prevalence: review of evidence. Tob Use Insights. 2015;8:1-35.

Imtiaz D, Kandpal SD, Juyal R, Shrotriya VP. A study on awareness about harmful effects of tobacco use among rural population in Dehradun District of Uttarakhand. Natl J Community Med. 2015;6:270-3.

Silva WD, Sinha DN, Kahandawaliyanag A. An assessment of the effectiveness of tobacco control measures on behavior changes related to tobacco use among adolescents and young adults in a district in Sri Lanka. Indian J Cancer. 2012;49:438.

Benowitz NL, Gourlay SG. Cardiovascular toxicity of nicotine: implications for nicotine replacement therapy. J Am Coll Cardiol. 1997;29:1422-31.

WHO, WHO report on the global tobacco epidemic, 2015. WHO. URL. Available at http:// www.who.int/ tobacco/global_report/2015/report/en/. Accessed on 1 November 2018.

Driezen P, Abdullah AS, Nargis N, Hussain AK, Fong GT, Thompson ME, et al. Awareness of tobacco-related health harms among vulnerable populations in Bangladesh: findings from the international tobacco control (ITC) Bangladesh Survey. Int J Environ Res Public Health. 2016;13:848.

World Health Organization. WHO report on the global tobacco epidemic: enforcing bans on tobacco advertising, promotion and sponsorship. Geneva, Switzerland: 2013. Accessed on 5 December 2013.

Copas JB, Shi JQ. Reanalysis of epidemiological evidence on lung cancer and passive smoking. British Med J. 2000;320(7232):417-8.

Glantz SA. Lung cancer and passive smoking: nothing new was said. BMJ. 2000;321(7270):1222-3.

Lee PN. Difficulties in assessing the relationship between passive smoking and lung cancer. Stat Meth Med Res. 1998;7(2):137-63.

Keskinoglu P, Cimrin D, Aksakoglu G. The impact of passive smoking on the development of lower respiratory tract infections in children health. J Trop Pediatr. 2007;53:319-24.

Shomar RT, Lubbad IK, Ansari W, Khatib IA, Alharazin HJ. Smoking, awareness of smoking-associated health risks, and knowledge of national tobacco legislation in Gaza, Palestine. Cent Eur J Public Health. 2014;22:80-9.

An DTM, Minh HV, Huong LT, Giang KB, Xuan LTT, Hai PT, et al. Knowledge of the health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults. Glob Health Action. 2013;18:707.

Onyeonoro UU, Ukegbu AU, Chukwuonye II, Madukwe OO, Akhimien MO, Ogah OS. Prevalence and pattern of secondhand smoking in Abia State, Nigeria. Nig J Cardiol. 2016;13:119-24.

Yidana A, Yiadom BA, Osei M. Tobacco use and its socio-cultural dimension among male adults in northern Ghana. Public Health Res. 2016;6:64-8.

Fernando HN, Wimaladasa ITP, Sathkoralage AN, Ariyadasa AN, Udeni C, Galgamuwa LS, et al. Socioeconomic factors associated with tobacco smoking among adult males in Sri Lanka. BMC Public Health. 2019;19:778.

Chia SE, Lim STA, Tay SK, Lim ST. Factors associated with male infertility: a case-control study of 218 infertile and 240 fertile men. BJOG. 2000;107:55-61.

Bonde JPE, Ernst E, Jensen RK, Hjollund NHI, Kolstad H, Henriksen TB, et al., Relation between semen quality and fertility: a population-based study of 430 first-pregnancy planners. Lancet. 1998;352:1172-7.

Bae J, Park S, Kwon JW. Factors associated with menstrual cycle irregularity and menopause. BMC Womens Health. 2018;18:36.

Hofhuis W, Jongste JC, Merkus PJFM. Adverse health effects of prenatal and postnatal tobacco smoke exposure on children. Arch Dis Childhood. 2003;88:1086-90.

Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. BMJ. 1994;309:901-11.

Williams AH, Sanmet JM. In: Epidemiology of lung cancer. Samet J, editor. New York: Marcel Dekker, Inc; 1994. Lung cancer and cigarette smoking.

Harvey J, Chadi N. Canadian paediatric society, adolescent health committee preventing smoking in children and adolescents: recommendations for practice and policy. Paediatr Child Health. 2016;21:209-14.