DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20210797

Smokeless tobacco and its dependence among the urban-slum population of Jodhpur city

Vibha Joshi, Sourabh Chakraborty, Nitin Kumar Joshi, Komal Bajaj, Bhawana Sati, Anil Purohit

Abstract


Background: Socio-economic status can be an important determinant for patterns of tobacco consumption and its related health risks. Easy availability and affordable price may lead to the indulgence of smokeless tobacco; this deprived the section of society towards addiction of smokeless tobacco. Therefore, this study was conducted to ascertain smokeless tobacco use and its dependence in urban slum population of Jodhpur city.

Methods: A cross-sectional survey was conducted in the urban-slum population of Jodhpur in 2019. A cluster sampling strategy was used to collect data from 1200 participants in different slums of Jodhpur city. The semi-structured questionnaire was used to obtain information on tobacco usage and willingness to quit.

Results: Out of surveyed 1200 participants, 48.5% were males and 51.4% were females. 65.7% of the tobacco users reported in study population. Among tobacco user’s majority were using smokeless tobacco (75.4%), followed by 14.8% dual tobacco users and 9.8% were smoking tobacco. Out of female and male tobacco users, 95% females and 86.3% males were using smokeless forms of tobacco respectively. The frequency of daily tobacco use, time of tobacco chewing, duration of tobacco use was significantly associated with gender. No significant association was found between willingness to quit and gender.

Conclusions: Smokeless tobacco was prevalent as compared to smoking form in urban-slums of Jodhpur city. Younger population and women were more attracted towards smokeless tobacco and willingness to quit tobacco was equally prevalent among males and females. An effective health education strategy for tobacco cessation should be designed according to age and gender of urban-slums.  


Keywords


Smokeless, Smoking, Tobacco, Urban slum, Willingness to quit

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References


Thakur JS, Paika R. Determinants of smokeless tobacco use in India. Indian J Med Res. 2018;148(1):41-5.

Tobacco. Who.int. 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/tobacco. Accessed on 15 December 2020.

Khan Z, Tonnies J, Muller S. Smokeless Tobacco and Oral Cancer in South Asia: A Systematic Review with Meta-Analysis. J Canc Epidemiol. 2014.

Tata Institute of Social Sciences (TISS), Mumbai and Ministry of Health and Family Welfare, Government of India. Global Adult Tobacco Survey GATS 2 India 2016-17.

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).

Kumar A, Bhartiya D, Kaur J, Kumari S, Singh H, Saraf D et al. Regulation of toxic contents of smokeless tobacco products. Ind J Medic Res. 2018;148(1):14.

Rooban T, Joshua E, Rao UK, Ranganathan K. Prevalence and correlates of tobacco use among urban adult men in India: A comparison of slum dwellers vs non-slum dwellers. Indian J Dent Res. 2012; 23:31-8.

Sharma A, Gupta SK, Agrawal S, Gupta SK, Sarouthia S. A Health Education Intervention Study on Tobacco Consumption among the Urban Slum Residents of Central India. Int J Prev Med. 2019;10:96.

Joshi V, Joshi NK, Bajaj K et.al. Developing information, education and communication (IEC) strategies for tobacco cessation and HIV prevention in urban slums of Jodhpur city. Int J Health Sci Res. 2020;10(7):311-5

Kar S, Naik B, Majella M, Parthibane S. Level of tobacco dependence among tobacco users in an urban slum of Puducherry: A pilot study. J Fam Med Prim Care. 2017;6(2):336.

Parashar M, Agarwalla R, Mallik P, Dwivedi S, Patvagekar B, Pathak R. Prevalence and correlates of nicotine dependence among construction site workers: A cross-sectional study in Delhi. Lung India .2016;33:496-501.

Joshi NK, Joshi V. Assessment of Level of Dependence and Awareness among Tobacco Users in Jodhpur, Rajasthan. J Dent Med Sci. 2014;13(8):49-51.

Sarkar A, Roy D, Nongpiur A. A population-based study on tobacco consumption in urban slums: Its prevalence, pattern, and determinants. J Fam Med Prim Care. 2019;8:892-8.

Gupta PC, Arora M, Sinha DN, Asma S, Parascandola M (eds.). Smokeless Tobacco and Public Health in India. Ministry of Health & Family Welfare, Government of India, New Delhi. 2016.

Singh P, Yadav A, Lal P, Sinha D, Gupta P, Swasticharan L et al. Dual Burden of Smoked and Smokeless Tobacco Use in India, 2009–2017: A Repeated Cross-Sectional Analysis Based on Global Adult Tobacco Survey. Nicotine Toba Res. 2020;22(12):2196-202.

Joshi V, Joshi NK, Bajaj K, Bhardwaj P. HIV/AIDS awareness and related health education needs among slum dwellers of Jodhpur city. Ind J Comm Heal. 2020;32(1):167-9.

Ashtankar H, Talapalliwar M. Felt Need and Treatment-seeking Barriers among Substance Abusers in Urban Slum Area in Central India. Ind Psychol Med. 2017;39(4):436-40.

Bandyopadhyay T, Som K, Thakur I, Paul R. Factors associated with tobacco use in female subjects: a study from Eastern India. J Clinic Diagnost Res. 2019;13(2):28-33.

Mishra G, Kulkarni S, Gupta S, Shastri S. Smokeless tobacco use in Urban Indian women: Prevalence and predictors. Ind J Med Paediat Oncol. 2015;36(3):176.

Surani NS, Gupta PC, Fong TG, Pednekar MS, Quah AC, Bansal-Travers M. Intention to quit among Indian tobacco users: Findings from International Tobacco Control Policy evaluation India pilot survey. Ind J Cancer. 2012;49:431–7.

Kar SS, Sivananthan P, Rehman T, Chinnakali P. Willingness to quit tobacco and its correlates among Indian tobacco users- Findings from the Global Adult Tobacco Survey India, 2016-17. J Postgrad Med. 2020; 66:141-8.

Rooban T, Joshua E, Rao UK, Ranganathan K. Prevalence and correlates of tobacco use among urban adult men in India: A comparison of slum dwellers vs non-slum dwellers. Indian J Dent Res. 2012;23:31-8.