Published: 2021-07-27

Prevalence and pattern of tobacco consumption in urban community: a cross-sectional study in adults of Central India

Priyal H. Tolani, Sarita K. Wadhva


Background: The emergence of tobacco related diseases is a burgeoning public health problem. Every year, more than 8 million people die from tobacco use worldwide. It is one of the major causes of death and disease in India and accounts for nearly 1.35 million deaths every year. India is also the second largest consumer and producer of tobacco. There is an urgent need to curb tobacco use and reduce the associated morbidities and mortalities. The present study was the first step in the process of generating strategies to control the use of tobacco by estimating the prevalence and pattern of tobacco use in an urban community.

Methods: Study was conducted in the field practice area of an urban health training center of a tertiary care hospital. House to house survey was done. Houses were selected by systemic random sampling. All the people above 15 years of age were included in the study, with total subjects interviewed being 590.

Results: 371 (62.88%) study subjects were males and 219 (37.19%) were females. The prevalence of tobacco consumption was found to be 34.06%, 28.81% used smokeless form of tobacco and 3.39% were smokers. About 1.86% consumed both forms of tobacco.

Conclusions: Prevalence of tobacco consumption particularly of smokeless form was quite high. Identification of high-risk group and their pattern of tobacco consumption is crucial in developing innovative and effective strategies to curb the tobacco epidemic in India.


Smoking, Tobacco consumption, Urban community, Prevalence

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WHO. Fact sheet: WHO launches new report on global tobacco use trends, 2019. Available at: Accessed on 25 February 2021.

GATS 2 Global Adult Tobacco Survey. Fact sheet: GATS Objectives GATS Highlights, India, 2016-17. Available at: surveillance/survey/gats/GATS_India_2016-17_FactSheet.pdf. Accessed 25 February 2021.

John RM, Sinha P, Munish VG, Tullu FT. Economic Costs of Diseases and Deaths Attributable to Tobacco Use in India, 2017-2018. Nicotine Tob Res. 2021;23(2):294-301.

Gupta J, Wesly S, Gupta K. Prevalence of tobacco in Darbhanga district: a hospital-based cross-sectional study. J Cancer Res Ther. 2017;13(3):576-9.

Sarkar A, Roy D, Nongpiur A. A population-based study on tobacco consumption in urban slums: Its prevalence, pattern, and determinants. J Family Med Prim Care. 2019;8(3):892-8.

Farooqui S, Mohammad S, Mehrotra D, Mahdi A, Bhattacharya S, Agarwal G, et al. Study on prevalence and sociocultural aspects of tobacco use in India. Natl J Maxillofac Surg. 2019;10(2):182-90.

International institute for population sciences. India-Key Indicators. Available at: http://www.rchiips. org/nfhs Accessed on 27 February 2021.

Islam MS, Saif-Ur-Rahman KM, Bulbul MMI, Singh D. Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data. Environ Health Prev Med. 2020;25(1):62.

Joshi U, Modi B, Yadav S. A study on prevalence of chewing form of tobacco and existing quitting patterns in urban population of Jamnagar, Gujarat. Indian J Community Med. 2010;35(1):105-8.

Warren CW. Tobacco use among youth: a cross country comparison. Tob Control. 2002;11(3):252-70.

Ayyappa G, Kunte R, Yadav A, Basannar D. Is occupation the “driving force” for tobacco consumption? A cross-sectional study to assess prevalence, patterns, and attitude towards tobacco use among long-distance bus drivers and conductors in Western Maharashtra. Ind Psychiatry J. 2019;28(2):237.

Raval S, Maudgal S, More N. Study on tobacco use and awareness among marginalized children. Indian J Cancer. 2010;47(5):14.

Thakur J, Lenka S, Bhardwaj S, Kumar R. Why youth smoke? An exploratory community-based study from Chandigarh Union Territory of Northern India. Indian J Cancer. 2010;47(5):59.