Tobacco use in Northern India–Part 1: The detailed habit

ABSTRACT: Background: The finite details of tobacco consumption practices in north Indian population are hitherto not well described. This study depicts the modes of tobacco use, their relative frequency, demographic and psychosocial determinants. Materials and Methods: Random stratified sampling f...

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Main Authors: Sandeep Kumar, Varsha Dwivedi, Upendra Pandey, Nidhi Bala, Sheela Vasandani, Kamlesh Singh, Kishore Chaudhry
Format: Article
Language:English
Published: Elsevier 2011-10-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426811600079
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author Sandeep Kumar
Varsha Dwivedi
Upendra Pandey
Nidhi Bala
Sheela Vasandani
Kamlesh Singh
Kishore Chaudhry
author_facet Sandeep Kumar
Varsha Dwivedi
Upendra Pandey
Nidhi Bala
Sheela Vasandani
Kamlesh Singh
Kishore Chaudhry
author_sort Sandeep Kumar
collection DOAJ
description ABSTRACT: Background: The finite details of tobacco consumption practices in north Indian population are hitherto not well described. This study depicts the modes of tobacco use, their relative frequency, demographic and psychosocial determinants. Materials and Methods: Random stratified sampling from the list of blocks, villages and urban localities was done. The study was community-based house-to-house survey using interview schedule. Results: There were 1607 tobacco users: 1399 male and 208 female; 1195 urban and 412 rural. Single mode of tobacco use was reported by 769 (47.85%). Chewing tobacco was prevalent in 511 (31.80%), smoking in 258 (16.55%) subjects and majority 838 (52.15%) had consistent multiple habit of smoking and chewing. Of the 10 preparations of tobacco use, the ‘top 5’ ranked as tobacco-betel, gutka, cigarette, bidi and khaini. Gutka consumption was significantly higher between age group of 25 years and 55 years (χ2 = 17.2; P<0.000). Majority of users, 576 (35.84%), started tobacco before 25 years of age and about a fifth, 439 (27.32%) before 18 years. Men significantly used tobacco more than women (χ2 = 73.2; P<0.000). Women (χ2 = 73.2; P<0.000) preferred smokeless tobacco and perceived social barrier for smoking. Conclusion: Multiple or overlapping tobacco practices and other substances abuse were documented in Lucknow, the capital city of the most populous state Uttar Pradesh where chewing tobacco was the commonest as opposed to smoking.
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spelling doaj-art-1c3bf2cc955247b39b6891c0de3c7e482025-08-20T02:50:26ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682011-10-0111243010.1016/S2212-4268(11)60007-9Tobacco use in Northern India–Part 1: The detailed habitSandeep Kumar0Varsha Dwivedi1Upendra Pandey2Nidhi Bala3Sheela Vasandani4Kamlesh Singh5Kishore Chaudhry6Professor, Institute of Clinical Epidemiology, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, India; Correspondence: Dr. Sandeep KumarSenior Research Fellow, Department of Surgery, Institute of Clinical Epidemiology, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, IndiaDepartment of Journalism, Department of Education, Lucknow University, Lucknow, IndiaProfessor, Department of Education, Lucknow University, Lucknow, IndiaSenior Research Fellow, Institute of Clinical Epidemiology, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, IndiaSenior Research Fellow, Institute of Clinical Epidemiology, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, IndiaDeputy Director General, Indian Council of Medical Research (ICMR), New Delhi, IndiaABSTRACT: Background: The finite details of tobacco consumption practices in north Indian population are hitherto not well described. This study depicts the modes of tobacco use, their relative frequency, demographic and psychosocial determinants. Materials and Methods: Random stratified sampling from the list of blocks, villages and urban localities was done. The study was community-based house-to-house survey using interview schedule. Results: There were 1607 tobacco users: 1399 male and 208 female; 1195 urban and 412 rural. Single mode of tobacco use was reported by 769 (47.85%). Chewing tobacco was prevalent in 511 (31.80%), smoking in 258 (16.55%) subjects and majority 838 (52.15%) had consistent multiple habit of smoking and chewing. Of the 10 preparations of tobacco use, the ‘top 5’ ranked as tobacco-betel, gutka, cigarette, bidi and khaini. Gutka consumption was significantly higher between age group of 25 years and 55 years (χ2 = 17.2; P<0.000). Majority of users, 576 (35.84%), started tobacco before 25 years of age and about a fifth, 439 (27.32%) before 18 years. Men significantly used tobacco more than women (χ2 = 73.2; P<0.000). Women (χ2 = 73.2; P<0.000) preferred smokeless tobacco and perceived social barrier for smoking. Conclusion: Multiple or overlapping tobacco practices and other substances abuse were documented in Lucknow, the capital city of the most populous state Uttar Pradesh where chewing tobacco was the commonest as opposed to smoking.http://www.sciencedirect.com/science/article/pii/S2212426811600079Gutkatobacco
spellingShingle Sandeep Kumar
Varsha Dwivedi
Upendra Pandey
Nidhi Bala
Sheela Vasandani
Kamlesh Singh
Kishore Chaudhry
Tobacco use in Northern India–Part 1: The detailed habit
Journal of Oral Biology and Craniofacial Research
Gutka
tobacco
title Tobacco use in Northern India–Part 1: The detailed habit
title_full Tobacco use in Northern India–Part 1: The detailed habit
title_fullStr Tobacco use in Northern India–Part 1: The detailed habit
title_full_unstemmed Tobacco use in Northern India–Part 1: The detailed habit
title_short Tobacco use in Northern India–Part 1: The detailed habit
title_sort tobacco use in northern india part 1 the detailed habit
topic Gutka
tobacco
url http://www.sciencedirect.com/science/article/pii/S2212426811600079
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