Prevalence and socio economic markers of tobacco use in rural area of Salem district: Focus towards smokeless tobacco
Journal Title: National Journal of Research in Community Medicine - Year 2014, Vol 3, Issue 3
Abstract
Background: Factors like lesser cost, social acceptability and non stringent rules in smokeless product sales made people to choose or shift over smokeless tobacco use. Aims and Objectives: To estimate the prevalence of smokeless tobacco use and its associated socio demographic factors in a rural area of Salem district. Methods: This study was a community based cross sectional study. Totally 240 households were covered by house to house survey selected from systematic random sampling. With pretested interview schedule, data on smokeless tobacco use, duration of use and socio economic factors were studied. Adults more than 15 years were considered eligible for this study. Results are reported as percentages and chi square analysis. Multi variate logistic regression analysis was done by taking smokeless tobacco use as dependent variable and sex, age and other socio demographic factors as explanatory variables. Results: Totally 139 men and 101 women were participated in this study. Overall prevalence of smokeless tobacco consumption is 39.2% (95% CI- 29.4% to 50%). Prevalence of smokeless tobacco use was higher among females (53.5%) compared to males (28.8%). Tobacco leaves along with betel quid, Snuff are the common forms of smokeless tobacco use. Among 40 users of male participants only two of them used smoking form of tobacco. Among the females almost smokeless tobacco is the commonest one. Low level literacy, female gender, unskilled occupation and age more than 50 years were found to be associated with smokeless tobacco use on bivariate analysis. Multivariate analysis by logistic regression showed increasing prevalence of tobacco use among females and current non smokers. Conclusions: Cultural acceptability of smokeless tobacco has lead to high prevalence of smokeless tobacco use especially among socio economically poor. Tobacco cessation counseling and warning on tobacco health hazards has to be focused towards smokeless forms also.
Authors and Affiliations
Kalaiselvi S, Dhanasekar G, Jeevithan S
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