ASSESSING THE TRENDS AND FACTORS INFLUENCING SMOKELESS TOBACCO USE IN LUCKNOW

Main Article Content

Dr. Gaurav Mishra, Dr. Sumit Kumar, Dr. Vinay Kumar Gupta, Dr. Siddarth David

Keywords

Smokeless tobacco, trends, Cancer, GATS

Abstract

INTRODUCTION: Major health issues have been linked to smokeless tobacco (SLT) when taken exclusively, albeit these issues may vary depending on the product type. Cancers of the mouth, cancer of pancreas, cancer of oesophagus, cancer of stomach, and other organs are among the adverse consequences of SLT products. Therefore, this study is being conducted on users who consume either one type or both type of tobacco (smoking and SLT forms) to assess the trends and factors influencing smokeless tobacco use in Lucknow. METHOD: 400 participants were asked about their tobacco use for the study's purposes, and individuals who used both types of tobacco (smoked form and smokeless forms ) were chosen. After receiving informed consent, data needed for the study was gathered using a self-structured questionnaire proforma to be filled in the participants' leisure time. A set of questions derived from GATS was used to gauge smokeless tobacco consumption. RESULT: It was observed that attitude towards smokeless tobacco was unfavorable in 195 (48.75%) of smokeless tobacco while it was favorable in 205 (51.25%) study participants. The findings were significant statistically (p=0.01). It can be concluded that SLT usage is significantly associated with factors like increased age, male gender, low education of head of family, occupation of head of family, unfavorable attitude towards SLT use, reduced knowledge regarding harmful effects SLT, increased availability and accessibility and higher social norm with greater advertisement.

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1. Benowitz NL. Emerging nicotine delivery products. Implications for public health.Ann Am Thorac Soc. 2014(2):231. 2. Hair EC, Romberg AR, Niaura R, et al. Longitudinal Tobacco Use TransitionsAmong Adolescents and Young Adults: 2014-2016 Nicotine Tob Res. 2019(4):458. 3. Tam J. E-cigarette, combustible and smokeless tobacco product use combinations among youth in the United States, 2014–2019. Addict Behav.2021;112. 4. Lund I, Scheffels J. Adolescent tobacco use practices and user profiles in a mature Swedish moist snuff (snus) market: Results from a school-based cross-sectional study J. Scand J Public Health. 2016;7:646. 5. Sinha DN, Gupta PC, Kumar A, et al. The Poorest of Poor Suffer the Greatest Burden From Smokeless Tobacco Use: A Study From 140 Countries. Nicotine Tob Res.2018; 12:1529. 6. Sinha DN, Suliankatchi RA, Gupta PC, et al. Global burden of all-cause and cause-specific mortality due to smokeless tobacco use: systematic review and meta-analysis. Tob Control. 2018;1:35. 7. Siddiqi K, Husain S, Vidyasagaran A, et al. Global burden of disease due to smokeless tobacco consumption in adults: an updated analysis of data from 127 countries. BMC Med. 2020;18:222. 8. Nutt DJ, Phillips LD, Balfour D, et al. Estimating the harms of nicotine-containing products using the MCDA approach. Eur Addict Res. 2014;20:218 [PMID:24714502]. 9. Connolly GN, Richter P, Aleguas A Jr , et al. Unintentional child poisonings through ingestion of conventional and novel tobacco products. Pediatrics. 2010;125:896. 10. Piano MR, Benowitz NL, Fitzgerald GA, et al. Impact of smokeless tobacco products on cardiovascular disease: implications for policy, prevention, and treatment: a policy statement from the American Heart Association. Circulation. 2010;122:1520. 11. Carlsson S, Andersson T, Araghi M, et al. Smokeless tobacco (snus) is associated with an increased risk of type 2 diabetes: results from five pooled cohorts. J Intern Med. 2017;281:398 . 12. Sinha DN, Kumar A, Bhartiya D, et al. Smokeless Tobacco Use Among Adolescents in Global Perspective. Nicotine Tob Res. 2017;(11):1395. 13. Mehrotra R, Yadav A, Sinha DN, et al. Smokeless tobacco control in 180 countries across the globe: call to action for full implementation of WHO FCTC measures. Lancet Oncol. 2019;20:e208. 14. Zaatari GS, Bazzi A. Impact of the WHO FCTC on non-cigarette tobaccoproducts. Tob Control. 2019;28:104. 15. Reddy PS, James S, Resnicow K, et al. Prevalence and Correlates of Smokeless Tobacco Use Among Grade 8–11 School Students in South Africa: A Nationwide Study. Nicotine Tob Res. 2014;16:1167. 16. Sharma AD, Garg S, Singh MM, et al. Prevalence and Social Contextual Factors of Smokeless Tobacco Use: Insights from Schools of Delhi, India. Asian Pac J Cancer Prev. 2021;22:2351. 17. Othman M, Farid NDN, Aghamohammadi N, et al. Determinants of smokeless tobacco use and prevalence among Sudanese adolescents. Arch Public Health. 2021;79:176. 18. Tam J, Day HR, Rostron BL, et al. A systematic review of transitions between cigarette and smokeless tobacco product use in the United States. BMC Public Health. 2015;15:258. 19. Grotvedt L, Forsén L, Ariansen I, et al. Impact of snus use in teenage boys on tobacco use in young adulthood; a cohort from the HUNT Study Norway. BMC Public Health. 2019;19:1265. 20. Warren CW, Jones NR, Eriksen MP, et al. Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet. 2006;367:749. 21. Lee PN, Hamling J. Systematic review of the relation between smokeless tobacco and cancer in Europe and North America. BMC Med. 2009;7:36. 22. Weitkunat R, Sanders E, Lee PN, et al. Meta-analysis of the relation between European and American smokeless tobacco and oral cancer. BMC Public Health. 2007;7:334. 23. Chadda R, Sengupta S. Tobacco use by Indian adolescents. Tob Induc Dis. 2002;1:111. 24. Acharya S, Singh S, Bhatia SK, et al. Association between Smokeless Tobacco and risk of malignant and premalignant conditions of oral cavity: A systematic review of Indian literature. J Oral Maxillofac Pathol. 2021;25:371. 25. Berg CJ, Ajay VS, Ali MK, et al. A cross-sectional study of the prevalence and correlates of tobacco Use in Chennai, Delhi, and Karachi: Data from the CARRS study. BMC Public Health. 2015; 11:15. 26. Chang JT, Levy DT, Meza R, et al. Trends and Factors Related to Smokeless Tobacco Use in the United States. Nicotine Tob Res. 2016;18:1740. 27. Chatterjee N, Todankar P, Mandal G, et al (2016). Factors associated with tobacco use in students attending local government schools in Mumbai, India. Asian Pac J Cancer Prev, 17, 5075-80. 28. Ullah MZ, Lim JN, Ha MA, et al (2018). Smokeless tobacco use: pattern of use, knowledge and perceptions among rural Bangladeshi adolescents. PeerJ, 6, e5463. 29. Daniel AB, Nagaraj K, Kamath R (2008). Prevalence and determinants of tobacco use in a highly literate rural community in southern India. Natl Med J India, 21,163-5.