Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Women and Tobacco Use: Discrepancy in the Knowledge, Belief and Behavior towards Tobacco Consumption among Urban and Rural Women in Chhattisgarh, Central India

  • Tiwari, Ram Vinod (Public Health Dentistry) ;
  • Gupta, Anjali (Conservative & Endodontics, Rungta College of Dental Sciences & Research) ;
  • Agrawal, Ankush (Pedodontics and Preventive Dentistry, New Horizon Dental College Bilaspur) ;
  • Gandhi, Aniruddh (Department of Orthodontics, Chhattisgarh Dental College and Research Institute) ;
  • Gupta, Manjari (Oral Medicine & Radiology, Chhattisgarh Dental College and Research Institute) ;
  • Das, Mayank (Oral Medicine & Radiology, NIMS Dental College)
  • Published : 2015.10.06
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Tobacco consumption has become pandemic, and is estimated to have killed 100 million people in the 20th century worldwide. Some 700,000 out of 5.4 million deaths due to tobacco use were from India. The era of global modernization has led to an increase in the involvement of women in tobacco consumption in the low income and middle-income countries. Tobacco consumption by females is known to have grave consequences. Objectives: To assess: (1) the tobacco use among urban and rural women; (2) the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural women in Durg-Bhilai Metropolitan, Chhattisgarh, Central India. Materials and Methods: The study population consisted of 2,000 18-25 year old young women from Durg-Bhilai Metropolitan, Chhattisgarh, Central India, from both urban and rural areas. Data were collected using a pretested, anonymous, extensive face to face interview by a female investigator to assess the tobacco use among women and the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural individuals. Results: The prevalence of tobacco use was found to be 47.2%. Tobacco consumption among rural women was 54.4% and in urban women was 40%. The majority of the women from urban areas (62.8%) were smokers whilst rural women (77.4%) showed preponderance toward smokeless tobacco use. Urban women had a better knowledge and attitude towards harms from tobacco and its use than the rural women. Women in rural areas had higher odds (1.335) of developing tobacco habit than the urban women. Conclusions: Increased tobacco use by women poses very severe hazards to their health, maternal and child health, and their family health and economic well-being. Due to the remarkably complex Indian picture of female tobacco use, an immediate and compulsory implementation of tobacco control policies laid down by t he WHO FCTC is the need of the hour.

Keywords

References

  1. Aghi M (1993). Tobacco issues and concerns of women, children and families. paper presented at the tobacco forum, IDRC, Ottawa, Canada.
  2. Amos A1, Greaves L, Nichter M, Bloch M (2012). Women and tobacco: a call for including gender in tobacco control research, policy and practice. Tob Control, 21, 236-43. https://doi.org/10.1136/tobaccocontrol-2011-050280
  3. Bansal R, John S, Ling PM (2005). Cigarette advertising in Mumbai, India: targeting different socioeconomic groups, women, and youth. Tob Control, 14, 201-6. https://doi.org/10.1136/tc.2004.010173
  4. Bhonsle RB, Murti PR, Gupta PC (1992). Tobacco habits in India. In: gupta PC, hamner J III, murti P (eds). control of tobacco-related cancers and other diseases. proceedings of an International symposium, 15-19 january 1990; mumbai: TIFR, Oxford University Press, 25-46.
  5. Brandt AM (1996). Recruiting women smokers: the engineering of consent. J Am Med Womens Assoc, 51, 63-6.
  6. Chadda RK, Sengupta SN (2002). Tobacco use by Indian adolescents. Tob Induc Dis, 1, 111-9.
  7. Chhattisgarh State Profile. About Chhattisgarh (2014). Available from URL:http://www.cgstate.gov.in/en/about-chhattisgarh (Accessed on 11 december 2014).
  8. COTPA. Ministry of Health and Family Welfare (2003). The cigarettes and other tobacco products (prohibition of advertisement and regulation of trade and commerce, production, supply and distribution) Act, 2003 and related rules and regulations. Ministry of Health and Family Welfare, Government of India.
  9. Danawala SA, Arora M, Stigler MH (2014). Analysis of motivating factors for smokeless tobacco use in two Indian states. Asian Pac J Cancer Prev, 15, 6553-8. https://doi.org/10.7314/APJCP.2014.15.16.6553
  10. Das LT, Wagner CD, Bigatti SM (2015). Illness representations of cancer among healthy residents of kolkata, India. Asian Pac J Cancer Prev, 16, 845-52. https://doi.org/10.7314/APJCP.2015.16.2.845
  11. GATS. Global Adult Tobacco Survey (2009-2010). Ministry of health and family welfare, government of India, New Delhi, 2010.
  12. Global Adult Tobacco Survey (GATS). Chhattisgarh, India: Fact Sheet: 2009-2010. Available from URL: www.mohfw.nic. in/WriteReadData/l892s/1455618937GATS%20India.pdf (Accessed on 5 December 2014)
  13. Goenka S, Tewari A, Arora M, et al (2010). Process evaluation of a tobacco prevention program in Indian schools--methods, results and lessons learnt. Health Educ Res, 25, 917-35. https://doi.org/10.1093/her/cyq042
  14. Gupta PC (1996). Survey of sociodemographic characteristics of tobacco use among 99598 individuals in Bombay, India using handheld computers. Tob Control, 5, 114-20. https://doi.org/10.1136/tc.5.2.114
  15. Janakiram Chandrashekara, B.C. Manjunathb, Madhu Unnikrishnan (2011). Addressing tobacco control in dental practice: a survey of dentists' knowledge, attitudes and behaviours in India. Oral Health Prev Dent, 9, 243-9.
  16. Klesges RC, Elliott VE, Robinson LA (1997). Chronic dieting and the belief that smoking controls body weight in a biracial, population-based adolescent sample. Tob Control, 6, 89-94. https://doi.org/10.1136/tc.6.2.89
  17. Kruk J (2014). Lifestyle components and primary breast cancer prevention. Asian Pac J Cancer Prev, 15, 10543-55.
  18. Loyha K, Vatanasapt P, Promthet S, Parkin DM (2012). Risk factors for oral cancer in northeast Thailand. Asian Pac J Cancer Prev, 13, 5087-90. https://doi.org/10.7314/APJCP.2012.13.10.5087
  19. Mamta Agrawal, Sushma Pandey, Shikha Jain, Shipra Maitin (2012). Oral cancer awareness of the general public in gorakhpur city, India. Asian Pac J Cancer Prev, 13, 5195-9. https://doi.org/10.7314/APJCP.2012.13.10.5195
  20. Mehta FS, Gupta PC, Daftary DK, Pindborg JJ, Choksi SK (1972). An epidemiologic study of oral cancer and precancerous conditions among 101,761 villagers in Maharashtra, India. Int J Cancer, 10, 134-41. https://doi.org/10.1002/ijc.2910100118
  21. Mini GK, Sarma PS, Thankappan KR (2014). Pattern of tobacco use and its correlates among older adults in India. Asian Pac J Cancer Prev, 15, 6195-8. https://doi.org/10.7314/APJCP.2014.15.15.6195
  22. Moore MA, Sobue T (2010). Strategies for cancer control on an organ-site basis. Asian Pac J Cancer Prev, 2, 149-64.
  23. Murray CJ, Lopez AD, eds (1996). The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Cambridge, Massachussets: Harvard School of Public Health.
  24. Oberg M, Jaakkola MS, Pruss-Ustun A, et al (2010). Secondhand smoke: assessing the environmental burden of disease at national and local levels. Geneva: World Health Organization, (WHO Environmental Burden of Disease Series, No. 18).
  25. Panda R, Jena PK (2013). Examining physicians' preparedness for tobacco cessation services in India: findings from primary care public health facilities in two Indian states. Australas Med J, 6, 115-21. https://doi.org/10.4066/AMJ.2013.1617
  26. Pathania VS (2011). Women and the smoking epidemic: turning the tide. Bull World Health Organ, 89, 162. https://doi.org/10.2471/BLT.11.086389
  27. Peltzer K, Pengpid S (2014). Tobacco use, beliefs and risk awareness in university students from 24 low, middle and emerging economy countries. Asian Pac J Cancer Prev, 15, 10033-8. https://doi.org/10.7314/APJCP.2014.15.22.10033
  28. Petersen PE (2003). Global framework convention on tobacco control: the implications for oral health. Community Dent Health, 20, 137-8.
  29. Petersen PE (2009). Oral cancer prevention and control - the approach of the world health organization. Oral Oncol, 45, 454-60. https://doi.org/10.1016/j.oraloncology.2008.05.023
  30. Pierce JP, Choi WS, Gilpin EA, Farkas AJ, Berry CC (1998). Tobacco industry promotion of cigarettes and adolescent smoking. J Am Med Associa, 279, 511-5. https://doi.org/10.1001/jama.279.7.511
  31. Prakash C. Gupta, Cecily S. Ray, Dhirendra N. Sinha, Poonam K (2011). Singh smokeless tobacco: a major public health problem in SEA region: a review. Indian J Public Health, 55, 199-209. https://doi.org/10.4103/0019-557X.89948
  32. Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L (2003). Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tob Control,12.
  33. Roychowdhury S1, Roychowdhury G, Sen U (2005). Assessment of awareness level on tobacco and smoking habits as risk factors for cancer among lung and laryngeal cancer patients in Kolkata--a case control study. Asian Pac J Cancer Prev, 6, 332-6.
  34. Singh A, Sahoo N (2013). Urban-rural differentials in the factors associated with exposure to second-hand smoke in India. BMJ Open, 3.
  35. Soni Preeti and Raut D.K (2012). Prevalence and pattern of tobacco consumption in India. Int Res J Social Sci, 1, 36-43.
  36. Sushma C, Sharang C (2005). Pan masala advertisements are surrogate for tobacco products. Indian J Cancer, 42, 94-8. https://doi.org/10.4103/0019-509X.16699
  37. Syeda Kanwal Aslam, Sidra Zaheer and Kashif Shafique (2014). Health professional students' perceptions regarding their role in tobacco control: findings from the Global Health Professional Students Survey, Pakistan, 2011. Subst Abuse Treat Prev Policy, 23, 9-25.
  38. Tiwari RV, Megalamanegowdru J, Parakh A, et al (2014). Prisoners' perception of tobacco use and cessation in chhatisgarh, India - the truth from behind the bars. Asian Pac J Cancer Prev, 15, 413-7. https://doi.org/10.7314/APJCP.2014.15.1.413
  39. Tobacco Control in India (2004). Report on Tobacco Control in India, Ministry of Health and Family Welfare. New Delhi, India: Govt of India.
  40. Ulas A, Tokluoglu S, Kos M, et al (2015). Lung cancer in women, a different disease: survival differences by sex in Turkey. Asian Pac J Cancer Prev, 16, 815-22. https://doi.org/10.7314/APJCP.2015.16.2.815
  41. World Health Organization (1997.). Toacco or health: a global status report. Geneva: WHO.