DOI QR코드

DOI QR Code

Factors Associated with Tobacco Use in Students Attending Local Government Schools in Mumbai, India

  • 발행 : 2016.12.01

초록

Purpose: Factors associated with ever-use and differences between ever-users and non-users of tobacco among adolescent school students from low income families in Mumbai were assessed. Materials and Methods: A self-administered questionnaire, completed by 1918 students from grades 7, 8 and 9 in 12 schools managed by the city municipal corporation in July 2015, gathered data on socio-demographic characteristics, tobacco use and tobacco-related knowledge, attitudes and beliefs. Results: Although only 1% of respondents thought tobacco was cool, nearly 35% were unaware of associations between tobacco use and health problems. Male students were almost twice as likely (OR=2.5, P <= 0.05) to have ever used tobacco compared to females and Supari (areca nut) users were eight times more likely (OR=8.99, P < 0.001) than Supari non -users. Tobacco-users were more likely to agree with statements: 'People who use tobacco have more friends' (OR=2.8, P = 0.004), 'Smoking relieves stress' (OR=5.6, P = 0.002) and 'It is possible to purchase any tobacco product within 100 yards of school' (OR=10.8, P < 0.001). Conclusion: This study highlights the gains made by tobacco prevention campaigns in that almost all students did not consider tobacco as cool or a stress reliever. However, they still need education about health consequences of tobacco-use. In addition, Supari use has to be addressed in school-based tobacco prevention and cessation initiatives. Furthermore, programs must also address perceptions and norms related to peers and tobacco use and ensure active implementation of existing laws. Such integrated measures will help ensure tobacco-free spaces around schools.

키워드

참고문헌

  1. Arora N (2012). Areca nut epidemic among school children in Mumbai, India. Mumbai: Salaam Bombay Foundation.
  2. Arora M, Reddy KS, Stigler MH, Perry CL (2008). Associations between tobacco marketing and use among urban youth in India. Am J Health Behav, 32, 283-94.
  3. Boucher BJ, Mannan N (2002). Metabolic effects of the consumption of Areca catechu. Addict Biol, 7, 103-10. https://doi.org/10.1080/13556210120091464
  4. Damani G (2011). Education in BMC schools. [Online]. Available at: http://www.diehardindian.com/editorial/jul2006.php (Accessed 05.02.2016)
  5. Gajalakshmi V, Kanimozhi C (2010). A survey of 24,000 students aged 13-15 years in India: global youth tobacco survey 2006 and 2009. Tob Use Insights, 3, 23-31.
  6. Giovino G, Mirza S, Samet J (2012). Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys. Lancet, 380, 668-79. https://doi.org/10.1016/S0140-6736(12)61085-X
  7. Government of India, Ministry of Health and Family Welfare (2012, September 21st). The Gazette of India, New Delhi. [Online]. Available at: http://www.tobaccocontrollaws.org/files/live/India/India%20-%20G.S.R.%20708(E).pdf (Accessed 26.01.2016)
  8. Gupta D, Nagar P, Karim B, et al (2014). Tobacco abuse amongst the school going students of 15 to 18 years of Almora district, Uttarakhand: a cross sectional study. Oral Health Dent Manag, 13, 680-6.
  9. Heikkinen AM, Broms U, Pitkaniemi J, Koskenvuo M, Meurman J (2009). Key factors in smoking cessation intervention among 15-16-year-olds, Behav Med, 35, 93-9.
  10. Institute for Health Metrics and Evaluation (2014). Global smoking prevalence and cigarette consumption 1980-2012. Seattle, United States: Institute for Health Metrics and Evaluation (IHME).
  11. Jarvis MJ, Wardle J (2006). Social patterning of individual health behaviours: The case of cigarette smoking. In: M. Marmot, & R. G. Wilkinson (Eds.), Social determinants of health. New York: Oxford University Press. 2nd ed pp 224-35.
  12. Klatt C, Berg CJ, Thomas JL, Ehlinger E, Ahluwalia JS, et al (2008). The role of peer e-mail support as part of a college smoking-cessation website. Am J Prev Med, 35, 471-8. https://doi.org/10.1016/j.amepre.2008.09.001
  13. Kumar V, Talwar R, Roy N, Raut D, Singh S (2014). Psychosocial determinants of tobacco use among school going adolescents in Delhi, India. J Addict, 170941.
  14. Leatherdale S, Manske S (2005). The relationship between student smoking in the school environment and smoking onset in elementary school students. Cancer Epidemiol Biomarkers Prev, 14,1762. https://doi.org/10.1158/1055-9965.EPI-05-0065
  15. MacArthur GJ, Harrison S, Caldwell DM, Hickman M, Campbell R (2015). Peer-led interventions to prevent tobacco, alcohol systematic review and meta-analysis. Addiction, 111, 391-407.
  16. Mathur C, Stigler MH, Erickson DJ, et al (2015). Change in tobacco use over time in urban Indian youth: the moderating role of socioeconomic status. Health Educ Behav, 41, 121-6.
  17. Mathur C, Stigler HM, Perry LC, Arora M, Reddy SK (2008). Differences in prevalence of tobacco use among Indian urban youth: The role of socioeconomic status. Nicotine Tob Res, 10, 109-16. https://doi.org/10.1080/14622200701767779
  18. Ministry of Health and Family Welfare (2010). Global adult tobacco survey 2009-2010. New Delhi: Ministry of Health and Family Welfare, India.
  19. Muttappallymyalil J, Divakaran B, Thomas T, et al (2012). Prevalence of tobacco use among adolescents in north Kerala, India. Asian Pac J Cancer Prev, 13, 5371-4. https://doi.org/10.7314/APJCP.2012.13.11.5371
  20. Neufeld KJ, Peters DH, Rani M, Bonu S, Brooner RK (2005). Regular use of alcohol and tobacco in India and its association with age, gender, and poverty. Drug Alcohol Depend, 77, 283-91. https://doi.org/10.1016/j.drugalcdep.2004.08.022
  21. Nichter M, Nichter M, Carkoglu A (2007). Reconsidering stress and smoking: a qualitative study among college students. Mark Nichter, Mimi Nichter, Asli Carkoglu. Tob Control, 16, 211-4. https://doi.org/10.1136/tc.2007.019869
  22. Ningombam S, Hutin Y, Murhekar MV (2011). Prevalence and pattern of substance use among the higher secondary school students of Imphal, Manipur, India. Natl Med J India, 24, 11-5.
  23. Nitin J, Nagaraj K, Shashidhar M (2010). Areca nut and tobacco use among school children in a village in South India - A cross-sectional study. Australas Med J, 3, 299-303.
  24. Oakley E, Demaine L, Warnakulasuriya S (2005). Areca (betel) nut chewing habit among high school children in the commonwealth of the northern Mariana islands (Micronesia). Bull World Health Organ, 83, 656-60.
  25. Office of the Registrar General and Census Commissioner of India, (2011). [Online]. Available at: http://www.censusindia.gov.in/2011census/population_enumeration.html (Accessed 26.01.2016)
  26. Patel DR (1999). Smoking and children. Indian J Pediatr, 66, 817-24. https://doi.org/10.1007/BF02723844
  27. 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, e4. https://doi.org/10.1136/tc.12.4.e4
  28. Rajan G, Ramesh S, Sankaralingam S (2007). Areca nut use in rural Tamil Nadu: A growing threat. Indian J Med Sci, 61, 332-7. https://doi.org/10.4103/0019-5359.32680
  29. Reddy KS, Perry CL, Stigler MH, Arora M (2006). Differences in tobacco use among young people in urban India by sex, socioeconomic status, age, and school grade: assessment of baseline survey data. Lancet, 367, 589-94. https://doi.org/10.1016/S0140-6736(06)68225-1
  30. Reddy KS, Gupta PC (2004). Report on tobacco control in India. New Delhi, India: Ministry of Health and Family Welfare, Government of India.
  31. Rimal R (2013). Compliance with the cigarette and other tobacco products act (COTPA). results from an observational study: Maharashtra. Johns Hopkins Bloomberg School of Public Health and the Milken Institute School of Public Health, The George Washington University. [Online]. Available at: http://globaltobaccocontrol.org/sites/default/files/FS_2014_COTPA_maharashtra.pdf (Accessed 25.06.2016)
  32. Rose M (2014). Supari use among urban Indian youth: an unreported epidemic. American Public Health Association. [Online]. Available at: https://apha.confex.com/apha/142am/webprogram/Paper307076.html (Accessed 20.01.2016)
  33. Salaam Bombay Foundation (SBF) (2016). In-school Programmes: Project Super Army. [Online]. Available at: http://www.salaambombay.org/in-school-programmes.php (Accessed 05.02.2016)
  34. Sen U, Basu A (2000). Factors influencing smoking behavior among adolescents. Asian Pac J Cancer Prev, 1, 305-9.
  35. Sinha D, Gupta PC, Pednekar M (2004). Tobacco use among students in Bihar (India). Indian J Public Health, 48, 111-7.
  36. Sorensen G, Gupta PC, Nagler E, Viswanath K (2012). Promoting life skills and preventing tobacco use among low-income Mumbai youth: effects of Salaam Bombay Foundation intervention. PLoS One, 7, e34982. https://doi.org/10.1371/journal.pone.0034982
  37. Sorensen G, Gupta PC, Pednekar MS (2005). Social disparities in tobacco use in Mumbai, India: The roles of occupation, education, and gender. Am J Pub Health, 95, 1003-8. https://doi.org/10.2105/AJPH.2004.045039
  38. Stata Corp (2015). Stata statistical software: release 14. College Station, TX: StataCorp LP.
  39. UNESCO (2015). EFA Global monitoring report (GMR) education for all 2000-2015: achievements and challenges.
  40. World Health Organization (2010). Ten facts on gender and tobacco. WHO. [Online]. Available from: http://www.who.int/gender/documents/10facts_gender_tobacco_en.pdf (Accessed 25.01.2016)