The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions

Smokeless tobacco use among Indian women is increasing despite prevention efforts. Evolutionary theories suggest that reproductive-aged women should be more concerned about immediate threats to reproduction than threats to survival occurring late in life. This study therefore compared an anti-tobacc...

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Main Authors: Caitlyn D. Placek, Renee E. Magnan, Vijaya Srinivas, Poornima Jaykrishna, Kavitha Ravi, Anisa Khan, Purnima Madhivanan, Edward H. Hagen
Format: Article
Language:English
Published: Cambridge University Press 2021-01-01
Series:Evolutionary Human Sciences
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2513843X20000614/type/journal_article
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author Caitlyn D. Placek
Renee E. Magnan
Vijaya Srinivas
Poornima Jaykrishna
Kavitha Ravi
Anisa Khan
Purnima Madhivanan
Edward H. Hagen
author_facet Caitlyn D. Placek
Renee E. Magnan
Vijaya Srinivas
Poornima Jaykrishna
Kavitha Ravi
Anisa Khan
Purnima Madhivanan
Edward H. Hagen
author_sort Caitlyn D. Placek
collection DOAJ
description Smokeless tobacco use among Indian women is increasing despite prevention efforts. Evolutionary theories suggest that reproductive-aged women should be more concerned about immediate threats to reproduction than threats to survival occurring late in life. This study therefore compared an anti-tobacco intervention that emphasized near-term reproductive harms to one involving general harms occurring later in life. Scheduled Tribal women (N = 92) from Karnataka, India participated in this study. At baseline, women reported tobacco use and knowledge of harms, provided a saliva sample to assess use, and randomly viewed either a general harms presentation (GHP) or reproductive harms presentation (RHP). At followup, women reported their use, knowledge of harms and intentions to quit, and provided another saliva sample. At baseline, participants were aware of general harms but not reproductive harms. Both interventions increased knowledge of harms. Women in the RHP condition did not list more harms than women in the GHP condition, however, and the RHP was not more effective in reducing tobacco use than the GHP. In the RHP condition fetal health was particularly salient. In the GHP condition, oral health was highly salient, aligning with the local disease ecology and research on tobacco use and attractiveness.
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spelling doaj.art-362e39d2448545e3b8bef72b0fc0e7102023-03-09T12:32:19ZengCambridge University PressEvolutionary Human Sciences2513-843X2021-01-01310.1017/ehs.2020.61The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisionsCaitlyn D. Placek0https://orcid.org/0000-0002-5315-5431Renee E. Magnan1Vijaya Srinivas2Poornima Jaykrishna3Kavitha Ravi4Anisa Khan5Purnima Madhivanan6Edward H. Hagen7Department of Anthropology, Ball State University, Muncie, Indiana, USADepartment of Psychology, Washington State University, Vancouver, Washington, USAPublic Health Research Institute of India, Mysore, Karnataka, IndiaPublic Health Research Institute of India, Mysore, Karnataka, IndiaPublic Health Research Institute of India, Mysore, Karnataka, IndiaPublic Health Research Institute of India, Mysore, Karnataka, IndiaPublic Health Research Institute of India, Mysore, Karnataka, India Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA Division of Infectious Diseases, College of Medicine, University of Arizona, Tucson, Arizona, USA Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona, USADepartment of Anthropology, Washington State University, Vancouver, Washington, USASmokeless tobacco use among Indian women is increasing despite prevention efforts. Evolutionary theories suggest that reproductive-aged women should be more concerned about immediate threats to reproduction than threats to survival occurring late in life. This study therefore compared an anti-tobacco intervention that emphasized near-term reproductive harms to one involving general harms occurring later in life. Scheduled Tribal women (N = 92) from Karnataka, India participated in this study. At baseline, women reported tobacco use and knowledge of harms, provided a saliva sample to assess use, and randomly viewed either a general harms presentation (GHP) or reproductive harms presentation (RHP). At followup, women reported their use, knowledge of harms and intentions to quit, and provided another saliva sample. At baseline, participants were aware of general harms but not reproductive harms. Both interventions increased knowledge of harms. Women in the RHP condition did not list more harms than women in the GHP condition, however, and the RHP was not more effective in reducing tobacco use than the GHP. In the RHP condition fetal health was particularly salient. In the GHP condition, oral health was highly salient, aligning with the local disease ecology and research on tobacco use and attractiveness.https://www.cambridge.org/core/product/identifier/S2513843X20000614/type/journal_articletobacco controlrandomized controlled trialreproductive healthIndiaevolutionary theory
spellingShingle Caitlyn D. Placek
Renee E. Magnan
Vijaya Srinivas
Poornima Jaykrishna
Kavitha Ravi
Anisa Khan
Purnima Madhivanan
Edward H. Hagen
The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
Evolutionary Human Sciences
tobacco control
randomized controlled trial
reproductive health
India
evolutionary theory
title The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
title_full The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
title_fullStr The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
title_full_unstemmed The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
title_short The impact of information about tobacco-related reproductive vs. general health risks on South Indian women's tobacco use decisions
title_sort impact of information about tobacco related reproductive vs general health risks on south indian women s tobacco use decisions
topic tobacco control
randomized controlled trial
reproductive health
India
evolutionary theory
url https://www.cambridge.org/core/product/identifier/S2513843X20000614/type/journal_article
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