Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India

Marital disruption defined as widowhood, divorce, or separation, has adverse consequences for women’s health and wellbeing. Extant evidence, however, is primarily available for older women or in developed country settings. Consequences of marital disruption for younger women in the developing countr...

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Main Authors: Biplab Datta, Havilah Ravula, Elinita Pollard, Shafiun Shimul
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Women
Subjects:
Online Access:https://www.mdpi.com/2673-4184/2/4/34
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author Biplab Datta
Havilah Ravula
Elinita Pollard
Shafiun Shimul
author_facet Biplab Datta
Havilah Ravula
Elinita Pollard
Shafiun Shimul
author_sort Biplab Datta
collection DOAJ
description Marital disruption defined as widowhood, divorce, or separation, has adverse consequences for women’s health and wellbeing. Extant evidence, however, is primarily available for older women or in developed country settings. Consequences of marital disruption for younger women in the developing countries is relatively less visited. The aim of this cross-sectional study is to assess whether maritally disrupted women of reproductive age (18–49 years) had differential risk of tobacco-use compared to their married counterparts. Using nationally representative data from India, we estimated multivariable logistic regressions to obtain the odds in favor of tobacco-use for maritally disrupted women. We found that compared to women remained in marriage, maritally disrupted women were 1.5 times (95% CI: 1.4–1.6) more likely to consume tobacco. The higher risk of tobacco-use of maritally disrupted women was evident in both younger (age 18–34) and older (age 35–49) cohorts. The results were robust across urban and rural areas, high- and low- education groups, and poor- and non-poor households. The higher odds of tobacco-use among maritally disrupted women persisted even after accounting for household fixed effects. The study findings thus, have implications for strengthening targeted tobacco control policies and health promotion among maritally disrupted women in low-and-middle income countries.
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spelling doaj.art-b80830fa81444d8c8833e4cc752d76482023-11-24T18:44:16ZengMDPI AGWomen2673-41842022-11-012437138410.3390/women2040034Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from IndiaBiplab Datta0Havilah Ravula1Elinita Pollard2Shafiun Shimul3Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USADepartment of Psychological Sciences, Augusta University, Augusta, GA 30912, USADepartment of Psychological Sciences, Augusta University, Augusta, GA 30912, USADepartment of Health Policy and Behavioral Sciences, Georgia State University, Atlanta, GA 30303, USAMarital disruption defined as widowhood, divorce, or separation, has adverse consequences for women’s health and wellbeing. Extant evidence, however, is primarily available for older women or in developed country settings. Consequences of marital disruption for younger women in the developing countries is relatively less visited. The aim of this cross-sectional study is to assess whether maritally disrupted women of reproductive age (18–49 years) had differential risk of tobacco-use compared to their married counterparts. Using nationally representative data from India, we estimated multivariable logistic regressions to obtain the odds in favor of tobacco-use for maritally disrupted women. We found that compared to women remained in marriage, maritally disrupted women were 1.5 times (95% CI: 1.4–1.6) more likely to consume tobacco. The higher risk of tobacco-use of maritally disrupted women was evident in both younger (age 18–34) and older (age 35–49) cohorts. The results were robust across urban and rural areas, high- and low- education groups, and poor- and non-poor households. The higher odds of tobacco-use among maritally disrupted women persisted even after accounting for household fixed effects. The study findings thus, have implications for strengthening targeted tobacco control policies and health promotion among maritally disrupted women in low-and-middle income countries.https://www.mdpi.com/2673-4184/2/4/34marital disruptionwidowhooddivorceseparationtobaccoreproductive-aged women
spellingShingle Biplab Datta
Havilah Ravula
Elinita Pollard
Shafiun Shimul
Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
Women
marital disruption
widowhood
divorce
separation
tobacco
reproductive-aged women
title Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
title_full Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
title_fullStr Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
title_full_unstemmed Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
title_short Marital Disruption and Disparity in Tobacco Use in Reproductive-Aged Women: Evidence from India
title_sort marital disruption and disparity in tobacco use in reproductive aged women evidence from india
topic marital disruption
widowhood
divorce
separation
tobacco
reproductive-aged women
url https://www.mdpi.com/2673-4184/2/4/34
work_keys_str_mv AT biplabdatta maritaldisruptionanddisparityintobaccouseinreproductiveagedwomenevidencefromindia
AT havilahravula maritaldisruptionanddisparityintobaccouseinreproductiveagedwomenevidencefromindia
AT elinitapollard maritaldisruptionanddisparityintobaccouseinreproductiveagedwomenevidencefromindia
AT shafiunshimul maritaldisruptionanddisparityintobaccouseinreproductiveagedwomenevidencefromindia