Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data

Abstract Background Tobacco consumption causes almost 638,000 premature deaths per year in India. This study sought to examine the prevalence and determinants of tobacco use among men in India. Methods We analyzed data from the fourth round of the National Family Health Survey in India. These nation...

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Main Authors: Md Shariful Islam, K. M. Saif-Ur-Rahman, Md. Mofijul Islam Bulbul, Deepak Singh
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2020-10-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12199-020-00898-x
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author Md Shariful Islam
K. M. Saif-Ur-Rahman
Md. Mofijul Islam Bulbul
Deepak Singh
author_facet Md Shariful Islam
K. M. Saif-Ur-Rahman
Md. Mofijul Islam Bulbul
Deepak Singh
author_sort Md Shariful Islam
collection DOAJ
description Abstract Background Tobacco consumption causes almost 638,000 premature deaths per year in India. This study sought to examine the prevalence and determinants of tobacco use among men in India. Methods We analyzed data from the fourth round of the National Family Health Survey in India. These nationally representative cross-sectional sample data were collected from January 20, 2015, to December 4, 2016. A total of 112,122 men aged 15–54 years were included in this study. Primary outcomes were tobacco use categorized into smoking, smokeless, any tobacco, and both smoked and smokeless tobacco use. Complex survey design and sampling weights were applied in both the descriptive analyses and logistic regression models. We present the findings using odds ratios. Results The prevalence of tobacco use among men in India for the studied period was 45.5% (95% CI 44.9–46.1), smoking was 24.6% (95% CI 24.1–25.1), smokeless tobacco use was 29.1% (95% CI 28.6–29.6), and both smoked and smokeless tobacco use was 8.4% (95% CI 8.1–8.7). The prevalence of tobacco use among men was higher among the elderly, separated/divorced/widowed individuals, those with lower education and wealth status, alcohol consumers, manual workers, and residents of the northeast region. Multivariate analysis showed that age, lower education, occupation, region, alcohol consumption, separated/divorced/widowed status, and economic status were substantially associated with tobacco use among Indian men. Conclusions Innovative and cost-effective strategies targeting high-risk groups are crucial to curbing the tobacco epidemic in India. Anti-smoking campaigns should also focus on mitigating alcohol abuse. Reducing tobacco marketing and implementing formal education about the dangers of tobacco use, progressive taxing, packaging, and labeling of tobacco products and price strategies should be harmonized in legal provisions.
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spelling doaj.art-f408b4bf720e49fead5145c43eae93372022-12-22T00:54:05ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152020-10-0125111410.1186/s12199-020-00898-xPrevalence and factors associated with tobacco use among men in India: findings from a nationally representative dataMd Shariful Islam0K. M. Saif-Ur-Rahman1Md. Mofijul Islam Bulbul2Deepak Singh3Public Health Foundation, Bangladeshicddr,bNational Nutrition ServicesPATHAbstract Background Tobacco consumption causes almost 638,000 premature deaths per year in India. This study sought to examine the prevalence and determinants of tobacco use among men in India. Methods We analyzed data from the fourth round of the National Family Health Survey in India. These nationally representative cross-sectional sample data were collected from January 20, 2015, to December 4, 2016. A total of 112,122 men aged 15–54 years were included in this study. Primary outcomes were tobacco use categorized into smoking, smokeless, any tobacco, and both smoked and smokeless tobacco use. Complex survey design and sampling weights were applied in both the descriptive analyses and logistic regression models. We present the findings using odds ratios. Results The prevalence of tobacco use among men in India for the studied period was 45.5% (95% CI 44.9–46.1), smoking was 24.6% (95% CI 24.1–25.1), smokeless tobacco use was 29.1% (95% CI 28.6–29.6), and both smoked and smokeless tobacco use was 8.4% (95% CI 8.1–8.7). The prevalence of tobacco use among men was higher among the elderly, separated/divorced/widowed individuals, those with lower education and wealth status, alcohol consumers, manual workers, and residents of the northeast region. Multivariate analysis showed that age, lower education, occupation, region, alcohol consumption, separated/divorced/widowed status, and economic status were substantially associated with tobacco use among Indian men. Conclusions Innovative and cost-effective strategies targeting high-risk groups are crucial to curbing the tobacco epidemic in India. Anti-smoking campaigns should also focus on mitigating alcohol abuse. Reducing tobacco marketing and implementing formal education about the dangers of tobacco use, progressive taxing, packaging, and labeling of tobacco products and price strategies should be harmonized in legal provisions.http://link.springer.com/article/10.1186/s12199-020-00898-xDeterminantsFactorsPrevalenceTobacco consumptionTobacco smokingSmokeless tobacco
spellingShingle Md Shariful Islam
K. M. Saif-Ur-Rahman
Md. Mofijul Islam Bulbul
Deepak Singh
Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
Environmental Health and Preventive Medicine
Determinants
Factors
Prevalence
Tobacco consumption
Tobacco smoking
Smokeless tobacco
title Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
title_full Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
title_fullStr Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
title_full_unstemmed Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
title_short Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data
title_sort prevalence and factors associated with tobacco use among men in india findings from a nationally representative data
topic Determinants
Factors
Prevalence
Tobacco consumption
Tobacco smoking
Smokeless tobacco
url http://link.springer.com/article/10.1186/s12199-020-00898-x
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