Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India
Introduction Tobacco consumption is a major source of mortality and morbidity in India. Prevalence of smokeless tobacco (ST) consumption in India is around 20%. Studies have shown increased prevalence of cardiovascular disease risk factors and an increased incidence of adverse cardiovascular events...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2009-10-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Association-of-exclusive-smokeless-tobacco-consumption-with-hypertension-in-an-adult-male-rural-population-of-India,65961,0,2.html |
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| author | Ambarish Pandey Nivedita Patni Sasmit Sarangi Mansher Singh Kartavya Sharma Ananth K Vellimana Somdutta Patra |
| author_facet | Ambarish Pandey Nivedita Patni Sasmit Sarangi Mansher Singh Kartavya Sharma Ananth K Vellimana Somdutta Patra |
| author_sort | Ambarish Pandey |
| collection | DOAJ |
| description | Introduction
Tobacco consumption is a major source of mortality and morbidity in India. Prevalence of smokeless tobacco (ST) consumption in India is around 20%. Studies have shown increased prevalence of cardiovascular disease risk factors and an increased incidence of adverse cardiovascular events among the ST consumers. This is a cross-sectional study done to look into the association of exclusive smokeless tobacco consumption with hypertension, in an adult male rural population of north India.
Methods
All male residents of a village in north India above 15 years of age, who did not have any acute or chronic morbidity were included after taking an informed consent. Subjects were interviewed regarding their demographic profile, socioeconomic status and tobacco consuming habits. Current smokeless tobacco user was defined as one who has ever consumed tobacco orally in past 1 month. Blood pressure of the subjects was also recorded. Cut offs used for systolic and diastolic hypertension were 140 mm hg and 90 mm Hg respectively.
Results
443 subjects were included in the study. Prevalence of exclusive ST users was 21% while 19.4% consumed both forms and 26.6% did not take any form of tobacco. Mean systolic and diastolic BP were significantly higher in exclusive ST users(systolic BP=139.2+17.4,diastolic BP = 86.8+11.5)as compared to the non users(systolic BP= 135.7+18.8 , diastolic BP= 82.6 +11.5; p value < 0.05). The prevalence of diastolic hypertension was significantly higher in exclusive ST users as compared to non users ( 40.9%, 22.9% ;p value = 0.01) . The OR for diastolic hypertension in male ST users was 2.3( 95% C.I. = 1.3-4.3). Prevalence of systolic hypertension was higher in exclusive ST users too though this was not statistically significant (43%,36.4%;p value = 0.39.).
Conclusions
ST consumption is associated with increased prevalence of high BP in the adult male rural population.This is an indicator of increased predisposition to major adverse cardiac events later in their life time. Prevention of ST consumption could be an important intervention in preventing the ongoing upswing in prevalence of chronic heart disease. |
| first_indexed | 2024-12-14T06:21:26Z |
| format | Article |
| id | doaj.art-faaa6612712346e5a43d9368cdb2c749 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-14T06:21:26Z |
| publishDate | 2009-10-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-faaa6612712346e5a43d9368cdb2c7492022-12-21T23:13:49ZengEuropean PublishingTobacco Induced Diseases1617-96252009-10-015November10.1186/1617-9625-5-1565961Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of IndiaAmbarish Pandey0Nivedita Patni1Sasmit Sarangi2Mansher Singh3Kartavya Sharma4Ananth K Vellimana5Somdutta Patra6Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, IndiaIntroduction Tobacco consumption is a major source of mortality and morbidity in India. Prevalence of smokeless tobacco (ST) consumption in India is around 20%. Studies have shown increased prevalence of cardiovascular disease risk factors and an increased incidence of adverse cardiovascular events among the ST consumers. This is a cross-sectional study done to look into the association of exclusive smokeless tobacco consumption with hypertension, in an adult male rural population of north India. Methods All male residents of a village in north India above 15 years of age, who did not have any acute or chronic morbidity were included after taking an informed consent. Subjects were interviewed regarding their demographic profile, socioeconomic status and tobacco consuming habits. Current smokeless tobacco user was defined as one who has ever consumed tobacco orally in past 1 month. Blood pressure of the subjects was also recorded. Cut offs used for systolic and diastolic hypertension were 140 mm hg and 90 mm Hg respectively. Results 443 subjects were included in the study. Prevalence of exclusive ST users was 21% while 19.4% consumed both forms and 26.6% did not take any form of tobacco. Mean systolic and diastolic BP were significantly higher in exclusive ST users(systolic BP=139.2+17.4,diastolic BP = 86.8+11.5)as compared to the non users(systolic BP= 135.7+18.8 , diastolic BP= 82.6 +11.5; p value < 0.05). The prevalence of diastolic hypertension was significantly higher in exclusive ST users as compared to non users ( 40.9%, 22.9% ;p value = 0.01) . The OR for diastolic hypertension in male ST users was 2.3( 95% C.I. = 1.3-4.3). Prevalence of systolic hypertension was higher in exclusive ST users too though this was not statistically significant (43%,36.4%;p value = 0.39.). Conclusions ST consumption is associated with increased prevalence of high BP in the adult male rural population.This is an indicator of increased predisposition to major adverse cardiac events later in their life time. Prevention of ST consumption could be an important intervention in preventing the ongoing upswing in prevalence of chronic heart disease.http://www.journalssystem.com/tid/Association-of-exclusive-smokeless-tobacco-consumption-with-hypertension-in-an-adult-male-rural-population-of-India,65961,0,2.htmlnicotinemajor adverse cardiac eventsystolic hypertensionsmokeless tobaccotobacco consumption |
| spellingShingle | Ambarish Pandey Nivedita Patni Sasmit Sarangi Mansher Singh Kartavya Sharma Ananth K Vellimana Somdutta Patra Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India Tobacco Induced Diseases nicotine major adverse cardiac event systolic hypertension smokeless tobacco tobacco consumption |
| title | Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India |
| title_full | Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India |
| title_fullStr | Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India |
| title_full_unstemmed | Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India |
| title_short | Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of India |
| title_sort | association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of india |
| topic | nicotine major adverse cardiac event systolic hypertension smokeless tobacco tobacco consumption |
| url | http://www.journalssystem.com/tid/Association-of-exclusive-smokeless-tobacco-consumption-with-hypertension-in-an-adult-male-rural-population-of-India,65961,0,2.html |
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