- Volume 16 Issue 17
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Predictors of Tobacco Use among Youth in India: GATS 2009-2010 Survey
- Sharma, Shailja (Dr Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh) ;
- Singh, Mitasha (Dr Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh) ;
- Lal, Pranay (Technical Advisor (Tobacco Control), The Union, South-East Asia Office, International Union Against Tuberculosis and Lung Disease) ;
- Goel, Sonu (School of Public Health, Post Graduate Institute of Medical Education and Research)
- Published : 2015.12.03
Background: Early initiation of smoking and chewing of diverse forms of tobacco among youth in India is a significant driver for tobacco epidemic in India. Several socio-demographic factors are predictors of tobacco use in populations, especially among youth. Interventions which address these socio-demographic factors can help policy makers to curb new initiations and avert morbidity and mortality due to tobacco use. Objective: To study the various sociodemographic variables associated with tobacco use among youth in India. Materials and Methods: Secondary analysis of data from the Global Adult Tobacco Survey-India 2009-10 for the age group of 15-24 years was performed and predictors of smoking and smokeless tobacco were analyzed using data on occupation, education, and other sociodemographic factors. Results: In India there are a total of 51.3 million (22.1%) youth (15-24 years) tobacco users. Of these 35.1 million consumes chewable tobacco (15.1%), 16.2 million smoke (7%) and 1.6 million are dual users (3.1%). Males, urban, less educated, un-employed and those belonging to middle class preferred smoking over chewing; whereas, females, rural, students and those belonging to low socio-economic class are predictors of smokeless tobacco use. The major determinants of dual users are male sex, poor socio-economic strata and student class. The overall tobacco use was higher among males, rural populations, lower socioeconomic strata and un-employed class. Conclusions: India's youth is more susceptible to the tobacco addiction, especially of smokeless tobacco. Youth from rural India especially students, girls and those from poor socio-economic strata prefer to use smokeless tobacco products whereas urban, male and those less educated prefer smoking tobacco products. More population-based and region-focused research is needed to understand initiation patterns into tobacco use among youth so as to inform policymakers to devise new policy measures to curb the growing epidemic.
- Report of the Surgeon General. Preventing Tobacco Use among Youth and Young Adults (2012). Centres for Disease Control, Washington DC, United States.
- A Yadav, S Goel, VL Sharma (2014). Integration of tobacco control in masters of public health curricula of India. Asian Pac J Cancer Prev, 15, 5611-5. https://doi.org/10.7314/APJCP.2014.15.14.5611
- Binu VS, Subba SH, Menezes RG, et al (2010). Smoking among nepali youth - prevalence and predictors. Asian Pac J Cancer Prev, 11, 221-6.
- Chadda RK, Sengupta SN (2002). Tobacco use among indian adolescents. Tobacco Induced Dis, 1, 111-19.
- Chandrashekhar TS, Kishore PV, Paudel J, Menezes RG (2008). Prevalence and correlates of tobacco use amongst junior collegiates in twin cities of western Nepal: A cross-sectional, questionnaire-based survey. BMC Public Health, 8, 97. https://doi.org/10.1186/1471-2458-8-97
- Dhanani R, Jafferani A, Bhulani N, et al (2010). Predictors of oral tobacco use among young adult patients visiting family medicine clinics in Karachi, Pakistan. Asian Pac J Cancer Prev, 11, 43-7.
- District Level Household Survey-3, India (2007-2008). International institute for population sciences (IIPS), 2010. Mumbai, India.
- Gupta PC (1996). Survey of socio demographic characteristics of tobacco use among 99598 individuals in Bombay, India using handheld computers. Tobacco control, 5, 114-120. https://doi.org/10.1136/tc.5.2.114
- Glynn TJ, Mills SL (2003). Youth tobacco use research in the USA: progress and challenges. Tobacco Control, 12, 1-2. https://doi.org/10.1136/tc.12.1.1
- Global Adult Tobacco Survey, India (2009-10). International institute for population sciences (iips), 2010. ministry of health and family welfare, government of India, New Delhi.
- Goel S, Kumar R, Lal P, et al (2014). How compliant are tobacco vendors to india's tobacco control legislation on ban of advertisments at point of sale? a three jurisdictions review. Asian Pac J Cancer Prev, 15, 10637-42.
- Goel S, Ravindra K, Singh RJ, Sharma D (2014). Effective smoke-free policies in achieving a high level of compliance with smoke-free law: experiences from a district of North India. Tob Control, 23, 291-4. https://doi.org/10.1136/tobaccocontrol-2012-050673
- Goel S, Tripathy JP, Singh RJ, Lal P (2014). Smoking trends among women in India: Analysis of nationally representative surveys (1993-2009). South Asian J Cancer, 3, 200-2. https://doi.org/10.4103/2278-330X.142958
- Hammond D (2005). Smoking behaviour among young adults: beyond youth prevention. Tobacco Control, 14, 181-5. https://doi.org/10.1136/tc.2004.009621
- Hammond D, Kin F, Prohmmo A, et al (2008). Patterns of smoking among adolescents in malaysia and thailand: findings from the international tobacco control southeast asia survey. Asia Pac J Public Health, 20, 193-203 https://doi.org/10.1177/1010539508317572
- International Institute for Population Sciences (IIPS), 2010. district level household and facility survey (DLHS-3), 2007-2008: India. Mumbai: IIPS.
- John RM, Rao RK, Rao MG, et al, (2010). The economics of tobacco and tobacco taxation in india. international union against tuberculosis and lung disease, Paris.
- Kumar R, Goel S, Harries AD, et al (2014). How good is compliance with smoke-free legislation in India? Results of 38 subnational surveys. Int Health, 6, 189-95. https://doi.org/10.1093/inthealth/ihu028
- Lal P, Wilson NC, Srivastava S, Millett C (2012). Should the legal age for the purchase of tobacco be increased to 21 years? Global Heart, 7, 183-7. https://doi.org/10.1016/j.gheart.2012.04.001
- Lal PG, Wilson NC, Gupta PC (2012). Attributable deaths from smoking in the last 100 years in India. Current Science, 103, 1085-90.
- Nichter M, Nichter M, Sickle DV (2004). Popular perceptions of tobacco products and patterns of use among male college students in India. Social Sci Med, 59, 415-31. https://doi.org/10.1016/j.socscimed.2003.10.032
- Phong DN (2008). Smoking among vietnamese medical students: prevalence, costs, and predictors. Asia Pac J Public Health, 20, 16-24. https://doi.org/10.1177/1010539507308504
- Pradeep Kumar AS, Mohan S, Gopalakrishnan, et al (2005). Tobacco use in Kerala: findings from three recent studies. Natl Med J India, 18, 148-53
- Prokhov AV, Winickoff JP, Ahluwalia JS, et al (2006). Youth Tobacco use: A Global perspective for child health care clinicians. Paediatr, 118, 890-903. https://doi.org/10.1542/peds.2005-0810
- Palipudi KM, Gupta PC, Sinha DN, et al (2012). Social determinants of health and tobacco use in thirteen low & middle income countries: evidence from global adult tobacco survey, PLoS One, 7, 1-8.
- 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. Tobacco Control, 12, 1-8. https://doi.org/10.1136/tc.12.1.1
- Reddy KS, Arora M (2005). Tobacco Use among Children in India: A Burgeoning. Indian Paediatr, 42, 757-61.
- Report of Global Adult Tobacco Survey (2009-2010). International Institute of Population Sciences. Ministry of Health & Family Welfare, Government of India.
- Report of Global Youth Tobacco Survey (2006). International Institute of Population Sciences. Ministry of Health & Family Welfare, Government of India.
- Roy P, Goel S (2015). Is female smoking rising or declining in India? South Asian J Cancer, 4, 99-100. https://doi.org/10.4103/2278-330X.155702
- Shah VN, Verma PB, Tripathi CB (2005). Knowledge, attitude and practice regarding tobacoo consumption among the college students of Bhavnagar City (Gujarat). Indian J Commun Med, 30, 39-40.
- Sharma N, Singh MM, Ingle GK, Jiloha RC (2006). An Epidemiological study of cigarette smoking among male college students of Delhi University. Indian J Commun Med, 31, 35. https://doi.org/10.4103/0970-0218.54934
- Singh VV, Singh Z, Banerjee A, Basannar DR (2003). Determinants of smoking habit among medical students. Med J Armed Force India, 59, 209-11. https://doi.org/10.1016/S0377-1237(03)80008-4
- Siziya S, Muula AS, Rudatsikira E (2008). Correlates of current cigarette smoking among school-going adolescents in punjab, india: results from the global youth tobacco survey. BMC Int Health Human Rights, 14, 1.
- Thakur JS, Prinja S, Bhatnagar N, Rana S, Sinha DS, Singh P K (2013). Socioeconomic inequality in the prevalence of smoking and smokeless tobacco use in India. Asian Pac J Cancer Prev, 14, 6965-69 https://doi.org/10.7314/APJCP.2013.14.11.6965
- Tripathy JP, Goel S, Patro BK (2013). Compliance monitoring of prohibition of smoking (under section-4 of COTPA) at a tertiary health-care institution in a smoke-free city of India. Lung India, 30, 312-5. https://doi.org/10.4103/0970-2113.120607
- World Bank (1999). Curbing the epidemic: governments and the economics of tobacco control. World Bank publications, Washington DC.
- WHO (2008). Report on the Global Tobacco Epidemic 2008, The MPOWER package. World Health Organization, Geneva.
- Current tobacco use and its associated factors among adults in a country with comprehensive ban on tobacco: findings from the nationally representative STEPS survey, Bhutan, 2014 vol.14, pp.1, 2016, https://doi.org/10.1186/s12963-016-0098-9