Tobacco use and nicotine dependency in a cross-sectional representative sample of 18,018 individuals in Andaman and Nicobar Islands, India.
Tobacco use and nicotine dependency in a cross-sectional representative sample of 18,018 individuals in Andaman and Nicobar Islands, India.
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DOI：
10.1186/1471-2458-12-515
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发表时间：
2012-07-10
影响因子：
4.5
通讯作者：
Pesala KS
中科院分区：
文献类型：
--
作者：
Manimunda SP;Benegal V;Sugunan AP;Jeemon P;Balakrishna N;Thennarusu K;Pandian D;Pesala KS
关于流行率、烟草使用模式、依赖尼古丁的人口比例及其决定因素的数据对于制定和实施烟草控制战略十分重要。这项研究的目的是估计烟草使用和尼古丁依赖的流行率和决定因素。2007- 2009年期间，在安达曼和尼科巴群岛联邦直辖区对18 018名年龄在14岁以上的人进行了代表性抽样调查。一个结构化的问卷，一个工具，成功地用于世界卫生组织的几个多国流行病学研究的修改版本，被用来调查个人的社会人口统计学的细节，已知的共病条件，烟草使用和酒精使用。使用Fagerström尼古丁依赖性试验（FTND）估计尼古丁依赖性。我们调查的回应率为97%（18，018/18，554）。女性（n = 8，888）明显比男性年轻（34.3 + 14.6 Vs 36.2 + 15.4岁）。目前任何形式的烟草使用率为48.9%（95% CI：48.2-49.6）。单独咀嚼烟草在40.9%（95% CI：40.1-41.6）的人群中普遍存在。十分之一的男性（9.7%，95% CI：9.1-10.4）尼古丁依赖，而女性仅为3%（95% CI：2.7-3.4）。四分之三的烟草使用者在21岁之前开始使用烟草。年龄、目前饮酒、教育状况差、婚姻状况、社会群体和合并症是人群中烟草使用和尼古丁依赖的主要决定因素。安达曼和尼科巴群岛联盟领土烟草使用，特别是咀嚼型烟草的高流行率，以及在各亚群中观察到的烟草使用和尼古丁依赖的流行率和模式的差异，保证了在这一人群中实施文化特定的烟草控制活动。
Data on prevalence, pattern of tobacco use, proportion of population dependent on nicotine and their determinants are important for developing and implementing tobacco control strategies. The aim of the study was to estimate the prevalence and determinants of tobacco use and nicotine dependency. A cross-sectional survey among a representative sample of 18,018 individuals in the age group of >=14 years was conducted in the Union Territory of Andaman and Nicobar Islands during 2007–09. A structured questionnaire, a modified version of an instrument which was used successfully in several multi-country epidemiological studies of the World Health Organisation, was used to survey individual socio-demographic details, known co-morbid conditions, tobacco use and alcohol use. Fagerström Test for Nicotine Dependence (FTND) was used to estimate nicotine dependence. The response rate of our survey was 97% (18,018/18,554). Females (n = 8,888) were significantly younger than males (34.3 + 14.6 Vs 36.2 + 15.4 years). The prevalence of current tobacco use in any form was 48.9% (95% CI: 48.2–49.6). Tobacco chewing alone was prevalent in 40.9% (95% CI: 40.1–41.6) of the population. While one tenth of males (9.7%, 95% CI: 9.1–10.4) were nicotine dependent, it was only 3% (95% CI: 2.7–3.4) in females. Three fourth of the tobacco users initiated use of tobacco before reaching 21 years of age. Age, current use of alcohol, poor educational status, marital status, social groups, and co-morbidities were the main determinants of tobacco use and nicotine dependence in the population. The high prevalence of tobacco use especially the chewing form of tobacco in the Union Territory of Andaman and Nicobar Islands and the differences in prevalence and pattern of tobacco use and nicotine dependency observed across subgroups warrants implementation of culturally specific tobacco control activities in this population.
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影响因子：
1
作者：
Rooban, T;Elizabeth, J;Ranganathan, K
通讯作者：
Ranganathan, K
影响因子：
2.6
作者：
BRESLAU, N
通讯作者：
BRESLAU, N
影响因子：
5.2
作者：
Rani, M;Bonu, S;Jamjoum, L
通讯作者：
Jamjoum, L
影响因子：
10.5
作者：
Brewin, CR;Rose, S;Foa, EB
通讯作者：
Foa, EB
DOI：
10.1073/pnas.0700933104
发表时间：
2007-10-09
影响因子：
11.1
作者：
Reddy, K. Srinath;Prabhakaran, Dorairaj;Ahmed, Farooque
通讯作者：
Ahmed, Farooque