Prevalence and Determinants of Tobacco Use in India: Evidence from Recent Global Adult Tobacco Survey Data
Prevalence and Determinants of Tobacco Use in India: Evidence from Recent Global Adult Tobacco Survey Data
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DOI：
10.1371/journal.pone.0114073
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发表时间：
2014-12-04
期刊：
影响因子：
3.7
通讯作者：
Ladusingh, Laishram
中科院分区：
文献类型：
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作者：
Singh, Akansha;Ladusingh, Laishram
背景资料：印度烟草使用的特点是吸烟和无烟烟草使用率很高，两用烟草也占很大比例。在烟草使用负担如此之高的背景下，本研究考察了印度吸烟、无烟烟草和烟草双重使用的地区差异以及社会经济、人口和其他相关因素。方法和发现：我们分析了来自印度全球成人烟草调查（2009-10）的具有全国代表性的横截面样本，其中包括69，296名15岁及以上的人。研究结果表明，目前烟草使用的三种形式，即只吸烟，只使用无烟烟草，吸烟和无烟烟草的使用。分析方法以描述性统计、交叉表及多项逻辑回归分析。无烟烟草使用是印度烟草使用的主要形式，其次是吸烟和双重烟草使用。在印度，男性、受教育程度较低的人、穷人和农村人口的烟草使用率较高。缺乏烟草健康危害知识的受访者在各种形式的烟草使用中的流行率较高。不同形式烟草使用的流行程度因州而异。女性吸烟率随着年龄的增长而增加。中年男性吸烟率较高。年龄、教育和地区被认为是所有形式烟草使用的重要决定因素。来自贫困家庭的成年人消费无烟烟草的风险明显更高。缺乏对烟草的选定危害的认识显着影响tobacco use.Conclusions：有一个迫切需要遏制烟草的使用人群中的亚组患病率较高。印度的烟草控制政策应采取有针对性的、以人口为基础的办法，控制和减少该国的烟草消费。
Background: Tobacco use in India is characterized by a high prevalence of smoking and smokeless tobacco use, with dual use also contributing a noticeable proportion. In the context of such a high burden of tobacco use, this study examines the regional variations, and socioeconomic, demographic and other correlates of smoking, smokeless tobacco and dual use of tobacco in India.Methods and Findings: We analyzed a cross sectional, nationally representative sample of individuals from the Global Adult Tobacco Survey in India (2009-10), which covered 69,296 individuals aged 15 years and above. The current tobacco use in three forms, namely, smoking only, smokeless tobacco use only, and both smoking and smokeless tobacco use were considered as outcomes in this study. Descriptive statistics, cross tabulations and multinomial logistic regression analysis were adopted as analytical tools. Smokeless tobacco use was the major form of tobacco use in India followed by smoking and dual tobacco use. Tobacco use was higher among males, the less educated, the poor, and the rural population in India. Respondents lacking knowledge of health hazards of tobacco had higher prevalence of tobacco use in each form. The prevalence of different forms of tobacco use varies significantly by states. The prevalence of tobacco use increases concomitantly with age among females. Middle-aged adultmales had higher prevalence of tobacco use. Age, education and region were found to be significant determinants of all forms of tobacco use. Adults from the poor household had significantly higher risk of consuming smokeless tobacco. Lack of awareness about the selected hazards of tobacco significantly affects tobacco use.Conclusions: There is an urgent need to curb the use of tobacco among the subgroups of population with higher prevalence. Tobacco control policies in India should adopt a targeted, population-based approach to control and reduce tobacco consumption in the country.