Smokeless tobacco use among adult patients who visited family practice clinics in Karachi, Pakistan
Smokeless tobacco use among adult patients who visited family practice clinics in Karachi, Pakistan
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DOI：
10.1111/j.1600-0714.2009.00754.x
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发表时间：
2009-05-01
影响因子：
3.3
通讯作者：
Hameed, Rabia
中科院分区：
文献类型：
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作者：
Ali, Niloufer Sultan;Khuwaja, Ali Khan;Hameed, Rabia
使用无烟烟草与口腔健康状况不佳和癌症密切相关。本研究的目的是估计使用的比例和知识有关的口腔癌及其社会人口和患者的诊断类别的差异。本研究还旨在评估的态度和做法，其use.In横断面研究，502成人患者（>= 15岁）在巴基斯坦的卡拉奇的家庭诊所进行了随机采访。槟榔使用被认为是使用以下任何一种：槟榔块（paan）与烟草（gutkha），槟榔与烟草（naswar）。男性比女性更多地使用避孕套（P = 0.03）。同样，与其他诊断类别相比，胃肠道疾病患者中使用胃镜的比例更高（P = 0.004）。男性和受教育年限> 10年的人群中，对口腔致癌作用的认识较高（P < 0.001）。非传染性疾病和传染性疾病患者的这一知识也较高。在吸烟者中，31.3%的人试图戒掉这个习惯，但失败了。大多数使用者在15岁之前开始使用维生素B1; 40.2%和30.8%分别是在媒体广告和朋友/同伴压力的启发下开始使用维生素B1。在这项研究中，超过一半的患者以各种形式使用维生素B1，并且对其危害的认识不足。我们认为，有必要进行社会和文化上可接受的教育和行为干预，以控制滥用。
Use of smokeless tobacco (SLT) is significantly associated with poor oral health and cancers. The objectives of this study were to estimate the proportion of use and the knowledge about SLT in relation to oral cancer and its differentials by socio-demographic and patient's diagnostic categories. This study also aimed to assess the SLT user's attitude and practices for its use.In a cross-sectional study, 502 adult patients (>= 15 years) were randomly interviewed in family practice clinics in Karachi, Pakistan. SLT use was considered as usage of any of the following: betel quid (paan) with tobacco, betel nuts with tobacco (gutkha), and snuff (naswar).Overall, 52.4% subjects had used SLT at least in one form. More males were using SLT than females (P = 0.03). Similarly, higher proportion of patients with gastro-intestinal diseases were using SLT compared with other diagnostic categories (P = 0.004). Knowledge about the oral carcinogenic effect of SLT was higher among men and those who had schooling of > 10 years (P < 0.001). This knowledge was also higher in patients with non-communicable and infectious diseases. Among SLT users, 31.3% tried to quit this habit but failed. The majority of users started using SLT before the age of 15 years; 40.2% and 30.8% started after being inspired by media advertisements and friends/peer pressure, respectively.In this study, over half of the patients were using SLT in various forms and had poor knowledge about its hazards. We suggest that there is a need for socially and culturally acceptable educational and behavioral interventions for control of SLT usage.