Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II

Abstract Background Smokeless Tobacco (SLT) use is culturally rooted and more acceptable among women in India. SLT is a significant risk for oral cancers and has other adverse health outcomes on women’s general as well as reproductive health. This study aimed to estimate and compare the prevalence a...

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Autores principales:	Shishirendu Ghosal, Abhinav Sinha, Srikanta Kanungo, Sanghamitra Pati
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	GATS India Oral Cancer prevention Smokeless tobacco Women Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fe34cbd4d55448a2b9d98d7a27b0ebe7
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spelling	oai:doaj.org-article:fe34cbd4d55448a2b9d98d7a27b0ebe72021-11-14T12:14:13ZDeclining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II10.1186/s12889-021-12089-61471-2458https://doaj.org/article/fe34cbd4d55448a2b9d98d7a27b0ebe72021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12089-6https://doaj.org/toc/1471-2458Abstract Background Smokeless Tobacco (SLT) use is culturally rooted and more acceptable among women in India. SLT is a significant risk for oral cancers and has other adverse health outcomes on women’s general as well as reproductive health. This study aimed to estimate and compare the prevalence and correlates of SLT among adult females in India using Global Adult Tobacco Survey (GATS), 2009–2010 (GATS 1) and 2016–2017 (GATS 2). Methods Data from a nationally representative cross-sectional study GATS 1 (n = 35,529) and GATS 2 (n = 40,265) were analysed for adult female smokeless tobacco users. Correlates of SLT exposure were assessed separately using binary logistic regression. Multivariable logistic regression analysis was done for the variables which computed p < 0.1. The association was expressed as Adjusted Odds ratio with 95% confidence intervals. Results There was a reduction in prevalence of SLT use among women in India between GATS 1 (18.4%) and GATS 2 (12.8%). SLT use was highest among the North-Eastern women in both rounds [AOR: 4.567 (3.942–5.292) during GATS-1 and 9.149 (7.722–10.839) during GATS-2]. Odisha had highest prevalence of 56.53% while Himachal Pradesh had lowest 0.14% during the recent GATS 2 survey. 33.3% vs. 34.80% of the participants were willing to quit tobacco in Central region across both rounds of survey. Conclusions Although, smokeless tobacco prevalence among females has reduced between 2009 and 2016 in India, yet tobacco control strategies need further pace. Hence, more focused gender-based tobacco control programs and policies are the need of time.Shishirendu GhosalAbhinav SinhaSrikanta KanungoSanghamitra PatiBMCarticleGATSIndiaOral Cancer preventionSmokeless tobaccoWomenPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	GATS India Oral Cancer prevention Smokeless tobacco Women Public aspects of medicine RA1-1270
spellingShingle	GATS India Oral Cancer prevention Smokeless tobacco Women Public aspects of medicine RA1-1270 Shishirendu Ghosal Abhinav Sinha Srikanta Kanungo Sanghamitra Pati Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
description	Abstract Background Smokeless Tobacco (SLT) use is culturally rooted and more acceptable among women in India. SLT is a significant risk for oral cancers and has other adverse health outcomes on women’s general as well as reproductive health. This study aimed to estimate and compare the prevalence and correlates of SLT among adult females in India using Global Adult Tobacco Survey (GATS), 2009–2010 (GATS 1) and 2016–2017 (GATS 2). Methods Data from a nationally representative cross-sectional study GATS 1 (n = 35,529) and GATS 2 (n = 40,265) were analysed for adult female smokeless tobacco users. Correlates of SLT exposure were assessed separately using binary logistic regression. Multivariable logistic regression analysis was done for the variables which computed p < 0.1. The association was expressed as Adjusted Odds ratio with 95% confidence intervals. Results There was a reduction in prevalence of SLT use among women in India between GATS 1 (18.4%) and GATS 2 (12.8%). SLT use was highest among the North-Eastern women in both rounds [AOR: 4.567 (3.942–5.292) during GATS-1 and 9.149 (7.722–10.839) during GATS-2]. Odisha had highest prevalence of 56.53% while Himachal Pradesh had lowest 0.14% during the recent GATS 2 survey. 33.3% vs. 34.80% of the participants were willing to quit tobacco in Central region across both rounds of survey. Conclusions Although, smokeless tobacco prevalence among females has reduced between 2009 and 2016 in India, yet tobacco control strategies need further pace. Hence, more focused gender-based tobacco control programs and policies are the need of time.
format	article
author	Shishirendu Ghosal Abhinav Sinha Srikanta Kanungo Sanghamitra Pati
author_facet	Shishirendu Ghosal Abhinav Sinha Srikanta Kanungo Sanghamitra Pati
author_sort	Shishirendu Ghosal
title	Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
title_short	Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
title_full	Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
title_fullStr	Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
title_full_unstemmed	Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II
title_sort	declining trends in smokeless tobacco use among indian women: findings from global adult tobacco survey i and ii
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fe34cbd4d55448a2b9d98d7a27b0ebe7
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Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II

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