The National Medical Journal of India

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 32  |  Issue : 3  |  Page : 137--140

Cross-sectional study on smokeless tobacco use, awareness and expenditure in an urban slum of Bhavnagar, western India


Mihir Prafulbhai Rupani1, Khushali Dharmesh Parikh2, Mili J Kakadia1, Meha M Pathak1, Malay R Patel1, Manav A Shah1 
1 Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat 364001, India
2 Department of Pathology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Khushali Dharmesh Parikh
Department of Pathology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat
India

Background. Data are sparse on smokeless tobacco (SLT) use in Bhavnagar. We assessed the prevalence and awareness of and expenditure on SLT use in Bhavnagar. Methods. We conducted a community-based, cross- sectional study in an urban slum of Bhavnagar on a sample of 260 SLT users for a period of three months in 2017. Results. The prevalence of SLT use in Bhavnagar was 27.3% (95% CI 25%-30%). Mawa, a preparation of tobacco flakes mixed with areca nut and lime, was the most commonly chewed form of tobacco; commonly kept in the buccal mucosa. The mean age ofstarting SLT use was 25 years; the mean number of years since chewing was 15 years; the mean time tobacco was kept in the mouth per consumption was 5 minutes and the mean number of packets of tobacco consumed per day was five. The mean expenditure on SLT use per month was ?536. All SLT users were aware that tobacco consumption led to oral cancer. Peer influence was the most common (75%) reason for starting SLT use, and addiction was the most common (74%) reason for its continued use. Among SLT users, 47% had made at least one attempt to quit; of them, 98% had tried self-control for quitting but did not succeed. The most common (72%) reason given by those not able to quit (n=119) was addiction to SLT use. Among the 260 study participants, 72% had read the warnings on packets of tobacco; 59% wished to chew tobacco even after reading the warnings and 62% opined on banning the sale and consumption of tobacco. Ninety-two per cent of SLT users were not comfortable with the idea that imitating them, their children too would start chewing tobacco. Conclusions. Every third person in the urban slum of Bhavnagar was a SLT user. Even though SLT users knew about the harmful effects of tobacco, only a handful were able to quit due to addiction to it. This burden on health services, in addition to the expenditure on purchase of tobacco, requires a comprehensive tobacco cessation programme at the community level.


How to cite this article:
Rupani MP, Parikh KD, Kakadia MJ, Pathak MM, Patel MR, Shah MA. Cross-sectional study on smokeless tobacco use, awareness and expenditure in an urban slum of Bhavnagar, western India.Natl Med J India 2019;32:137-140


How to cite this URL:
Rupani MP, Parikh KD, Kakadia MJ, Pathak MM, Patel MR, Shah MA. Cross-sectional study on smokeless tobacco use, awareness and expenditure in an urban slum of Bhavnagar, western India. Natl Med J India [serial online] 2019 [cited 2020 May 26 ];32:137-140
Available from: http://www.nmji.in/article.asp?issn=0970-258X;year=2019;volume=32;issue=3;spage=137;epage=140;aulast=Rupani;type=0