TITLE

Use of smokeless tobacco among groups of Pakistani medical students - a cross sectional study

AUTHOR(S)
Imam, Sardar Z.; Nawaz, Haq; Sepah, Yasir J.; Pabaney, Aqueel H.; Ilyas, Mahwish; Ghaffar, Shehzad
PUB. DATE
January 2007
SOURCE
BMC Public Health;2007, Vol. 7, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Use of smokeless tobacco is common in South Asia. Tobacco is a major preventable cause of morbidity and mortality. Doctors make one of the best avenues to influence patients' tobacco use. However, medical students addicted to tobacco are likely to retain this habit as physicians and are unlikely to counsel patients against using tobacco. With this background, this study was conducted with the objective of determining the prevalence of smokeless tobacco among Pakistani medical students. Methods: A cross sectional study was carried out in three medical colleges of Pakistan - one from the north and two from the southern region. 1025 students selected by convenient sampling completed a peer reviewed, pre-tested, self-administered questionnaire. Questions were asked regarding lifetime use (at least once or twice in their life), current use (at least once is the last 30 days), and established use (more than 100 times in their life) of smokeless tobacco. Chi square and logistic regression analyses were used. Results: Two hundred and twenty (21.5%) students had used tobacco in some form (smoked or smokeless) in their lifetime. Sixty six (6.4%) students were lifetime users of smokeless tobacco. Thirteen (1.3%) were daily users while 18 (1.8%) fulfilled the criterion for established users. Niswar was the most commonly used form of smokeless tobacco followed by paan and nass. Most naswar users belonged to NWFP while most paan users studied in Karachi. On univariate analysis, lifetime use of smokeless tobacco showed significant associations with the use of cigarettes, student gender (M > F), student residence (boarders > day scholars) and location of the College (NWFP > Karachi). Multivariate analysis showed independent association of lifetime use of smokeless tobacco with concomitant cigarette smoking, student gender and location of the medical college. Conclusion: The use of smokeless tobacco among medical students cannot be ignored. The governments should add the goal of eliminating smokeless tobacco to existing drives against cigarette smoking. Drives in Karachi should focus more on eliminating paan usage while those in NWFP should focus more on the use of naswar. Medical colleges should provide greater education about the myths and hazards of smokeless tobacco.
ACCESSION #
29362100

 

Related Articles

  • Snus Use in the U.S.: Reducing Harm or Creating It? Twombly, Renee // JNCI: Journal of the National Cancer Institute;Oct2010, Vol. 102 Issue 19, p1454 

    The article discusses issues related to the possible use of a method of tobacco control called snus in the U.S. Used by smokers in Sweden and Norway, snus is finely chopped tobacco contained in a teabag-like sachet that is placed under the lip. Compared to traditional smokeless tobacco, snus is...

  • Smokeless tobacco use 1992-2002: trends and measurement in the Current Population Survey-Tobacco Use Supplements. Mumford, E. A.; Levy, D. T.; Gitchell, J. G.; Blackman, K. O. // Tobacco Control;Jun2006, Vol. 15 Issue 3, p166 

    Background: As smoking prevalence declines in the United States, it is important to understand if smokeless tobacco (SLT) use is also changing and if so, among what groups. Methods: We examine the prevalence of SLT use and smoking, 1992-2002, using the Current Population Survey-Tobacco Use...

  • AMERICA'S CIGARETTE HABIT.  // Health Care (Mason Crest);2007, p52 

    This chapter from the book "Health Care" focuses on the cigarette habit of Americans. Despite the very well documented health risks associated with cigarettes, one in four Americans is a smoker. Movie stars and celebrities contributed much to the popularity of smoking in the country. Pipe and...

  • "FIRE-SAFE" CIGARETTE LAWS SPREAD QUICKLY.  // Injury Prevention (1353-8047);Oct2007, Vol. 13 Issue 5, p296 

    The article reports that cigarettes will be self-extinguished in 21 states in the U.S. This is after a strikingly high 15 states passed news laws in 2007 to combat smoking-related blazes, the principal cause of home-fire deaths. "Fire-safe" cigarettes, manu`factured with extra bands of paper to...

  • Predictors of Early and Late Escalation of Smokeless Tobacco Use and Cigarette Smoking Among Swedish Adolescents. Rosendahl, K. Ingvar; Galanti, M. Rosaria // Open Addiction Journal;2010, Vol. 3, p50 

    Knowledge concerning developmental trajectories of tobacco use has until recently been limited to smoking. We utilized information on 960 adolescents who participated in the BROMS cohort study, with follow-up between the ages of 11 and 18 years. Factors related to personal monetary allowance,...

  • General health and tobacco habits among middle-aged Swedes. Halling, Anders; Halling, Arne; Unell, Lennart // European Journal of Public Health;Apr2007, Vol. 17 Issue 2, p151 

    Convincing scientific evidence exists that smoking has devastating effects on health. The use of smokeless tobacco (snuff) as a tobacco habit has been reported to be considerably less harmful, and has been suggested as an aid to smoking cessation, among other things. Methods: Cross-sectional...

  • SEVEN YEAR FOLLOW-UP OF SMOKING CESSATION WITH SMOKELESS TOBACCO. Tilashaiski, Ken; Rodu, Brad; Cole, Philip // Journal of Psychoactive Drugs;Mar2005, Vol. 37 Issue 1, p105 

    This study evaluated the tobacco use status of 63 subjects seven years after enrollment in a single-intervention smoking cessation study employing smokeless tobacco (SLT) as a nicotine substitute. Information about tobacco use and cessation attempts was obtained in interviews. The duration of...

  • Tobacco control policies and the concurrent use of smokeless tobacco and cigarettes among men, 1992—2002. Mumford, Elizabeth A.; Levy, David T.; Gitchell, Joe G.; Blackman, Kenneth O. // Nicotine & Tobacco Research;Dec2005, Vol. 7 Issue 6, p891 

    Accelerating the decline in smoking prevalence requires an understanding of changes in the concurrent use of and the substitution between different tobacco products, such as smokeless tobacco (SLT) and cigarettes. SLT could play an important role in reducing the toll of smoking‐related...

  • Evidence against a gateway from smokeless tobacco use to smoking. Rodu, Brad; Cole, Philip // Nicotine & Tobacco Research;May2010, Vol. 12 Issue 5, p530 

    Introduction: It has been suggested that smokeless tobacco (ST) use by young people induces them to become smokers, but direct evidence is lacking.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics