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Tobacco use in Kerala: findings from three recent studies.
Natl Med J India 2005 May-Jun; 18(3):148-53NM

Abstract

BACKGROUND

We reviewed the literature on tobacco use in Kerala and present data from three recently conducted unpublished studies.

METHODS

Three cross-sectional studies were conducted; a community-based study of 1,298 individuals aged 15 years and above (mean age 37.4 years, men 630), a school-based study of 1,323 boys (mean age 14.7 years), and a college-based study of 1,254 male students (mean age 18.2 years). Information on tobacco use and sociodemographic variables was collected using pre-tested, structured interview schedules and questionnaires.

RESULTS

In the community study, 72% of men and 6% of women had ever used tobacco. Compared to men with > 12 years of schooling, those with < 5 years of schooling were 7 times more likely to smoke (OR 7, CI 3.2-15.6). The age at initiation of smoking was 19 years among those < 25 years of age compared to 25.5 years among ever smokers > 44 years. In the school study, the age at initiation among boys aged < or = 1 3 years was 10.7 years compared with 13.2 years among > or = 16-year-old boys. Boys whose fathers and friends used tobacco were 2 times and 2.9 times more likely to use tobacco (OR 2.0, CI 1.3-3.1 and OR 2.9, CI 1.6-5.1), respectively, compared with their counterparts. In the college study, 29% of the commerce students used tobacco compared with 5.3% of polytechnic students (p < 0.001).

CONCLUSION

Survey data suggest that the age at initiation of tobacco use appears to be falling. A series of cross-sectional studies with larger sample sizes of the youth is required to confirm this impression. Tobacco use habits of fathers and peers are significant influences on youth smoking. There is a need to focus on particular types of colleges as these appear to have high-risk tobacco use environments.

Authors+Show Affiliations

Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16130619

Citation

Pradeepkumar, A S., et al. "Tobacco Use in Kerala: Findings From Three Recent Studies." The National Medical Journal of India, vol. 18, no. 3, 2005, pp. 148-53.
Pradeepkumar AS, Mohan S, Gopalakrishnan P, et al. Tobacco use in Kerala: findings from three recent studies. Natl Med J India. 2005;18(3):148-53.
Pradeepkumar, A. S., Mohan, S., Gopalakrishnan, P., Sarma, P. S., Thankappan, K. R., & Nichter, M. (2005). Tobacco use in Kerala: findings from three recent studies. The National Medical Journal of India, 18(3), pp. 148-53.
Pradeepkumar AS, et al. Tobacco Use in Kerala: Findings From Three Recent Studies. Natl Med J India. 2005;18(3):148-53. PubMed PMID: 16130619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tobacco use in Kerala: findings from three recent studies. AU - Pradeepkumar,A S, AU - Mohan,Sailesh, AU - Gopalakrishnan,P, AU - Sarma,P Sankara, AU - Thankappan,K R, AU - Nichter,Mark, PY - 2005/9/1/pubmed PY - 2005/11/3/medline PY - 2005/9/1/entrez SP - 148 EP - 53 JF - The National medical journal of India JO - Natl Med J India VL - 18 IS - 3 N2 - BACKGROUND: We reviewed the literature on tobacco use in Kerala and present data from three recently conducted unpublished studies. METHODS: Three cross-sectional studies were conducted; a community-based study of 1,298 individuals aged 15 years and above (mean age 37.4 years, men 630), a school-based study of 1,323 boys (mean age 14.7 years), and a college-based study of 1,254 male students (mean age 18.2 years). Information on tobacco use and sociodemographic variables was collected using pre-tested, structured interview schedules and questionnaires. RESULTS: In the community study, 72% of men and 6% of women had ever used tobacco. Compared to men with > 12 years of schooling, those with < 5 years of schooling were 7 times more likely to smoke (OR 7, CI 3.2-15.6). The age at initiation of smoking was 19 years among those < 25 years of age compared to 25.5 years among ever smokers > 44 years. In the school study, the age at initiation among boys aged < or = 1 3 years was 10.7 years compared with 13.2 years among > or = 16-year-old boys. Boys whose fathers and friends used tobacco were 2 times and 2.9 times more likely to use tobacco (OR 2.0, CI 1.3-3.1 and OR 2.9, CI 1.6-5.1), respectively, compared with their counterparts. In the college study, 29% of the commerce students used tobacco compared with 5.3% of polytechnic students (p < 0.001). CONCLUSION: Survey data suggest that the age at initiation of tobacco use appears to be falling. A series of cross-sectional studies with larger sample sizes of the youth is required to confirm this impression. Tobacco use habits of fathers and peers are significant influences on youth smoking. There is a need to focus on particular types of colleges as these appear to have high-risk tobacco use environments. SN - 0970-258X UR - https://www.unboundmedicine.com/medline/citation/16130619/Tobacco_use_in_Kerala:_findings_from_three_recent_studies_ L2 - https://medlineplus.gov/smokingandyouth.html DB - PRIME DP - Unbound Medicine ER -