DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20195174

Tobacco and betel nut use among school going adolescents of South Gujarat region, India: a cross sectional study

Bharatkumar Balkrishna Pandya, Upendrakumar Rameshbhai Chaudhari, Avirat A. Bhatt, Nilesh Thakor

Abstract


Background: Adolescence period is very crucial in the life of an individual, when major physical, psychological and behavioral changes take place. Tobacco and Areca nut use among school going adolescent is becoming a major public health problem. Objective of this study was to determine the prevalence and pattern of smokeless tobacco and betel nut use among school going adolescents.

Methods: The study was a cross sectional study. After taking the permission of principal of Government high schools of Vadodara and Surat city of Gujarat and consent of the parents of adolescents, 1107 adolescents were interviewed during March-April 2017. A self-administered questionnaire was used for data collection. Thus collected data was analyzed using SPSS 17 (Trial Version).

Results: Age of the study students (total 1107) ranged from 10-19 years. (Mean age=14.61±2.85 years). Out of 1107 children 389 (35.1%) children had addiction. Prevalence of any type of addiction in girls and boys was 14.3% and 20.7% respectively. Tobacco prevalence was 13.4% and betel nut prevalence was 21.6%. Type of addiction and its association with gender was highly significant. All children addicted to tobacco using chewing form (gutkha) of tobacco. The mean age group of children who consume tobacco and betel nut was 16.13±1.32 years and 16.01±1.21 years respectively. Most common reasons among adolescents for starting addiction of tobacco and betel nut was to look mature (93.8%) followed by to look good (63.2%) and to refresh breathe (48.6%).

Conclusions: High prevalence of tobacco and betel nut use among adolescents needs attention of parents, teachers and health officials.


Keywords


Adolescent, Age at initiation, Betel nut, Prevalence, Tobacco, Substance abuse

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References


Prajapati N, Chaudhari C, Dixit GT, Gadhavi R, Bhatt A, Thakor N. Tobacco and betel nut use among school going adolescents of government high school of Himmatnagar city, Gujarat, India: A cross sectional study. Int J Contemp Pediatr. 2017 Mar; 4:306-9.

J. Kishore. National Programme for Prevention and Control of Diabetes, Cardiovascular Diseases and Stroke. In, National Health Programme of India. 8th edition. New Delhi: Century Publications; 2009:480-488.

Nayak S, Thakor N, Bhatt AA, Prajapati M. Educational Intervention Regarding Hypertension and Its Preventive Measures among College Students in Gandhinagar City, Gujarat. Ntl J Community Med. 2016;7(7):624-6.

Prasad KG. School Health. Ind J Community Med. October-December 2005;30(4):109-10.

Baru Rama. Introduction. In, School Health Services in India. 1st edition. New Delhi: Sage Publications; 2008:6-7.

Thakor N, Prajapati D. Tobacco and areca nut use among children of primary and secondary boarding schools of Gandhinagar district: a cross sectional study. Int J Adv Med 2014;1:137-40.

Joseph N, Nagaraj K, Kotian SM. Areca nut and tobacco use among school children in a village in South India-A cross sectional study. Australasian Medica J. 2010 Apr 15(5):299-303.

Muttapppallymyalil J, Sreedharan J, Divakaran B. Smokeless tobacco consumption among school children. Indian J Cancer. 2010;47:19-23.

Narain R, Sardana S, Gupta S, Sehgal A. Age at initiation and prevalence of tobacco use among school children in Noida, India: A cross-sectional questionnaire-based survey. Ind J Medica Res. 2011 Mar;133(3):300-7.

Pal R, Tsering D. Tobacco use in Indian high-school students. Inter J Green Pharma (IJGP). 2009;3(4):319-23.

Majra JP, Basnet J. Prevalence of tobacco use among the children in the age group of 13-15 years in Sikkim after 5 years of prohibitory legislation. Ind J Community Med: Official Publication Ind Assoc Preventive Social Medicine. 2008 Apr;33(2):124-6.

Singh V, Pal HR, Mehta M, Kapil U. Tobacco consumption and awareness of their health hazards amongst lower income group school children in National Capital Territory of Delhi. Ind Pediatr. 2007 Apr 1;44(4):293-5.

Makwana NR, Shah VR, Yadav S. A study on prevalence of smoking and tobacco chewing among adolescents in rural areas of Jamnagar district, Gujarat state. JMSR. 2007 Sep 30;1(1):1-3.