CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(05): 718-723
DOI: 10.4103/ijmpo.ijmpo_151_20
Original Article

Tobacco Consumption and Its Socio-demographic Correlates Among Adolescents Residing in Slum Areas of Bhubaneswar, India

Ansuman Panigrahi
Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India
,
Dheeraj Sharma
Department of Community Medicine, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
,
Ipsa Mohapatra
Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Background: Tobacco use is an emerging public health problem among adolescents worldwide. The objectives of the study were to determine the prevalence and pattern of tobacco use among adolescents and assess the factors associated with its use in urban slums of Bhubaneswar, Odisha. Materials and Methods: A community-based cross-sectional study was carried out in 11 randomly selected urban slums of Bhubaneswar during the year 2017–2018 among 297 adolescents using a pretested semi-structured schedule. Data were analyzed using SPSS version 21.0; risk analysis was done using odds ratios with 95% confidence intervals (CIs). Results: Ninety-one (30.6%) adolescents were current tobacco users; 40 (44%) were consuming smoking form and 67 (73.6%) smokeless form. Betel quid was the most predominant form of smokeless tobacco (35.8%) and the cigarette was the most common smoking form (55%) used. Only 16.5% of adolescents had tried to quit tobacco during the past year, whereas 65.9% showed a desire to quit tobacco in future. Multivariate analysis revealed that tobacco use was significantly associated with older age(adjusted odds ratio [aOR]: 5.5; 95% CI: 2.8–10.6), male gender (aOR: 5.9; 95% CI: 2.9–12.0), employment (aOR: 7.4; 95% CI: 3.6–15.4), illiterate mother (aOR: 3.3; 95% CI: 1.7–6.3), tobacco use by family member (aOR: 3.7; 95% CI: 2.0–6.9), tobacco use by peers (aOR: 6.5; 95% CI: 2.9–14.3), and easy accessibility (aOR: 4.1; 95% CI: 1.5–11.2). Conclusion: The prevalence of tobacco use was high among adolescents of slums in Bhubaneswar. Existing schemes for controlling the tobacco epidemic among slum adolescents could be strengthened by incorporating these determinants.



Publication History

Received: 10 April 2020

Accepted: 03 August 2020

Article published online:
17 May 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 World Health Organization. Tobacco. World Health Organization; 2019. https://www.who.int/news-room/fact-sheets/detail/tobacco. Available from: [Last accessed on 2019 Oct 03]
  • 2 World Health Organization. WHO Report on the Global Tobacco Epidemic, 2017: Monitoring Tobacco use and Prevention Policies. World Health Organization; 2017. https://apps.who.int/iris/bitstream/handle/10665/255874/9789241512824-eng.pdf;jsessionid=AEE770B121C55D3353B9BD383AFAF65E?sequence=1. Available from: [Last accessed on 2019 Oct 03]
  • 3 Centers for Disease Control and Prevention. Smoking and Tobacco use; 2019. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/index.htm. Available from: [Last accessed on 2019 Oct 03]
  • 4 Chadda R, Sengupta S. Tobacco use by Indian adolescents. Tob Induc Dis 2002; 1: 111-9
  • 5 Das N, Tasa AS, Medhi AH. Pattern of tobacco use among adolescents in urban slums of Jorhat Assam. Int J Community Med Public Heal 2017; 4: 4232-7
  • 6 World Health Organization. India (Ages 13-15) Global Youth Tobacco Survey (GYTS). World Health Organization; 2009. https://www.who.int/fctc/reporting/Annexoneindia.pdf. Available from: [Last accessed on 2019 Oct 03]
  • 7 WHO India. Tobacco. World Health Organization; 2019. http://www.searo.who.int/india/topics/tobacco/en/. Available from: [Last accessed on 2019 Oct 03]
  • 8 Rooban T, Joshua E, Rao UK, Ranganathan K. Prevalence and correlates of tobacco use among urban adult men in India: A comparison of slum dwellers vs. non-slum dwellers. Indian J Dent Res 2012; 23: 31-8
  • 9 Khan MMH, Khan A, Kraemer A, Mori M. Prevalence and correlates of smoking among urban adult men in Bangladesh: Slum versus non-slum comparison. BMC Public Health 2009; 9 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-9-149. Available from [Last accessed on 2019 Oct 03]
  • 10 Gupta V, Yadav K, Anand K. Patterns of tobacco use across rural, urban, and urban-slum populations in a north Indian community. Indian J Community Med 2010; 35: 245-51
  • 11 Bardhan T, Saikia AM, Baruah R. Commentary on: Factors influencing substance use among adolescent slum dwellers of Guwahati City, Assam. J Mahatma Gandhi Inst Med Sci 2018; 23: 25-9
  • 12 Chockalingam K, Vedhachalam C, Rangasamy S, Sekar G, Adinarayanan S, Swaminathan S. et al. Prevalence of tobacco use in urban, semi urban and rural areas in and around Chennai City, India. PLoS One 2013; 8: e76005
  • 13 Hussain CA, Hajira Saba I, Gopi A, Subramanyam G. Tobacco prevalence and usage pattern among Bengaluru urban slum dwellers. Int J Community Med Public Heal 2016; 3: 432-6
  • 14 Baruah M, Baruah KK, Ojah J, Baruah R. Prevalence of tobacco use among school going adolescents of Guwahati city, Assam. Indian J Basic Appl Med Res 2016; 5: 92-8
  • 15 Sharma R, Grover VL, Chaturvedi S. Tobacco use among adolescent students and the influence of role models. Indian J Community Med 2010; 35: 272-5
  • 16 Singh V, Pal HR, Mehta M, Dwivedi SN, Kapil U. Pattern of tobacco use among school children in National Capital Territory (NCT). Indian J Pediatr 2007; 74: 1013-20
  • 17 Kokiwar PR, Jogdand GR. Prevalence of substance use among male adolescents in an urban slum area of Karimnagar district, Andhra Pradesh. Indian J Public Health 2011; 55: 42-5
  • 18 Bezinović P, Malatestinić D. Perceived exposure to substance use and risk-taking behavior in early adolescence: Cross-sectional study. Croat Med J 2009; 50: 157-64
  • 19 Doubeni CA, Li W, Fouayzi H, Difranza JR. Perceived accessibility as a predictor of youth smoking. Ann Fam Med 2008; 6: 323-30
  • 20 Tun NA, Chittin T, Agarwal N, New ML, Thaung Y, Phyo PP. Tobacco use among young adolescents in Myanmar: Findings from global youth tobacco survey. Indian J Public Health 2017; 61: S54-9