Background and objectives: Tobacco use leads to over 7 million deaths each year worldwide and is expected to rise to over 8 million by 2030. The aim of the present study was to assess the prevalence of current tobacco use in the smoked and smokeless form in Punjab, India.
Methodology: This cross-sectional study was conducted from December 2015 till March 2016. A three-stage sampling technique was used for collecting data from three randomly selected districts representing three major regions of Punjab, India. A sample size of 510 individuals was divided equally into urban and rural area with proportionate sampling on basis of subsets of age groups and gender. The questionnaire based on tobacco questions for the survey (TQS), a subset of key questions from the global adult tobacco survey (GATS) was used.
Results: Overall, the prevalence of current tobacco use was 11.5%. The smoked form was more prevalent (15.2%) as compared to smokeless (7.8%) form. The odds for smoked tobacco users are 4 times more in age group of 45 years and above (OR 4.9, 95% CI 1.4, 16.8). In addition, an antagonistic relationship between education and use of smoked tobacco was observed as the odds ratio decreased with increasing level of education (OR 0.83–0.13, C.I. 0.23–2.97, 0.02–0.74).
Conclusion: Tobacco use was low in Punjab, India especially in females as compared to other states of the country. Despite of low overall prevalence of tobacco use, it is higher among low socio economic underprivileged groups and people with low literacy levels. The focus of government should be on these groups and address the need for active tobacco cessation facilities in the state.
Government of India. Ministry of Health & Family Welfare, Global Adult Tobacco Survey, India.2009-2010.
Drope J, Schluger N, Cahn Z, Drope J, Hamill S, Islami F, et al. The Tobacco Atlas. Atlanta: American Cancer Society and Vital Strategies. 2018.
Atlanta, Georgia, 30303, USA: Published by the American Cancer Society; 2015.
Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, Brauer M, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet.2015;386(10010):2287–2323.
World Health Organization. WHO report on the global tobacco epidemic, 2013 enforcing bans on tobacco advertising, promotion and sponsorship [Internet]. Geneva: World Health Organization;2013.
U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
World Health Organization. WHO Framework Convention on Tobacco Control, Geneva.2003.
Government of India. The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, and rules framed there under. 2003.
National tobacco control programme, report by Tobacco control cell Punjab.
Government of India. Ministry of Home Affairs. Directorate of Census Operations, Punjab.
Binson D, Catania JA. Random selection in a national telephone survey: a comparison of the Kish, next-birthday, and last-birthday methods. Journal of Official Statistics. 2000 Mar 1;16(1):53.
Centres for Disease Control and Prevention. World Health Organisation. Tobacco Questions for Surveys, 2nd edition; 2011.
Bhawna G. Burden of smoked and smokeless tobacco consumption in India-results from the global adult tobacco survey India (GATS-India)-2009-2010. Asian Pacific Journal of Cancer Prevention. 2013;14(5):3323-9.
Palipudi K, Rizwan SA, Sinha DN, Andes LJ, Amarchand R, Krishnan A, et al. Prevalence and sociodemographic determinants of tobacco use in four countries of the World Health Organization: South-East Asia region: findings from the Global Adult Tobacco Survey. Indian journal of cancer. 2014 Dec 1;51(5):24.
Thakur JS, Jeet G, Pal A, Singh S, Singh A, Deepti SS, et al. Profile of risk factors for non-communicable diseases in Punjab, Northern India: Results of a state-wide STEPS survey. PLoS One. 2016 Jul 7;11(7):e0157705.
Singh A, Ladusingh L. Prevalence and determinants of tobacco use in India: Evidence from recent global adult tobacco survey data. PloS one. 2014 Dec 4;9(12):e114073.
Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L. Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tobacco control. 2003 Dec 1;12(4):e4.
Chadda RK, Sengupta SN. Tobacco use by Indian adolescents. Tobacco induced diseases. 2002 Jun;1(2):111.
Sinha DN, Palipudi KM, Rolle I, Asma S, Rinchen S. Tobacco use among youth and adults in member countries of South- East Asia region: Review of findings from surveys under the global tobacco surveillance system. Indian J Public Health 2011;55:169-176.
Sorensen G, Gupta PC, Pednekar MS. Social disparities in tobacco use in Mumbai, India: the roles of occupation, education, and gender. American journal of public health. 2005 Jun;95(6):1003-1008.
Government of India. Ministry of Health & Family Welfare, Global Adult Tobacco Survey, India. 2016-2017.
Ravindra K, Tripathy JP, Tripathy NK. Dynamics of multistakeholder engagement and its role in achieving high compliance of a tobacco control programme. World Development Perspectives. 2016 Sep 1;3:7-11.
Goel S, Ravindra K, Singh RJ, Sharma D. Effective smoke-free policies in achieving a high level of compliance with smokefree law: experiences from a district of North India. Tobacco control. 2014 Jul 1;23(4):291-294.