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Social impacts on adult use of tobacco: findings from the International Tobacco Control Project India, Wave 1 Survey / Cecily S Ray;MS Pednekar;PC Gupta;M Bansal-Travers;ACK Quah;GT Fong

Tác giả : Cecily S Ray;MS Pednekar;PC Gupta;M Bansal-Travers;ACK Quah;GT Fong

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2016

Chủ đề : 1. India. 2. smokeless tobacco. 3. smoking. 4. social environment. 5. tobacco. 6. tobacco use. 7. Journal / periodical articles.

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Tóm tắt :

Background: Social impacts on tobacco use have been reported but not wellquantified. This study investigated how strongly the use of smoked and smokelesstobacco may be influenced by other users who are close to the respondents.Methods: The International Tobacco Control Project (TCP), India, used stratifiedmultistage cluster sampling to survey individuals aged ≥15 years in four areas ofIndia about their tobacco use and that of their close associates. The present studyused logistic regression to calculate odds ratios (ORs) for tobacco use for eachtype of close associate.Results: Among the 9780 respondents, tobacco use was significantly associatedwith their close associates’ (father’s, mother’s, friends’, spouse’s) tobacco usein the same form. After adjusting for confounding variables, women smokerswere nine times more likely to have a mother who ever smoked (OR: 9.0;95% confidence interval [CI]: 3.3–24.7) and men smokers five times more likely(OR: 5.4; 95% CI: 2.1–14.1) than non-smokers. Men smokers were seven timesmore likely to have close friends who smoked (OR: 7.2; 95% CI: 5.6–9.3). Usersof smokeless tobacco (SLT) were five times more likely to have friends who usedSLT (OR: 5.3; 95% CI: 4.4–6.3 [men]; OR: 5.0; 95% CI: 4.3–5.9 [women]) and fourtimes more likely to have a spouse who used SLT (OR: 4.1; 95% CI: 3.0–5.8 [men];OR: 4.3; 95% CI: 3.6–5.3 [women]), than non-users. The ORs for the associationof the individuals’ tobacco use, whether smoked or smokeless, increased with thenumber of close friends using it in the same form.Conclusion: The influence of family members and friends on tobacco use needsto be appropriately addressed in tobacco-control interventions.

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https://iris.who.int/handle/10665/329659