Social and Family Influence on Initiation of Smokeless Tobacco Addiction
DOI:
https://doi.org/10.51985/JBUMDC2023304Keywords:
Smokeless Tobacco, Tobacco Use Initiation, Social Influence, Family Influence, AddictionAbstract
Objective: This study aims to assess the family and social influence on the initiation of tobacco chewing among tobacco addicts visiting Dr. K.M Pfau civil hospital, Karachi.
Methodology: A cross-sectional study was conducted at Dr. K.M Pfau civil hospital Karachi. Two groups were compared, 65 tobacco chewers who were classified as group 1, 65 more people of similar age and gender who abstained from all tobacco use were classified as group 2. Data was collected using a questionnaire about tobacco chewing addiction in parents, siblings and friends from both groups. The data was analyzed using SPSS.
Results: In group 1, there were 65 tobacco chewers and in group 2, there were 65 healthy controls of alike age and gender who had no addiction. In group 1, 40% individuals had tobacco chewer parents, 14% individual’s siblings were tobacco chewers and 18% had both tobacco chewer parents and siblings. In group 2, 11% individuals had parents who were tobacco chewers, 18% had tobacco chewer siblings and 71% of the individual did not have a tobacco chewing habit in the family. This shows tobacco chewing habits are more common in people with parents and siblings having these habits rather than people who have no addiction in the family.
Conclusion: Compared to non-user families, subjects of tobacco-using families had a greater prevalence of tobacco use. These findings provide guidance for creating effective tobacco reduction plans that reduce tobacco use
References
Warnakulasuriya S, Muthukrishnan A. Oral health
consequences of smokeless tobacco use. Indian J Med Res.
;148(1):35.
Khan Z, Khan S, Christianson L, Rehman S, Ekwunife O,
Samkange-Zeeb F. Smokeless Tobacco And Oral Potentially
Malignant Disorders in South Asia: A systematic review and
meta-analysis.Nicotine Tob Res. 2018; 20(1). https://doi.org
/10.1093/ntr/ntw310
Sinha DN, Abdulkader RS, Gupta PC. Smokeless tobaccoassociated cancers: A systematic review and meta-analysis
of I ndian studies. Int J Cancer. 2016 ;138(6):1368-79.
https://doi .org/10.1002/ijc.29884
D.H Dhage, P A Hiwarkar, U.G. Kawalkar, U Joge, V Malkar,
G Soyam et al. Clinical profile and socioeconomic status of
oral cancer patients attending tertiary care center in India.
Sch. J. App. Med. Sci. 2017; 5(3C):859-863 DOI: 10.21276/
sjams. 2017.5.3.32
Niaz K, Maqbool F, Khan F, Bahadar H, Hassan FI, Abdollahi
M. Smokeless tobacco (paan and gutkha) consumption,
prevalence, and contribution to oral cancer. Epidemiol
Health.2017;39. doi: 10.4178/epih.e2017009
Aniwada E, Uleanya N, Ossai E, Nwobi E, Anibueze M.
Tobacco use: Prevalence, pattern, and predictors, among those
aged 15-49 years in Nigeria, a secondary data analysis. Tob
Induc Dis. 2018 ;16:07. https://doi.org/10.18332 %2Ftid%
F82926
2014 GATS Country Report Pakistan. (2022). Retrieved 17
January 2022, from https://www.who.int/publications/m/
item/2014-gats-country-report-pakistan
2014 gats country report Pakistan [Internet]. World Health
Organization. World Health Organization; [cited 2022Oct20].
Available from: https://www.who.int/publications
/m/item/2014-gats-country-report-pakistan
Sharma R, Martins N, Tripathi A, Caponnetto P, Garg N,
Nepovimova E, Kuèa K, Prajapati PK. Influence of family
environment and tobacco addiction: A short report from a
Post-Graduate Teaching Hospital, India. Int J Environ Res
Public Health.. 2020;17(8):2868. https://doi.org/10.3390
/ijerph17082868
Osler M., Holst C., Prescott E., Sørensen, T. Influence of
genes and family environment on adult smoking behavior
assessed in an adoption study. Genet Epidemiol. 2001;21(3)
:193-200. https://doi.org/10.1002/gepi.1028
Goyal A, Sharma A, Agarwal S, Bhansali S, Chhabra KG,
Chhabra C. Determinants of Tobacco Use among Children
of a Rural Village in India: An Exploratory Qualitative Study.
Asian Pac J Cancer Prev. 2020;21(1):81-86. https://doi.org/
31557 %2FAPJCP.2020.21.1.81
Saqib MAN, et al. Burden of tobacco in Pakistan: findings
from global adult tobacco survey 2014. Nicotine Tob Res.
;20(9):1138–43. https://doi.org/10.1093/ntr/ntx179
Zubair F, Husnain MI, Zhao T, Ahmad H, Khanam R. A
gender-specific assessment of tobacco use risk factors: evidence
from the latest Pakistan demographic and health survey. BMC
Public Health. 2022;22(1):1133. https://doi.org/10.1186
/s12889-022-13574-2
U.S. Department of Health and Human Services, ICF
International. Protecting Children in Families Affected by
Substance Use Disorders; Child Abuse and Neglect User
Manual Series; U.S. Department of Health and Human
Services, ICF International: Fairfax, VA, USA, 2009. Available
online: https://www.childwelfare.gov/ pubPDFs/substanceuse.
pdf (accessed on 12 June 2019).
Baheiraei A, Soltani F, Ebadi A, Cheraghi MA, Rahimi
Foroushani A. Family and peer risk factors as predictors of
lifetime tobacco use among Iranian adolescents: gender
similarities and differences. Glob J Health Sci. 2014 Apr
;6(4):63-75 https://doi.org/10.5539%2Fgjhs.v6n4p63
Kakde S, Bhopal RS, Jones CM. A systematic review on the
social context of smokeless tobacco use in the South Asian
population: implications for public health. Public health.
;126(8):635-45. https://doi.org/10.1016/ j.puhe. 2012.05
.002
Rozi, S., Mahmud, S., Lancaster, G. and Zahid, N. Peer
Pressure and Family Smoking Habits Influence Smoking
Uptake in Teenage Boys Attending School: Multilevel
Modeling of Survey Data. Open J EpidemiolA, 2016;6(3):167.
Assari, S.; Smith, J.L.; Zimmerman, M.A.; Bazargan, M.
Cigarette Smoking among Economically Disadvantaged
African-American Older Adults in South Los Angeles: Gender
Differences. Int. J. Environ. Res. Public Health 2019, 16,
https://doi.org/10.3390/ijerph16071208
Solhi M, Fattahi E, Manzari ZS, Gupta PC, Kargar M, Kasmaei
P, Barati H. The Reasons for Using Smokeless Tobacco: A
Review. Iran J Public Health. 2021;50(3):492-501. https://doi
.org /10.18502%2Fijph.v50i3.5589
Molero Jurado MD, Pérez-Fuentes MD, Barragán Martín AB,
del Pino Salvador RM, Gázquez Linares JJ. Analysis of the
relationship between emotional intelligence, resilience, and
family functioning in adolescents’ sustainable use of alcohol
and tobacco. Sustainability. 2019;11(10):2954. https://doi.org/
3390/su11102954
Ma C, Xi B, Li Z, Wu H, Zhao M, Liang Y, Bovet P. Prevalence
and trends in tobacco use among adolescents aged 13–15
years in 143 countries, 1999–2018: findings from the Global
Youth Tobacco Surveys. Lancet Child Adolesc Health.
;5(4):245-55. DOI: 10.1016/S2352-4642(20)30390-4
Xi B, Liang Y, Liu Y, et al. Tobacco use and second-hand
smoke exposure in young adolescents aged 12–15 years: data
from 68 low-income and middle-income countries. Lancet
Glob Health 2016; 4: e795–805. DOI: 10.1016/S2214-109X
(16)30187-5
Siddiqi K, Scammell K, Huque R, Khan A, Baral S, Ali S,
Watt I. Smokeless tobacco supply chain in South Asia: a
comparative analysis using the who framework convention
on tobacco control. Nicotine Tob Res. 2015;18(4):424-30.
https://doi.org/10.1093/ntr/ntv067
World Health Organization. WHO framework convention on
tobacco control: guidelines for implementation of article 5.
, Articles 8 To 14. World Health Organization; 2013.
WHO Framework Convention on Tobacco Control. (2022).
Retrieved 17 January 2022, from https://www.who.int/fctc
/text_download/en/
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Copyright (c) 2024 Munira Tahir, Tariq Zahid Khan, Zeba Ahmed, Tehmina Junaid, Rajesh Vasandani, Mohammad Hussain Rizvi
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