Areca nut consumption with and without tobacco among the adult population: a nationally representative study from India
| Autor: | Dhirendra N Sinha, Sumit Mazumdar, Kurt Straif, Amit Yadav, Shalini Singh, Prashant Singh, Lucky Singh |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Nut
Adult Male medicine.medical_specialty cancer pain India Nicotine 03 medical and health sciences 0302 clinical medicine Environmental health Tobacco Medicine Humans Nuts 030212 general & internal medicine Areca Smoking and Tobacco Consumption (economics) biology business.industry Public health Tobacco control public health digestive oral and skin physiology food and beverages health policy General Medicine biology.organism_classification Cross-Sectional Studies 030220 oncology & carcinogenesis Relative risk Marital status Female business medicine.drug |
| Zdroj: | BMJ Open, Vol 11, Iss 6 (2021) BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveAreca nut is one of the most widely consumed substances globally, after nicotine, ethanol and caffeine and classified as carcinogenic to humans. This study examines the disparity and determinants of areca nut consumption with and without tobacco in India.DesignNationally representative cross-sectional study.ParticipantsWe used the nationally representative Global Adult Tobacco Survey 2016–2017. The analytical sample size was 74 037 individual’s aged 15 years and above with a response rate of 92.9%.MeasuresCurrent consumption of areca nut without tobacco and with tobacco.MethodWe examined determinants of areca nut consumption (without tobacco and with tobacco) using multinomial logistic regression, accounting for the survey design.ResultsAbout 23.9% (95% CI 23.1 to 24.8) of the adult population consume areca nut, that is, approximately 223.79 million people in India; majority of users (14.2%–95% CI 13.5 to 14.9) consumed areca nut with tobacco. When compared with women, men were more likely to consume areca nut (with tobacco relative risk (RR)=2.02; 95% CI 1.85 to 2.21 and without tobacco RR=1.13; 95% CI 1.07 to 1.20). Age, marital status, education, occupation, caste, religion and region were significantly associated with areca nut consumption. However, the direction and magnitude of association differ with respect to the areca nut consumption with and without tobacco.ConclusionThe ongoing tobacco control efforts would not address the majority of areca nut users until greater attention to areca nut consumption with and without tobacco is reflected in health policies in India. |
| Databáze: | OpenAIRE |
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