Khandker Nusrat Nausheen, Biswas Tuhin, Khan Abdullah Nurus Salam, Hasib Enamul, Rawal Lal B
James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Health Systems and Population Studies Division, icddr, b Level 5, 68 Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212 Bangladesh.
Tob Induc Dis. 2017 May 5;15:26. doi: 10.1186/s12971-017-0131-1. eCollection 2017.
Use of tobacco has become one of the major causes of premature deaths in most developing countries, including Bangladesh. The poorest and most disadvantaged populations, such as those living in slums, are considered to be extremely vulnerable to non-communicable diseases and their risk factors, especially tobacco use. The objective of this study was to assess the current status of tobacco consumption among slum dwellers and its association with socio-demographic factors.
A cross-sectional study was conducted in three slums of Dhaka city. Information about tobacco use as well as socio-demographic characteristics was collected from adult slum dwellers via face to face interviews using WHO STEPS questionnaire.
Overall proportion of smoking, smokeless tobacco consumption and dual use of tobacco was 35% [95% CI: 31.6-39.8], 40.6% [95% CI: 36.5-45.2] and 12% [95% CI: 9.3-15.0] respectively. Elderly people (55-64 years) were more likely to smoke (OR: 2.34, 95% CI: 1.21-4.49) than younger people (aged 25-34 years). On the other hand, those who had no schooling history (OR: 2.95, 95% CI: 1.66-5.25) were more likely to consume smokeless tobacco than those who had higher education (secondary or above). At the same time, manual workers were more likely to indulge in dual use of tobacco (OR: 5.17, 95% CI: 2.82-9.48) as compared to non-manual workers.
The urban slum population of Dhaka city has a high prevalence of tobacco use, which increases their likelihood of developing non-communicable diseases. Proper attention needs to be directed towards addressing the risk factors related to non-communicable diseases within this vulnerable population.
在包括孟加拉国在内的大多数发展中国家，烟草使用已成为过早死亡的主要原因之一。最贫困和最弱势的人群，如居住在贫民窟的居民，被认为极易受到非传染性疾病及其风险因素的影响，尤其是烟草使用。本研究的目的是评估贫民窟居民的烟草消费现状及其与社会人口学因素的关联。
在达卡市的三个贫民窟进行了一项横断面研究。通过使用世界卫生组织的“逐步调查”问卷，对成年贫民窟居民进行面对面访谈，收集有关烟草使用以及社会人口学特征的信息。
吸烟、无烟烟草消费和烟草双重使用的总体比例分别为35%[95%置信区间：31.6 - 39.8]、40.6%[95%置信区间：36.5 - 45.2]和12%[95%置信区间：9.3 - 15.0]。老年人（55 - 64岁）比年轻人（25 - 34岁）更有可能吸烟（比值比：2.34，95%置信区间：1.21 - 4.49）。另一方面，没有受教育经历的人（比值比：2.95，95%置信区间：1.66 - 5.25）比受过高等教育（中学及以上）的人更有可能消费无烟烟草。同时，体力劳动者比非体力劳动者更有可能沉迷于烟草双重使用（比值比：5.17，95%置信区间：2.82 - 9.48）。
达卡市的城市贫民窟人口烟草使用率很高，这增加了他们患非传染性疾病的可能性。需要对这一弱势群体中与非传染性疾病相关的风险因素给予适当关注。
