Dasgupta Aparajita, Yadav Akanksha, Paul Bobby, Roy Soumit, Ghosh Pritam, Ghose Sauryadripta
Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
J Family Med Prim Care. 2020 Oct 30;9(10):5288-5294. doi: 10.4103/jfmpc.jfmpc_649_20. eCollection 2020 Oct.
In India, despite implementation of the strategies under National Tobacco Control Programme [NTCP], women are easily exposed to tobacco consumption that is smokeless (SLT) and smoking tobacco along with second-hand smoke [SHS], making them highly susceptible to tobacco hazards.
This study aimed to assess the exposure of women to tobacco use and SHS at home and to elicit predictors of tobacco exposure in a rural community of West Bengal.
A community based, cross-sectional study was conducted among 176 women aged 18 years and above. Data was collected by cluster sampling technique (16*11) using predesigned pretested structured schedule. Tobacco exposure was measured using a composite score including tobacco consumption and SHS at home.
Tobacco use (SLT and smoking tobacco) was significantly associated with educational attainment [AOR = 2.12], occupation [AOR = 2.13] and knowledge [AOR = 1.22]. There was significant association between SHS at home with knowledge [AOR = 1.16] and attitude of the study subjects. [AOR = 1.93]. Overall tobacco exposure (SLT, smoking tobacco, and SHS), was found to be 79.5%. Significant association was found between high tobacco exposure with age group [AOR = 3.82], educational attainment [AOR = 1.74] and knowledge regarding hazards of tobacco [AOR = 1.31].
Prevalence of SLT use as well as exposure of women to SHS at home is unexpectedly high in the study population. Women specific information and education campaigns focusing on tobacco hazards (both tobacco use and SHS) through existing primary health care infrastructure should be strategized under NTCP.
在印度，尽管实施了国家烟草控制计划（NTCP）中的各项策略，但女性仍很容易接触到无烟烟草（SLT）、吸烟以及二手烟（SHS），这使她们极易受到烟草危害。
本研究旨在评估西孟加拉邦一个农村社区中女性在家中接触烟草使用和二手烟的情况，并找出烟草接触的预测因素。
对176名18岁及以上的女性进行了一项基于社区的横断面研究。采用整群抽样技术（16×11），通过预先设计并经过预测试的结构化问卷收集数据。使用包括在家中烟草消费和二手烟情况的综合评分来衡量烟草接触情况。
烟草使用（无烟烟草和吸烟）与教育程度[AOR = 2.12]、职业[AOR = 2.13]和知识水平[AOR = 1.22]显著相关。家中二手烟与知识水平[AOR = 1.16]以及研究对象的态度[AOR = 1.93]之间存在显著关联。总体烟草接触（无烟烟草、吸烟烟草和二手烟）率为79.5%。高烟草接触与年龄组[AOR = 3.82]、教育程度[AOR = 1.74]以及关于烟草危害的知识[AOR = 1.31]之间存在显著关联。
在研究人群中，无烟烟草的使用率以及女性在家中接触二手烟的比例出乎意料地高。应在国家烟草控制计划下制定策略，通过现有的初级卫生保健基础设施开展针对女性的、聚焦于烟草危害（包括烟草使用和二手烟）的信息和教育活动。
