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印度东北部地区烟草使用、饮酒和身体活动的流行情况。

Prevalence of use of tobacco, alcohol consumption and physical activity in the North East region of India.

机构信息

Tata Trusts Cancer Care Program, Mumbai, India.

Tata Trusts Cancer Care Program, Mumbai, India.

出版信息

J Cancer Policy. 2021 Mar;27:100270. doi: 10.1016/j.jcpo.2021.100270. Epub 2021 Jan 18.

Abstract

BACKGROUND

Cancer patients in the North East Region (NER) of India have poorer survival rates compared with the rest of India. This is due to late stage at presentation related to poor awareness, risk factors such as use of tobacco, alcohol consumption and less physical activity, This study aims to determine the association between socio-demographic characters and use of tobacco, alcohol consumption and physical activity among people in the NER.

METHODS

A cross-sectional study of 1400 participants was conducted across Assam, Nagaland and Meghalaya in the NER. A questionnaire was developed to study the socio-demographic profile and factors such as use of tobacco, alcohol consumption and physical activity among participants. Multivariate analysis was performed to understand tobacco and alcohol use and physical activity and a logistic regression analysis was performed to understand the association of different independent variables with lifestyle practice.

RESULTS

Use of tobacco and alcohol consumption was highest amongst males, 25-44 years age range and middle income group as defined in this study. The main reasons given for quitting tobacco and alcohol were becoming aware of the harmful effects of using tobacco, pressure from family and friends, and noticing a deterioration in health. Over 90 % of tobacco users and consumers of alcohol initiated this between 10-30 years of age. In all, 62 % of participants rarely or never engaged in any physical recreational activity.

CONCLUSION

Patterns of use of tobacco and consumption of alcohol and recreational physical activity undertaken in the NER show a strong relationship with gender, age and household income.

POLICY IMPLICATIONS

The paper finds a close association of different pattern of modifiable habits which are the risk factors for cancer in the Northeast Region. The limited awareness about the risk factors strengthen the case of context specific prevention strategies and constant reinforcement of behavior communication strategies by using multipronged approach.

摘要

背景

印度东北部地区(NER)的癌症患者的存活率低于印度其他地区。这是由于与较差的意识、使用烟草、饮酒和较少的体力活动等风险因素相关的晚期表现。本研究旨在确定社会人口特征与东北部地区人们使用烟草、饮酒和体力活动之间的关联。

方法

在 NER 的阿萨姆邦、那加兰邦和梅加拉亚邦进行了一项 1400 名参与者的横断面研究。制定了一份问卷,以研究参与者的社会人口概况以及使用烟草、饮酒和体力活动等因素。进行了多变量分析,以了解烟草和酒精的使用以及体力活动,并进行了逻辑回归分析,以了解不同自变量与生活方式实践的关联。

结果

烟草使用和饮酒在男性、25-44 岁年龄组和本研究中定义的中等收入群体中最高。戒烟和戒酒的主要原因是意识到使用烟草的有害影响、来自家庭和朋友的压力以及注意到健康状况恶化。超过 90%的烟草使用者和酒精消费者在 10-30 岁之间开始使用这些物质。总的来说,62%的参与者很少或从不从事任何体力娱乐活动。

结论

NER 中使用烟草、饮酒和进行体力娱乐活动的模式与性别、年龄和家庭收入密切相关。

政策意义

本文发现不同可改变习惯模式与东北区域癌症的风险因素密切相关。由于对风险因素的认识有限,因此需要制定针对特定情况的预防策略,并通过多管齐下的方法不断加强行为沟通策略。

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