Sucharitha Sree T, Pradeep Rangasawmy, Vikram Ashokkumar, Sivagurunathan Chinnaian, Ezhilvanan Mani, Premkumar K
Department of Community Medicine, Tagore Medical College and Hospital, Rathinamangalam, Chennai, Tamil Nadu, India.
Department of Psychiatry, Madha Medical College and Research Institute, Tandalam, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2022 Aug;11(8):4452-4459. doi: 10.4103/jfmpc.jfmpc_26_22. Epub 2022 Aug 30.
The tobacco epidemic is one of the biggest public health threats the world has ever faced, which kills more than 8 million people a year around the world. Transgenders are prone to use and abuse substances including tobacco and alcohol as a coping mechanism to manage minority stress experienced due to high levels of discrimination and lack of acceptance by society.
Among transgenders living in Chennai city, Tamil Nadu, (1) we aimed to estimate the prevalence and describe the pattern of tobacco use and (2) identify the sociodemographic factors associated with tobacco use.
A community-based cross-sectional analytical study was conducted among 734 transgender adults living in the Chennai city of Tamil Nadu. A pre-tested, semi-structured interview schedule was used. Descriptive statistics such as frequency and proportions were used for categorical variables. Chi-square test was applied to find the significance of the association between tobacco use and sociodemographic factors.
The prevalence of the current use of any form of tobacco products among transgenders was 64.4%. About 27% had tried to stop using tobacco during the past 1 year. Education status, socioeconomic class, and occupation were significantly associated with the current use of any form of tobacco and trying to quit tobacco use.
The prevalence of tobacco use among transgenders is alarming. The present study findings highlight the need to increase awareness activities by health authorities and non-government organizations (NGOs)/community-based organizations (CBOs) to generate awareness about the health hazards of tobacco use among transgenders. Tobacco control programs focussing on transgenders are essential.
烟草流行是世界所面临的最大公共卫生威胁之一，全球每年有超过800万人因此丧生。跨性别者容易使用和滥用包括烟草和酒精在内的物质，以此作为应对因遭受高度歧视和社会不接纳而产生的少数群体压力的一种机制。
在泰米尔纳德邦金奈市的跨性别者中，（1）我们旨在估计烟草使用的患病率并描述其模式，（2）确定与烟草使用相关的社会人口学因素。
在泰米尔纳德邦金奈市居住的734名跨性别成年人中开展了一项基于社区的横断面分析研究。采用了经过预测试的半结构化访谈提纲。分类变量使用频率和比例等描述性统计方法。应用卡方检验来确定烟草使用与社会人口学因素之间关联的显著性。
跨性别者中当前使用任何形式烟草制品的患病率为64.4%。在过去1年中，约27%的人曾试图戒烟。教育程度、社会经济阶层和职业与当前使用任何形式烟草以及试图戒烟显著相关。
跨性别者中的烟草使用率令人担忧。本研究结果凸显了卫生当局以及非政府组织/社区组织提高宣传活动，以提高跨性别者对烟草使用健康危害认识的必要性。针对跨性别者的烟草控制项目至关重要。
