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实现可持续发展目标的烟草戒断与消除方法。

Approaches for cessation and elimination of tobacco to atttain sustainable development goal.

作者信息

Ravikoti Shyamala, Bhatia Vikas, Mohanasundari Sekkulandai Kuppuswamy

机构信息

Department of Microbiology, AIIMS Bibinagar, Hyderabad, Telangana, India.

AIIMS Bibinagar, Hyderabad, Telangana, India.

出版信息

J Family Med Prim Care. 2025 May;14(5):1589-1596. doi: 10.4103/jfmpc.jfmpc_1504_24. Epub 2025 May 31.

Abstract

Tobacco use remains a pervasive global health challenge, particularly affecting low- and middle-income countries (LMICs) like India, where it contributes significantly to preventable deaths and economic burdens. This comprehensive review synthesizes current literature from 2010 to 2024 using prominent databases such as PubMed, ScienceDirect, UpToDate, and Embase and extracted 49 full text article focused on tobacco prevalence, health impacts, and control measures in India, emphasizing the urgency of tobacco elimination to achieve sustainable development goals (SDGs). The review includes data from the Global Adult Tobacco Survey (GATS 2), highlighting that 28.6% of Indian adults use tobacco, with variations by gender, urban-rural divide, and product preference. Tobacco use exacerbates health disparities, leading to chronic diseases such as cancer, respiratory conditions, and cardiovascular disorders. Moreover, tobacco compromises immune function, increasing susceptibility to infections like tuberculosis and COVID-19. Effective tobacco control strategies outlined include policy interventions, cessation programs integrating counseling and medication, international collaborations under the WHO Framework Convention on Tobacco Control (FCTC), and leveraging technological advancements like mobile apps and virtual reality for cessation support. This review highlights the importance of coordinated efforts to create a tobacco-free future in India and globally.

摘要

烟草使用仍然是一个普遍存在的全球健康挑战,尤其对印度等低收入和中等收入国家(LMICs)产生影响,在这些国家,烟草使用对可预防的死亡和经济负担有重大影响。本综述综合了2010年至2024年的现有文献,使用了诸如PubMed、ScienceDirect、UpToDate和Embase等著名数据库,并提取了49篇专注于印度烟草流行率、健康影响和控制措施的全文文章,强调消除烟草对实现可持续发展目标(SDGs)的紧迫性。该综述纳入了全球成人烟草调查(GATS 2)的数据,突出显示28.6%的印度成年人使用烟草,存在性别、城乡差异以及产品偏好方面的不同。烟草使用加剧了健康差距,导致癌症、呼吸系统疾病和心血管疾病等慢性病。此外,烟草会损害免疫功能,增加感染结核病和COVID-19等疾病的易感性。概述的有效烟草控制策略包括政策干预、整合咨询和药物治疗的戒烟项目、在世卫组织《烟草控制框架公约》(FCTC)下的国际合作,以及利用移动应用程序和虚拟现实等技术进步提供戒烟支持。本综述强调了在印度和全球共同努力创造无烟未来的重要性。

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