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Biswas B, Varshney S, Jahnavi G, Narasimha VL, Nath S, Venugopal V, Bhattacharya S, Ayub A, Alam B, Kumar U, Jha N. Prevalence of tobacco use, legal awareness and control attitudes among healthcare students, professionals and staff: a multicentric study in India. J Public Health (Oxf) 2025:fdaf041. [PMID: 40269449 DOI: 10.1093/pubmed/fdaf041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Revised: 02/11/2025] [Accepted: 03/24/2025] [Indexed: 04/25/2025] Open
Abstract
BACKGROUND Tobacco use poses a significant global health challenge, particularly within the healthcare sector. This study assessed tobacco use prevalence, legal awareness, control attitudes and the need for greater emphasis on tobacco control in healthcare curricula among professionals, students and staff in Eastern India, specifically in Bihar and Jharkhand. METHODS In July and August 2023, an extensive online survey was conducted across 24 tertiary healthcare institutions involving medical, dental and nursing students, as well as faculty, resident physicians, nursing professionals and support staff. RESULTS The study revealed that 15.9% of participants currently use tobacco, with 9.6% reporting daily use. Notably, non-users demonstrated higher awareness of tobacco-related laws compared to users. Multifactor logistic regression analysis identified several determinants of tobacco use including age, sex, marital status, occupation, family income and geographic origin. A significant finding was that less knowledge about tobacco laws correlated strongly with higher rates of tobacco use. Furthermore, regional variations were observed, with a lower prevalence of tobacco use in participants from southern states. CONCLUSIONS Our findings underscore the necessity of integrating comprehensive tobacco education into healthcare curricula and reinforcing awareness campaigns to effectively mitigate tobacco use within this critical sector.
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Affiliation(s)
- Bijit Biswas
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Saurabh Varshney
- Executive Director & Chief Executive Officer, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - G Jahnavi
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Venkata Lakshmi Narasimha
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka 560029, India
| | - Santanu Nath
- Department of Psychiatry, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Vinayagamoorthy Venugopal
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Sudip Bhattacharya
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Arshad Ayub
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Benazir Alam
- Vital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Ujjwal Kumar
- Vital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
| | - Niwedita Jha
- Vital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, Jharkhand 814152, India
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Sagar S, Bhattarai D, Ghimire S, Bhattarai A, Wagle A, Subedi K. Tobacco use, secondhand exposure and knowledge of secondhand and third-hand smoke among medical college students in Western Nepal: a cross-sectional study. BMJ Open 2024; 14:e086266. [PMID: 39299791 PMCID: PMC11418549 DOI: 10.1136/bmjopen-2024-086266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 08/29/2024] [Indexed: 09/22/2024] Open
Abstract
OBJECTIVES This study was conducted to assess the prevalence of tobacco use, secondhand smoke (SHS) exposure and knowledge about SHS and third-hand smoke (THS) exposure among students in a medical college in Western Nepal. DESIGN This is a cross-sectional study. SETTING Data collection was done from 8 July 2023 to 8 August 2023 in a medical college in Nepal. PARTICIPANTS This study was conducted on undergraduate students studying in a medical college in Western Nepal using a census (whole population) sampling technique. MAIN OUTCOME MEASURES Prevalence of tobacco use was assessed by asking a question, 'Did you use tobacco products within the last 30 days?'. Secondhand smoke exposure and knowledge about SHS and THS exposure were assessed by using structured questionnaires. The χ2 test was used to compare the group exposed and non-exposed to tobacco, SHS and THS by sociodemographic variables (sex, residence, year of study and academic stream). RESULTS The response rate was 96.43% (n=595/617). The overall prevalence of tobacco use was found to be 16.30%. A total of 88.83% of students from clinical years knew about SHS which was more than preclinical students (p <0.001). The Bachelor of Medicine and Bachelor of Surgery students have higher knowledge of SHS as compared with others (p =0.003). More than 95% of students favoured banning smoking in public places. Nearly half of the participants (45.45%) experienced SHS exposure in the last 7 days. More than half proportion of the clinical students knew about THS, which was higher than preclinical students and interns (p <0.001). CONCLUSIONS Tobacco use prevalence among the participants was found to be lower in comparison to other studies including medical students in several Asian countries. Despite more than three-fourths of students knowing the harmful effects of SHS exposure, almost one-half of them were exposed to SHS. The proportion of students who knew about THS exposure was comparably lower.
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Affiliation(s)
- Surabhi Sagar
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
| | - Dikshya Bhattarai
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
| | - Srijana Ghimire
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
| | - Apeksha Bhattarai
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
| | - Anupa Wagle
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
| | - Krishna Subedi
- Department of Community Dentistry, Gandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Kaski, Nepal
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Purkayastha N, Maurya P, Pathak D. Socioeconomic disparity in regular consumption of tobacco among adults: an empirical investigation from Northeast India. JOURNAL OF SUBSTANCE USE 2021. [DOI: 10.1080/14659891.2021.1928307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - Priya Maurya
- Department of Development Studies, International Institute for Population Sciences, Mumbai, India
| | - Dimpal Pathak
- Population Based Cancer Registry, Assam Medical College & Hospital, Dibrugarh, India
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