Tobacco use in Kerala: Findings from three recent studies

A. S. Pradeepkumar, Sailesh Mohan, P. Gopalakrishnan, P. Sankara Sarma, K. R. Thankappan, Mark Nichter

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background. We reviewed the literature on tobacco use in Kerala and present data from three recently conducted unpublished studies. Methods: Three cross-sectional studies were conducted; a community-based study of 1298 individuals aged 15 years and above (mean age 37.4 years, men 630), a school-based study of 1323 boys (mean age 14.7 years), and a college-based study of 1254 male students (mean age 18.2 years). Information on tobacco use and sociodemographic variables was collected using pre-tested, structured interview schedules and questionnaires. Results: In the community study, 72% of men and 6% of women had ever used tobacco. Compared to men with >12 years of schooling, those with <5 years of schooling were 7 times more likely to smoke (OR 7, CI 3.2-15.6). The age at initiation of smoking was 19 years among those <25 years of age compared to 25.5 years among ever smokers >44 years. In the school study, the age at initiation among boys aged ≤ 13 years was 10.7 years compared with 13.2 years among ≥ 16-year-old boys. Boys whose fathers and friends used tobacco were 2 times and 2.9 times more likely to use tobacco (OR 2.0, CI 1.3-3.1 and OR 2.9, CI 1.6-5.1), respectively, compared with their counterparts. In the college study, 29% of the commerce students used tobacco compared with 5.3% of polytechnic students (p<0.001). Conclusion: Survey data suggest that the age at initiation of tobacco use appears to be falling. A series of cross-sectional studies with larger sample sizes of the youth is required to confirm this impression. Tobacco use habits of fathers and peers are significant influences on youth smoking. There is a need to focus on particular types of colleges as these appear to have high-risk tobacco use environments.

Original languageEnglish (US)
Pages (from-to)148-153
Number of pages6
JournalNational Medical Journal of India
Volume18
Issue number3
StatePublished - May 2005

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Tobacco Use
Tobacco
Students
Fathers
Accidental Falls
Cross-Sectional Studies
Sample Size
Habits
Appointments and Schedules
Smoking
Interviews

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pradeepkumar, A. S., Mohan, S., Gopalakrishnan, P., Sarma, P. S., Thankappan, K. R., & Nichter, M. (2005). Tobacco use in Kerala: Findings from three recent studies. National Medical Journal of India, 18(3), 148-153.

Tobacco use in Kerala : Findings from three recent studies. / Pradeepkumar, A. S.; Mohan, Sailesh; Gopalakrishnan, P.; Sarma, P. Sankara; Thankappan, K. R.; Nichter, Mark.

In: National Medical Journal of India, Vol. 18, No. 3, 05.2005, p. 148-153.

Research output: Contribution to journalArticle

Pradeepkumar, AS, Mohan, S, Gopalakrishnan, P, Sarma, PS, Thankappan, KR & Nichter, M 2005, 'Tobacco use in Kerala: Findings from three recent studies', National Medical Journal of India, vol. 18, no. 3, pp. 148-153.
Pradeepkumar AS, Mohan S, Gopalakrishnan P, Sarma PS, Thankappan KR, Nichter M. Tobacco use in Kerala: Findings from three recent studies. National Medical Journal of India. 2005 May;18(3):148-153.
Pradeepkumar, A. S. ; Mohan, Sailesh ; Gopalakrishnan, P. ; Sarma, P. Sankara ; Thankappan, K. R. ; Nichter, Mark. / Tobacco use in Kerala : Findings from three recent studies. In: National Medical Journal of India. 2005 ; Vol. 18, No. 3. pp. 148-153.
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