• 제목/요약/키워드: Tobacco epidemic

검색결과 14건 처리시간 0.021초

Predictors of Tobacco Use among Youth in India: GATS 2009-2010 Survey

  • Sharma, Shailja;Singh, Mitasha;Lal, Pranay;Goel, Sonu
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7535-7540
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    • 2015
  • Background: Early initiation of smoking and chewing of diverse forms of tobacco among youth in India is a significant driver for tobacco epidemic in India. Several socio-demographic factors are predictors of tobacco use in populations, especially among youth. Interventions which address these socio-demographic factors can help policy makers to curb new initiations and avert morbidity and mortality due to tobacco use. Objective: To study the various sociodemographic variables associated with tobacco use among youth in India. Materials and Methods: Secondary analysis of data from the Global Adult Tobacco Survey-India 2009-10 for the age group of 15-24 years was performed and predictors of smoking and smokeless tobacco were analyzed using data on occupation, education, and other sociodemographic factors. Results: In India there are a total of 51.3 million (22.1%) youth (15-24 years) tobacco users. Of these 35.1 million consumes chewable tobacco (15.1%), 16.2 million smoke (7%) and 1.6 million are dual users (3.1%). Males, urban, less educated, un-employed and those belonging to middle class preferred smoking over chewing; whereas, females, rural, students and those belonging to low socio-economic class are predictors of smokeless tobacco use. The major determinants of dual users are male sex, poor socio-economic strata and student class. The overall tobacco use was higher among males, rural populations, lower socioeconomic strata and un-employed class. Conclusions: India's youth is more susceptible to the tobacco addiction, especially of smokeless tobacco. Youth from rural India especially students, girls and those from poor socio-economic strata prefer to use smokeless tobacco products whereas urban, male and those less educated prefer smoking tobacco products. More population-based and region-focused research is needed to understand initiation patterns into tobacco use among youth so as to inform policymakers to devise new policy measures to curb the growing epidemic.

The Youth Tobacco Epidemic in Asia: Implications on Health Education

  • Kim, Minja--Choe;Byon, Jin-Young
    • 한국보건교육건강증진학회:학술대회논문집
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    • 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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    • pp.21-25
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    • 2001
  • . Tobacco Use and Mortality: - If things do not change, deaths due to tobacco use in the world will increase from 4 million in 1998 to 10 million in 2030 - Developed regions will experience 50% increase, while Asia will experience fourfold increase - globally, tobacco will be responsible for one in eight deaths by late 2020s. - Globally, at least one in three teen-age smokers will die prematurely as a result of smoking(omitted)

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The Single Cigarette Economy in India - a Back of the Envelope Survey to Estimate its Magnitude

  • Lal, Pranay;Kumar, Ravinder;Ray, Shreelekha;Sharma, Narinder;Bhattarcharya, Bhaktimay;Mishra, Deepak;Sinha, Mukesh K.;Christian, Anant;Rathinam, Arul;Singh, Gurbinder
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5579-5582
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    • 2015
  • Background: Sale of single cigarettes is an important factor for early experimentation, initiation and persistence of tobacco use and a vital factor in the smoking epidemic in India as it is globally. Single cigarettes also promote the sale of illicit cigarettes and neutralises the effect of pack warnings and effective taxation, making tobacco more accessible and affordable to minors. This is the first study to our knowledge which estimates the size of the single stick market in India. Materials and Methods: In February 2014, a 10 jurisdiction survey was conducted across India to estimate the sale of cigarettes in packs and sticks, by brands and price over a full business day. Results: We estimate that nearly 75% of all cigarettes are sold as single sticks annually, which translates to nearly half a billion US dollars or 30 percent of the India's excise revenues from all cigarettes. This is the price which the consumers pay but is not captured through tax and therefore pervades into an informal economy. Conclusions: Tracking the retail price of single cigarettes is an efficient way to determine the willingness to pay by cigarette smokers and is a possible method to determine the tax rates in the absence of any other rationale.

Perception and Practices of Physicians in Addressing the Smokeless Tobacco Epidemic: Findings from Two States in India

  • Panda, Rajmohan;Persai, Divya;Mathur, Manu;Sarkar, Bidyut Kanti
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7237-7241
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    • 2013
  • Background: Smokeless tobacco use in South Asia is believed to be a significant contributor to morbidity and mortality. In India, only a few studies involving health educational intervention by health care providers have demonstrated reduction in smokeless tobacco usage. In the present study we assessed the cessation efforts towards smokeless tobacco by physicians in two high tobacco prevalence states of India. The study also identified opportunities and barriers for integration of tobacco cessation services in routine practices of physicians. Materials and Methods: This mixed method study involved qualitative (phase I) and quantitative research study (phase II). In phase I, 59 in-depth interviews with physicians were conducted. In phase II, a quantitative study conducted among 238 physicians. An inductive approach was followed to analyze qualitative data using ATLAS. Ti software. The Chi-square test was employed to test the association between different variables of interest using SPSS version 17. Results: The majority of physicians related only respiratory problems and cancer with smokeless tobacco. Other major health effects like cardio-vascular problems, oral diseases, and effects on reproductive and neonatal health were recognized only by a few physicians. The age-group of 10-19 years was identified as most vulnerable to smokeless tobacco use. Less than one-third of physicians reported recording smokeless tobacco history of all patients. Findings indicated that less than half of physicians provided information on harmful health effects of smokeless tobacco with regard to specific diseases. Conclusions: The study revealed a low level of knowledge of physicians about harmful effects of tobacco and their suboptimal engagement in tobacco control practices. The study indicates the need of capacity building initiatives to equip physicians with skills in tobacco cessation.

Prevalence of Potentially Malignant Oral Mucosal Lesions among Tobacco Users in Jeddah, Saudi Arabia

  • Al-Attas, Safia Ali;Ibrahim, Suzan Seif;Amer, Hala Abbas;Darwish, Zeinab El-Said;Hassan, Mona Hassan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.757-762
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    • 2014
  • Smoking is recognized as a health problem worldwide and there is an established tobacco epidemic in Saudi Arabia as in many other countries, with tobacco users at increased risk of developing many diseases. This cross sectional study was conducted to assess the prevalence of oral mucosal, potentially malignant or malignant, lesions associated with tobacco use among a stratified cluster sample of adults in Jeddah, Saudi Arabia. A sample size of 599 was collected and each participant underwent clinical conventional oral examination and filled a questionnaire providing information on demographics, tobacco use and other relevant habits. The most common form of tobacco used was cigarette smoking (65.6 %) followed by Shisha or Moasel (38.1%), while chewing tobacco, betel nuts and gat accounted for 21-2%, 7.7%, and 5% respectively. A high prevalence (88.8%) of soft tissue lesions was found among the tobacco users examined, and a wide range of lesions were detected, about 50% having hairy tongue, 36% smoker's melanosis, 28.9% stomatitis nicotina, 27% frictional keratosis, 26.7% fissured tongue, 26% gingival or periodontal inflammation and finally 20% leukodema. Suspicious potentially malignant lesions affected 10.5% of the subjects, most prevalent being keratosis (6.3%), leukoplakia (2.3%), erythroplakia (0.7%), oral submucous fibrosis (0.5%) and lichenoid lesions (0.4%), these being associated with male gender, lower level of education, presence of diabetes and a chewing tobacco habit. It is concluded that smoking was associated with a wide range of oral mucosal lesions, those suspicious for malignancy being linked with chewable forms, indicating serious effects.

Systematic Review on International Practices in Controlling Waterpipe Tobacco Smoking

  • Tee, Guat Hiong;Hairi, Noran N;Nordin, Fauziah;Choo, Wan Yuen;Chan, Ying Ying;Kaur, Gurpreet;Veerasingam, Pathma Devi;Bulgiba, Awang
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.3659-3665
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    • 2015
  • Background: Waterpipe tobacco smoking has becoming popular especially among young people worldwide. Smokers are attracted by its sweeter, smoother smoke, social ambience and the misconception of reduced harm. The objective of this study was to systematically review the effects of waterpipe tobacco policies and practices in reducing its prevalence. Materials and Methods: A systematic review was conducted electronically using the PubMed, OVID, Science Direct, Proquest and Embase databases. All possible studies from 1980 to 2013 were initially screened based on titles and abstracts. The selected articles were subjected to data extraction and quality rating. Results: Three studies met the inclusion criteria and were eligible for this review. Almost all of the waterpipe tobacco products and its accessories did not comply with the regulations on health warning labelling practices as stipulated under Article 11 of WHO FCTC. In addition, the grisly new warning labels for cigarettes introduced by Food and Drug Administration did not affect hookah tobacco smoking generally. Indoor air quality in smoking lounges was found to be poor and some hookah lounges were operated without smoke shop certification. Conclusions: Our findings revealed the availability of minimal information on the practices in controlling waterpipe smoking in reducing its prevalence. The lack of comprehensive legislations or practices in controlling waterpipe smoking warrants further research and policy initiatives to curb this burgeoning global epidemic, especially among the vulnerable younger population.

Predictors of Cigarette Smoking among Young Adults in Mangalore, India

  • Lalithambigai, G;Rao, Ashwini;Rajesh, G;Ramya, Shenoy;Pai, BH Mithun
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.45-50
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    • 2016
  • Background: The tobacco epidemic is a heralding health menace, particularly among college students. Tobacco usage among young can have an especially devastating effect as they can be exposed for longer periods. Data to estimate the prevalence of tobacco use in young adults will be a valuable addition to the existing resources. Materials and Methods: An analytical cross-sectional study was therefore carried out in Mangalore city using a pre-tested, self-administered questionnaire adapted from the Global Youth Tobacco Survey (GYTS) with a representative sample of 720 students aged 18-20 years selected from degree colleges by multi-stage random sampling. Results: Prevalence of 'ever users' and 'current users' of smoking were 20.4% and 11.4%, respectively. The mean age at initiation of cigarette smoking was 16 years and the majority (31 %) smoked in public places. Interestingly, 84% of them knew about the harmful effects of cigarette smoking. About one half of smokers had some or most of their friends smoking. Multivariate analysis revealed gender (OR=8.585: CI-3.26-22.5), pocket money (OR=4.165; CI=1.76-9.82) and peer's smoking habit (OR= 5.15; CI-2.21-11.9) have higher odds as correlates of tobacco usage among college students. Conclusions: It is of prime importance to highlight the role of prevention of smoking initiation rather than subsequently trying to stop the habit. Comprehensive interventions embracing family, friends and social milieu are needed to reduce tobacco use among students in India.

돼지 유행성 설사병 바이러스 스파크 단백질 유전자 발현 형질전환 담배 배양세포 (Transgenic tobacco culture cells expressing spike protein gene of porcine epidemic diarrhea virus)

  • 양경실;김현수;권석윤;곽상수;이행순
    • Journal of Plant Biotechnology
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    • 제35권1호
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    • pp.87-94
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    • 2008
  • Porcine epidemic diarrhea virus (PEDV)는 돼지의 급성장염을 유발하여 설사 등의 증상을 일으키는 바이러스이다. 본 연구에서는 PEDV 항원단백질을 생산하는 담배 배양세포주를 개발하고자 하였다. PEDV에서 항원성이 알려진 스파크 단백질의 일부분을 암호화하는 유전자를 PCR로 합성하여 4종류의 형질전환 벡터를 제작하였다. 담배 배양세포 BY-2를 재료로 하여 Agrobacterium tumefaciens을 매개로 형질전환하였다. 선발배지 (MS salt, $KH_2PO_4$ 370 mg/L, 2,4-D 0.18 mg/L, Thiamin HCl 1 mg/L, kanamycin 100 mg/L, 침랙무 400 mg/L)에서 캘러스를 3주 간격으로 3개월 동안 계대배양하여 카나마이신 저항성 캘러스를 선발하였다. 선발된 캘러스를 대상으로 PCR 분석한 결과 형질전환 효율은 75% 이상이었으며 벡터당 40 여개 이상의 형질전환 배양세포주를 얻었다. 형질전환 배양세포주를 대상으로 Southern blot 분석하여 PEDV 유전자가 고구마 식물체의 게놈으로 안정적으로 도입되었음을 확인하였다. Northern blot 분석 결과 PEDV 스파크 단백질 유전자가 높은 수준으로 발현함을 확인하였으며 dot blot으로 PEDV 스파크 단백질 고생산 배양세포주를 선발하였다. 형질전환 담배 배양세포로부터 생산된 PEDV 항원단백질을 BALB/c 마우스에 경구투여 하여 면역활성을 조사한 결과 형질전환 세포주인 35S::SP1-M, 35S::SP2-M, 35S::SP4-M 세포주에서 1:10의 희석배수까지 바이러스 억제효과가 관찰되었다. 제작된 형질전환 벡터는 고구마와 같은 경구용 사료작물에 활용할 수 있을 것이다.

담배 야화병의 발생소장과 그 방제에 관한 연구 (Studies on the Disease Development and Chemical Control of Tobacco Wild Fire)

  • 허일;반유선
    • 한국응용곤충학회지
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    • 제9권2호
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    • pp.91-94
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    • 1970
  • 1. 담배 야화병은 비교적 기온과 습도가 낮은 $(18-20^{\circ}C,\; 65-75\%)$, 6월 상순부터 중순에 걸쳐 발생하기 시작했으며 기온과 습도가 점차 높아지는 $(22-26^{\circ}C,\;65-68\%)$ 6월 하순에서 7월 상순 사이에 더욱 빠른속도로 발달했고 7월 중순 이후 8월에 걸친 계절적인 폭풍우가 답배의 잎에 기계적 상해를 줌으로써 야화병의 감염을은 최대로 증가됨을 볼 수 있었다. 2. 약제처리로서는 히도마이신 300-350 배액을 발병기에 2-3회 살포한 것이 가장 효과적이어서 결과적으로 감염율을 $28.3\%$까지 감소시켰다. 3. 크로르피크린에 의한 이식전 토양 처리 (10l/10a)는 기타 병해의 방제를 겸해서 본 병의 피해를 월등히 감소시켰으며 본 포에서의 e담배 생육 상태에도 무처리구에 비해 왕성하였다. 4. 이상의 실험예서 담배 야화병의 효과적인 방제는 조기재배에 의한 수확기의 단축과 6월 상순에서 중순까지의 발병기에 적절한 약제의 살포 그리고 이식전의 토양처리 등을 함으로써 이룩될 수 있다고 본다.

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