Abstract
BackgroundTo investigate the socio-economic and demographic determinants of tobacco use in Rawalpindi, Pakistan.MethodsCross sectional survey of households (population based) with 2018 respondent (1038 Rural; 980 Urban) was carried out in Rawalpindi (Pakistan) and included males and females 18–65 years of age. Main outcome measure was self reported daily tobacco use.ResultsOverall 16.5% of the study population (33% men and 4.7% women) used tobacco on a daily basis. Modes of tobacco use included cigarette smoking (68.5%), oral tobacco(13.5%), hukka (12%) and cigarette smoking plus oral tobacco (6%). Among those not using tobacco products, 56% were exposed to Environmental tobacco smoke.The adjusted odds ratio of tobacco use for rural residence compared to urban residence was 1.49 (95% CI 1.1 2.0, p value 0.01) and being male as compared to female 12.6 (8.8 18.0, p value 0.001). Illiteracy was significantly associated with tobacco use. Population attributable percentage of tobacco use increases steadily as the gap between no formal Education and level of education widens.ConclusionThere was a positive association between tobacco use and rural area of residence, male gender and low education levels. Low education could be a proxy for low awareness and consumer information on tobacco products. As Public health practitioners we should inform the general public especially the illiterate about the adverse health consequences of tobacco use. Counter advertisement for tobacco use, through mass media particularly radio and television, emphasizing the harmful effects of tobacco on human health is very much needed.
Highlights
To investigate the socio-economic and demographic determinants of tobacco use in Rawalpindi, Pakistan
Tobacco use was more prevalent in the rural areas (21%) as compared to urban areas (12.2%) (Table 2). 43.4% of tobacco users were under 40 years of age. 56% of the smokers were regularly smoking for more than 20 years, while 24% were smoking for the last 15–20 years
Among those not using tobacco products, 56% were exposed to passive smoking, out of which 35% were exposed to passive smoking daily and the rest of them few times a week
Summary
The objective of this study was to investigate the socioeconomic and demographic determinants of tobacco use in Rawalpindi, Pakistan
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