Patterns Of Tobacco Consumption Research Articles

A Complex Interplay: Navigating the Crossroads of Tobacco Use, Cardiovascular Disease, and the COVID-19 Pandemic: A WHF Policy Brief.

The Coronavirus Disease 2019, commonly referred to as COVID-19, is responsible for one of the deadliest pandemics in human history. The direct, indirect and lasting repercussions of the COVID-19 pandemic on individuals and public health, as well as health systems can still be observed, even today. In the midst of the initial chaos, the role of tobacco as a prognostic factor for unfavourable COVID-19 outcomes was largely neglected. As of 2023, numerous studies have confirmed that use of tobacco, a leading risk factor for cardiovascular and other diseases, is strongly associated with increased risks of severe COVID-19 complications (e.g., hospitalisation, ICU admission, need for mechanical ventilation, long COVID, etc.) and deaths from COVID-19. In addition, evidence suggests that COVID-19 directly affects multiple organs beyond the respiratory system, disproportionately impacting individuals with comorbidities. Notably, people living with cardiovascular disease are more prone to experiencing worse outcomes, as COVID-19 often inherently manifests as thrombotic cardiovascular complications. As such, the triad of tobacco, COVID-19 and cardiovascular disease constitutes a dangerous cocktail. The lockdowns and social distancing measures imposed by governments have also had adverse effects on our lifestyles (e.g., shifts in diets, physical activity, tobacco consumption patterns, etc.) and mental well-being, all of which affect cardiovascular health. In particular, vulnerable populations are especially susceptible to tobacco use, cardiovascular disease and the psychological fallout from the pandemic. Therefore, national pandemic responses need to consider health equity as well as the social determinants of health. The pandemic has also had catastrophic impacts on many health systems, bringing some to the brink of collapse. As a result, many health services, such as services for cardiovascular disease or tobacco cessation, were severely disrupted due to fears of transmission and redirection of resources for COVID-19 care. Unfortunately, the return to pre-pandemic levels of cardiovascular disease care activity has stagnated. Nevertheless, digital solutions, such as telemedicine and apps, have flourished, and may help reduce the gaps. Advancing tobacco control was especially challenging due to interference from the tobacco industry. The industry exploited lingering uncertainties to propagate misleading information on tobacco and COVID-19 in order to promote its products. Regrettably, the links between tobacco use and risk of SARS-CoV-2 infection remain inconclusive. However, a robust body of evidence has, since then, demonstrated that tobacco use is associated with more severe COVID-19 illness and complications. Additionally, the tobacco industry also repeatedly attempted to forge partnerships with governments under the guise of corporate social responsibility. The implementation of the WHO Framework Convention on Tobacco Control could address many of the aforementioned challenges and alleviate the burden of tobacco, COVID-19, and cardiovascular disease. In particular, the implementation of Article 5.3 could protect public health policies from the vested interests of the industry. The world can learn from the COVID-19 pandemic to better prepare for future health emergencies of international concern. In light of the impact of tobacco on the COVID-19 pandemic, it is imperative that tobacco control remains a central component in pandemic preparedness and response plans.

Tobacco Smoking or Nicotine Phenotype and Severity of Clinical Presentation at the Emergency Department (SMOPHED): Protocol for a Noninterventional Observational Study.

In the last few years, several nicotine products have become available as alternatives to smoking tobacco. While laboratory and limited clinical studies suggest that these devices are less toxic compared to classic tobacco cigarettes, very little is known about their epidemiological impact. Visiting the emergency department (ED) often represents the first or even the only contact of patients with the health care system. Therefore, a study conducted at the ED to assess the impact of these products on health can be reliable and reflect a real-life setting. The aim of this noninterventional observational study (SMOPHED study) is to analyze the association between the severity of clinical presentation observed during ED visits among patients using various nicotine products and the subsequent outcomes, specifically hospitalization and mortality. Outcomes (hospitalization and mortality in the ED) will be examined in relation to various patterns of nicotine products use. We plan to enroll approximately 2000 participants during triage at the ED. These individuals will be characterized based on their patterns of tobacco and nicotine consumption, identified through a specific questionnaire. This categorization will allow for a detailed analysis of how different usage patterns of nicotine products correlate with the clinical diagnosis made during the ED visits and the consequent outcomes. Enrollment into the study started in March 2024. We enrolled a total of 901 participants in 1 month (approximately 300 potential participants did not provide the informed consent to participate). The data will be analyzed by a statistician as soon as the database is completed. Full data will be published by December 2024. There is substantial debate about the harm reduction potential of alternative nicotine products in terms of their smoking-cessation and risk-reduction potential. This study represents an opportunity to document epidemiological data on the link between the use of different types of nicotine products and disease diagnosis and severity during an ED visit, and thus evaluate the harm reduction potential claims for these products. PRR1-10.2196/54041.

Integration of a tobacco cessation program into a rural community-based maternal and child health program in India: A stakeholders' perspective on task shifting.

According to the Global Adult Tobacco Survey-2, India, 7.5% of pregnant women are tobacco users with a high prevalence of smokeless tobacco use in rural India. Although pregnant women may receive advice to quit tobacco, lack of knowledge on providing cessation support among healthcare workers results in missed opportunities. Community Health Workers (CHWs) play a significant role in maternal and child health (MCH) programs. Thus, task-shifting for providing cessation support by CHWs was planned and the perceptions and attitudes of concerned stakeholders were explored. A pre-implementation qualitative study was conducted in four states of India within existing rural, community-based MCH program settings. Implementation research frameworks were used to develop data collection tools and for inductive and deductive thematic analysis. In-depth interviews were conducted with stakeholders (n=28) like coordinators, pregnant women and village functionaries of the government health system. Four focus groups were conducted with female CHWs (n=24). Stakeholders intended to adopt the intervention as objectives of the cessation intervention were aligned with the aims of the MCH program. CHWs related to their role in task-shifting and understood the context for implementing the intervention within the MCH program. Pregnant women expressed openness to receiving cessation support from CHWs acting as a facilitator for task-shifting. Barriers anticipated were the additional workload and time required for CHWs to implement the intervention. Task-shifting to female CHWs for screening tobacco users, providing brief advice and cessation support within the MCH program was perceived to be acceptable, adoptable and feasible. The study builds insight into the process of developing a grounded approach for the integration of tobacco cessation intervention into a rural, community-based antenatal care setting by task shifting to female community health workers for providing cessation support to pregnant women. The study fills gaps in the literature related to establishing tobacco cessation interventions for pregnant women. The delineated efforts in integration of the intervention and task shifting can be replicated in other developing countries, especially in rural communities within South Asian and Southeast Asian regions having cultural practices, community-based healthcare structures and tobacco consumption patterns that are comparable to India.

Activación conductual para dejar de fumar en universitarios mediante videoconferencia: estudio piloto

Introduction: tobacco use is a public health problem in the world. In Mexico, prevalence rates are higher in young adults. There are different reasons for smoking or quitting in a college environment, but they all overlap since most include positive affect induction and reduction of negative affect, which accounts for positive and negative reinforcement processes in smoking behavior. Behavioral Activation (BA) was originally proposed in the treatment of depression through the reinforcement of incompatible behaviors. Promising results have been reported recently in the use of substances and modification of affective states. Objective: to evaluate the effectiveness of a Behavioral Activation intervention to Smoking cessation (BA-S) in the consumption pattern. Method: BA-S was applied by videoconference to 15 college students, with a single-case design with replication; the effect size was calculated using the non-overlap of all pairs (NAP). Results: The BA-S was effective for smoking cessation and reducing consumption patterns. The effect size ranged between 91.10% and 100%; nine students quit smoking and six reduced their consumption. Discussion and conclusions: BA-S decreased the pattern of tobacco consumption and modified the affective states; these results should be taken with caution due to the limited number of participants. It is suggested to continue with the application of the intervention through videoconference since it is a viable alternative in this population.

Smokeless Tobacco Consumption and Breast Cancer in Women: Findings of a Case-Control Study

Background: Breast cancer is the most commonly occurring cancer in women and the second most common cancer overall. Among the various risk factors of breast cancer, smokeless tobacco is the neglected potential one. Hence the study was conducted to assess the association between smokeless tobacco consumption & breast cancer risk among the women. Objective: The objective of the study was to assess the association between smokeless tobacco consumption and breast cancer in women and to compare the pattern of smokeless tobacco consumption, relevant other factors of breast cancer and the socio-demographic characteristics between the cases and controls. Methods: This case control study was conducted in 302 women of two tertiary hospitals of Dhaka city from January to December’2020. The study enrolled 151 breast cancer patients as cases and another 151 non cancer age-matched women as controls. Convenient technique was used for data collection. A pre-tested semi-structured questionnaire and a checklist were used for face to face interview and to review the medical record respectively. The data were analyzed by SPSS software. Quality control checks of the data were done at all stages of the study. All ethical issues were maintained strictly and informed written consent was taken from each case and control. Results: The mean (±SD) age of cases and controls was 44.4(±10.56) &44.82(±10.2) years respectively (p=0.769). Maximum cases (90.1%) were married in comparison to controls (76.2%) and the association was significant (p=0.003). Majority of the cases (63.58%) had monthly income of 21000-50000tk compared to controls (51.66%) and this difference was significant (p=0.01).Among the cases, 36.4% were exposed to smokeless tobacco in comparison to 33.8% controls. Though this association was not significant (p=0.630) but maximum cases (70.9%) were found to be exposed for 16-30 years in comparison to controls (43.9%) and it was statistically significant (OR: 7.58, 95%CI: 0.865-66.404). Among the cases, who were exposed to zarda were 3.25 times more likely to have it >10 times in comparison to 2.6% controls (OR: 3.25, 95% CI: 1.05-9.99, p=0.040). Conclusion: Increased frequency and duration of smokeless tobacco intake is found significantly associated with breast cancer so specific preventive intervention is required for prevention of smokeless tobacco consumption among women to alleviate breast cancer. Bangladesh Medical Res Counc Bull 2023; 49(2): 83-90

Tobacco consumption patterns among Iranian adults: a national and sub-national update from the STEPS survey 2021

Smoking is recognised as a critical public health priority due to its enormous health and economic consequences. Constant monitoring of the effectiveness of tobacco control programs calls for timely population-based data. This study reports the national and sub-national patterns in tobacco consumption among Iranian adults based on the results from the STEPwise approach to chronic disease risk factor surveillance (STEPS) survey 2021. This study was performed through an analysis of the results of the STEPS survey 2021 which had been conducted as a nationally representative cross-sectional study. Participants included Iranian adults aged ≥ 18 years in all provinces of Iran, who were selected via multistage cluster sampling method. Data were analyzed via survey analysis while considering population weights. The total number of participants was 27,874, including 15,395 (55.23%) women and 12,479 (44.77%) men. The all-ages prevalence of current tobacco smoking was 14.01% overall, 4.44% among women, and 25.88% among men. The all-ages prevalence of current cigarette smoking was 9.33% overall, 0.77% among women, and 19.95% among men. The all-ages prevalence of current hookah smoking was 4.5% overall, 3.64% among women, and 5.56% among men. The mean (SD) number of cigarettes smoked per day was 12.41 (10.27) overall, 7.65 (8.09) among women, and 12.64 (10.31) among men. The mean (SD) monthly times of hookah use was 0.42 (7.87) overall, 2.86 (23.46) among women, and 0.3 (6.2) among men. The national all-ages prevalence of second-hand smoking at home was 24.64% overall, 27.38% among women, and 20.26% among men. The national all-ages prevalence of second-hand smoking at work was 19.49% overall, 17.33% among women, and 22.94% among men. The tobacco consumption in Iran remains alarmingly high, indicating the current tobacco control policy implementation level is ineffective and insufficient. This calls for adopting, implementing, and enforcing comprehensive packages of evidence-based tobacco control policies.

Prevalence, Patterns, and Predictors of Tobacco Consumption among Adolescents: An Observational Study from a Rural area of Rajasthan.

The prevalence of smoking cigarettes among adolescents in India is nearly one in 10, and almost half of them initiate tobacco use before turning 10 years old. Our study objective was to assess the prevalence of tobacco consumption and the sociodemographic factors associated with tobacco consumption among adolescents in a rural area of Rajasthan. This community-based, cross-sectional study was conducted for a period of 1 year from April 2021 to March 2022 in village Naila, Jaipur. All 1083 adolescents of village Naila were contacted; however, 1049 were included in the study. Multivariate logistic regression (forward likelihood model) was used to assess the strength of the association of risk factors for the consumption of tobacco. A considerable proportion, that is, 22.4% (235/1049), of adolescents were tobacco consumers. Out of 235 consumers, 104 were smokers, 65 were consuming smokeless tobacco, and 66 were consuming both forms of tobacco. In multivariate analysis, age, sex, grade of participants, pocket money, family history of tobacco and alcohol consumption, maternal education, and per capita income were found to be significant predictors of tobacco consumption (P < 0.05). Tobacco consumption is highly common in Rajasthan's rural adolescent population, and it begins at a very young age. Hence, corrective measures need to be initiated in an early stage of life. To reduce the impact of social norms, peer pressure, and family members who consume tobacco, the behavioral change communication activities must be strengthened.

Patterns of smoked and smokeless tobacco use among multimorbid and non-multimorbid middle-aged and older-aged adults in Karachi, Pakistan: a cross-sectional survey

ObjectivesThe objective of this study was to compare the patterns of smoked and smokeless tobacco use among multimorbid and non-multimorbid middle-aged and older-aged individuals in Karachi, Pakistan.Study designThis was an...

A scoping review protocol on diagnostic and treatment costs of cardiovascular disease management in India

Background: Cardiovascular disease (CVD) is a leading cause of mortality in India. Economic threats due to CVDs have surged, as diagnostic and treatment costs are out-of-pocket expenses. The increasing prevalence of CVDs in India is due to globalization, industrialization, aging, tobacco and alcohol consumption, diet, and sleep patterns. This scoping review provides a summary of the costs incurred in diagnosing and treating CVDs in India. Methods: The JBI updated methodology aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) will guide this scoping review. Searches will be conducted on PubMed, Scopus, Cochrane Library, Embase, Econ Papers, and ProQuest databases. Google Scholar and Shodhganga will be used to search for relevant gray literature. Bibliographic mining will be performed to identify additional relevant studies. The literature published from 2000 onwards will be the primary focus. All direct and indirect costs for the diagnosis and treatment of CVDs across various levels of healthcare settings will be included. A two-stage independent screening, consisting of title and abstract screening, followed by full-text screening, will be conducted to identify eligible articles. Data will be extracted from full-text studies using a customized data extraction form. The results will be compiled and presented in the scoping review performed. Ethics and dissemination: A conference presentation and scientific peer-reviewed journal publication will be the sources for disseminating the review results. This study does not require an ethics review because publicly available sources were used to retrieve data.

Gender and Tobacco Consumption among University Students.

In 2019, an estimated 155 million people aged between 15 and 24 were smokers. It is also known that 82.6% of current smokers started smoking between 14 and 25 years old. Tobacco uses in adolescents and young adults can lead to the development of serious and potentially life-threatening health problems. The aim of the present investigation is to identify and describe the practices related to the consumption of tobacco products and their distribution according to gender among students at the University of Algarve. This is an exploratory, cross-sectional study with a quantitative approach. For inferential statistics, a non-parametric analysis (χ2) was performed. The sample consisted of 326 university students, 75.5% female, with an average age of 26.03 years. In this sample, 45% of men and 57.7% of women reported never having smoked. In male students, the pattern of combined consumption is more frequent, with female students preferring conventional cigarettes. Statistically significant differences were found between genders for the pattern of tobacco consumption, the number of colleagues/peers who smoke, the opinion about tobacco-free outdoor spaces and the knowledge about new forms of tobacco/nicotine consumption. The university campus is identified by students as the second space where they most consume tobacco products and where they are most exposed to tobacco smoke. This fact forces a reflection on the strategies to be implemented to develop a healthier university.

Opioid Use for Operative Foot and Ankle Fractures: A Systematic Review

Category: Ankle; Trauma Introduction/Purpose: Patients treated operatively for foot and ankle fractures may be at higher risk of undertreated pain as well as overuse of opioid medications. We sought to synthesize the recent literature investigating use of opioids for analgesia following foot and ankle fracture surgery. To accomplish this, we aimed to determine the patterns of opioid use and prescription (e.g., quantity, duration, incidence of persistent use), risk or protective factors for persistent opioid use, and clinical outcomes (e.g., relief of pain, adverse events) associated with opioid use in this population. Methods: We followed PRISMA guidelines for our review. We systematically searched PubMed, Embase, Scopus, Cochrane, and Web of Science. We included studies published from 2010 to present that assessed patterns of opioid use, risk factors for increased opioid use, and outcomes associated with opioid use following foot/ankle fracture surgery. Two reviewers performed title/abstract screening and full-text review. The quality of included studies was evaluated using MINORS criteria. Results: In our review, 1713 articles were assessed and 18 were included (Figure 1). MINORS scores ranged from 13 to 18, indicating moderate study quality. Overall, there was wide variability in opioid use between and within studies. Rates of postoperative persistent opioid use ranged from 7-39%. Risk factors for increased opioid use included preoperative opioid exposure, mental health disorders, tobacco consumption, and certain injury patterns. Protective factors were spinal anesthesia, peripheral nerve block, and postoperative ketorolac. Opioid use was not associated with decreased pain or improved satisfaction. Opioid use was associated with increased rates of pain-related emergency department visits and readmission. Preoperative opioid use was associated with the greatest odds of increased postoperative use. Conclusion: There is a high incidence of persistent opioid use after foot and ankle fracture surgery. Opioid use was associated with negative health outcomes without decreasing pain levels or increasing patient satisfaction after foot/ankle fracture surgery. The wide variability of reported opioid use emphasizes the need for standardized guidelines for postoperative opioid use in this patient population, and our findings suggest that lower opioid prescription may be advisable.

Patterns of cigarette, hookah and other tobacco product consumption habits among undergraduate students of the University of Sarajevo before the COVID-19 outbreak in Bosnia and Hercegovina, a cross-sectional study.

Tobacco products represent a major health risk factor and a potent way to help transmission of COVID-19. Current data regarding consumption of these products in the region are scarce. The aim of this study was to evaluate patterns of cigarette, hookah and other tobacco products consumption among undergraduate students from the University of Sarajevo before the COVID-19 outbreak in the country. This cross-sectional study based on a National Youth Tobacco Survey (NYTS) was conducted among undergraduate students from the University of Sarajevo in Bosnia and Hercegovina via an online questionnaire from 22nd to 26th of January 2020. Out of 605 students involved in the study, most of them were female (N=429, 70.9%); 363 (60.0%) were enrolled in medical sciences; 159 (26.3%) were attending the 3rd year of their curriculum; 224 (37%) were original from Canton Sarajevo and 514 (84.9%) were living in urban environment. Two hundred thirty five students out of 605 (38.8%) were current smokers and 117 (19.3%) hookah smokers. Being female (OR=0.539, 95% CI 0.368-0.790, p=0.002), in the 1st or 2nd year of study (OR=0.805, 95% CI 0.667-0.972, p=0.024) and living in a rural environment (OR=0.335, 95% CI 0.191-0.585, p<0.001) were associated with reduced risk of cigarette consumption, while older age (22+ years) (OR=1.287, 95% CI 1.122-1.476, p<0.001) increased the same risk. On the other side, being female (OR=0.595, 95% CI 0.380-0.930, p=0.023), of younger age (18-21 years) (OR=0.832, 95% CI 0.743-0.932, p=0.001) and medical science student (OR=0.567, 95% CI 0.328-0.978, p=0.041) were associated with decreased risk of consuming hookah. This study provides an insight in prevalence of smoking among students at the University of Sarajevo. More antismoking efforts are needed, especially in urban environments; and a follow-up study, to be planned in the near future, should determine whether COVID-19 pandemic (and all the modifications of lifestyles connected with it) have eventually changed tobacco consumption patterns among undergraduate students.

Tobacco Use Pattern, Dependence, Oral Cancer Awareness and Health Education needs Among Urban Slum Dwellers of Jodhpur City.

Background:The rapid migration from rural to urban region results in mushrooming of slums in India. Urban-slums are comparatively poor vulnerable groups which are mostly affected with oral cancer due to higher exposure to risk factors like tobacco use.Aims:To assess pattern of tobacco consumption, awareness about oral cancer and related health education needs in urban slums of Jodhpur city.Methods:Study was conducted during July 2018Nov 2018 in slum of Jodhpur city. On the basis of cluster sampling strategy data were collected from 1200 participants regarding tobacco use and perception regarding oral cancer to identify health education needs in urban slums. Descriptive statistics, Chi-square test, multivariate logistics analysis were used and P < 0.05 was considered statistically significant.Results:A total of 1200 participants were surveyed, out of which 48.5% were males. Among the study population, 58.5% (n = 462/789) males and 41.45% (n = 327/789) females were consuming tobacco in one or more forms. The statistical association between: age and bidi, gutka, zarda consumption; gender and bidi, cigarette, gutka consumption was found to be significant (P < 0.001). The younger population (1530 years) has more willingness to quit tobacco than the older population. (OR = 1.52, 95% CI = 1.092.11). Almost 56% were aware of oral cancer.Conclusions:An effective information, education and communication (IEC) strategy for tobacco cessation should be designed with focus on different education needs according to age, gender, and education status of slum population.

Tobacco consumption patterns amongst recruits at a training centre

Background: Approximately 3 million premature deaths occur every year due to tobacco. Gaps were observed in the scientific knowledge about tobacco consumption practices among armed forces personnel in our country. Keeping in view the paucity of studies in this field workers chose to undertake the present study.Methods: A cross-sectional study was conducted among service personnel across a training centre to determine prevalence of tobacco consumption. The sample size was calculated to estimate 95% confidence interval for prevalence of tobacco consumption with 5% absolute precision. The minimum sample size was calculated to be 250, however, 285 personnel were included in the study. “Personal interview technique” was used for data and standard statistical methods were utilized for data analysis.Results: The mean age (standard deviation) of the study subjects was 20.80 years (1.23). The overall prevalence of currently using tobacco in any form was 9.82%, mean (SD) of number of years of tobacco use was 2.33 years (1.27). Mean (SD) of number of cigarettes/bidis smoked per day was 7.52 (6.71). Average amount spent on tobacco consumption per month was Rs310.95 (2.42% of monthly salary). The commonest reasons for smoking is peer pressure, to relax and feel like hero.Conclusions: Our study has helped to fill in the existing gaps in the scientific knowledge about tobacco consumption practices among armed forces personnel in our country.

Tobacco-related risk behaviors among amateur rugby players, coaches and referees: targets for prevention

Abstract Background High prevalence of smoking has been documented in France and new patterns of tobacco and nicotine consumption are emerging, especially in some sports. In amateur rugby population, such attitudes could be harmful, but data are scarce as well as their knowledge of the risk. Purpose We analyzed tobacco consumption in French amateur players, coaches and referees. Methods Each amateur players [&amp;gt;12-y/o], coaches and referees licensed in the French Rugby Federation and participating in the Burgundy amateur championship was invited to answer to an electronic anonymous questionnaire during the 2017–2018 sport season. Results 683 [sex ratio M/F = 0.9] answers were obtained and fit for analysis. Among them, 559 (81.8%) were players, 167 (24,5%) were coaches and 74 (10.8%) were referees. 176 subjects (25.8%) were current smokers, 126 (18.4%) daily smokers, 54 (37% of usual smokers) smoked more than 10 cigarettes a day and 97 (14.2%) were ex-smokers. Moreover, 24 referees (32.4%) and 47 coaches (28.2%) were current smokers. Most smoked 2 hours before or after a rugby session (86.4% of smokers), including coaches (89.4%) and referees (89%). Although 109 smokers (61.9%) considered quitting, only 27 (24.8%) considered vaping to aid them. Only 28 subjects (4.1%) usually vaped, of whom 15 daily (1.9%); 21 of them (75%) vaped in the 2 hours before or after a rugby session. Number of cigarettes in the 19 dual users was not different compared with non-vaping smokers. Among the 28 vapers, motivation to vape included lower risk than smoking (13), consider to quit (12), cheaper than smoking (8), festive and socializing (6), avoid to smoke (3), respect the performance (2). Other tobacco or nicotine products were infrequent: waterpipe (7), dry snuff (1) and none used snus. The knowledge about risk was incomplete: 35 (5.1%) subjects do not know that smoking is dangerous for their health and 12 (1.8%) think it is not. 246 (36%) and 195 (28.6%) do not know if smoking is more dangerous in the 2 hours before or after sport; 45 (6.6%) and 18 (2.6%) think it is not. Moreover, 27.5% of coaches were unaware on the risk of smoking before a sport session and 19.2% on the risk after. 244 subjects (35.7%) do not know if vaping is less dangerous than smoking; 272 (39.8%) are not informed of the potential risk of nicotine when vaping. Conclusion Despite information, prevalence of smoking remains high in the French amateur rugby players, coaches and referees. Smokers usually smoke in the 2 hours before or after the sport session. This is dangerous for them and for their peers. The low knowledge about the CV risk is of great concern, especially when considering the coaches and referees considering both their symbolic position and their educational role. Vaping and other patterns of nicotine exposure are infrequent; none of them use snus. Targeted education programs are urgently needed to reduce acute and chronic risk of tobacco consumption in this population. Funding Acknowledgement Type of funding sources: Public grant(s) – EU funding. Main funding source(s): CHU Dijon Bourgogne ARS Bourgogne Franche Comté

Adolescent Tobacco Use Estimates From The Global Youth Tobacco Survey, India: Tobacco a risk factor for future spread of COVID 19

Background: Tobacco use has been identified as a risk factor and causes negative outcomes to the COVID 19 pandemic. Adolescents’ tobacco users in India are the vulnerable population to acquire COVID-19 in the future. The study aimed to understand tobacco consumption patterns among adolescents in India to highlight the vulnerability of this population to COVID-19 infection. Methods: The Global Youth Tobacco Survey (GYTS) reports were identified and recovered from the Centre for Disease Control and Prevention (CDC) data sets. The findings of the surveys in 2003, 2006, and 2009 were compared with respect to the prevalence of cigarette smoking and other tobacco use, and the determinants of initiation of tobacco use among the adolescent population. Results: The total tobacco consumption among adolescents was found to have increased from 13.7% in 2006 to 14.6% in 2009. All forms of tobacco use were higher in boys than girls across all three survey periods. Also, the trend of bidi (smoked tobacco form) use had increased in both genders. A reduction in exposure to Second Hand Smoke, with an increase in cessation services, media campaigns, and tobacco-related school curriculum was noted. If the increase in tobacco consumption between 2006 and 2009 had continued at the same rate then in 2021 around 18% of adolescents are estimated to consume tobacco in some form. Conclusion: The significant overall tobacco use and increasing bidi consumption makes the adolescent group more susceptible to COVID-19 infection. This indicates an imperative need to include this age group for COVID-19 management to reduce the burden on health care.

Prevalence and pattern of tobacco consumption in urban community: a cross-sectional study in adults of Central India

Background: The emergence of tobacco related diseases is a burgeoning public health problem. Every year, more than 8 million people die from tobacco use worldwide. It is one of the major causes of death and disease in India and accounts for nearly 1.35 million deaths every year. India is also the second largest consumer and producer of tobacco. There is an urgent need to curb tobacco use and reduce the associated morbidities and mortalities. The present study was the first step in the process of generating strategies to control the use of tobacco by estimating the prevalence and pattern of tobacco use in an urban community.Methods: Study was conducted in the field practice area of an urban health training center of a tertiary care hospital. House to house survey was done. Houses were selected by systemic random sampling. All the people above 15 years of age were included in the study, with total subjects interviewed being 590.Results: 371 (62.88%) study subjects were males and 219 (37.19%) were females. The prevalence of tobacco consumption was found to be 34.06%, 28.81% used smokeless form of tobacco and 3.39% were smokers. About 1.86% consumed both forms of tobacco.Conclusions: Prevalence of tobacco consumption particularly of smokeless form was quite high. Identification of high-risk group and their pattern of tobacco consumption is crucial in developing innovative and effective strategies to curb the tobacco epidemic in India.

Prevalence, pattern, and cessation of tobacco consumption among older adults in India

ABSTRACT Background There has been a comparative decline in tobacco consumption; however, India still has the highest number of tobacco consumers in terms of absolute numbers. Objective This study aimed to examine the prevalence, pattern, and cessation of tobacco consumption among older adults in India. Methods Data were drawn from the Longitudinal Aging Study in India (LASI) wave-I. Cross-tabulation and logistic regression analysis were used. Smokeless and smoked tobacco were the main response variables. Results The consumption of smokeless tobacco was higher among male older adults than in female older adults; however, a higher percentage of female older adults consumed smoked tobacco than their male counterparts. A higher percentage of urban older adults than rural older adults (45.35% vs. 41.67%) consumed smokeless tobacco; however, the prevalence of smoked tobacco consumption was higher among older adults in rural areas than their urban counterparts (48.46% vs. 46.81%). The odds of ever used tobacco (OR = 0.23, C.I. = 0.18–0.30) and smokeless tobacco (OR = 0.69, C.I. = 0.47–1.00) were lower among higher educated older adults than uneducated older adults. Conclusion There is a need to disseminate information about the ill effects of tobacco consumption among older men and women.

A Network Analysis of Substance Consumption Patterns among Students of Public Schools in Mozambique

This study aimed to identify the main patterns of alcohol and tobacco consumption among adolescents and its risk factors. Participants were 208 eighth, ninth, and tenth-grade students (65.3% female, 34.7% male) in Maputo, Mozambique, whose ages ranged from 12 to 18 years old (M=14.88; SD=1.29). The study sought to investigate the association between sociodemographic features, academic performance, positive and negative beliefs about drugs, and its consumption patterns among teenagers in Mozambique through network analyses. The results showed high alcohol consumption with early-onset, in the age group ranging from 11 to 13 years old. The frequency of tobacco consumption is related to understanding the positive aspects of smoking, expansiveness, and confidence. The present study contributes to the knowledge of the prevalence of these substances’ consumption in the school community. It may be useful to design strategies for prevention and intervention on alcohol and tobacco consumption by adolescents. The key limitations are the sample exclusively from Maputo and the cross-sectional design. Future studies should thus investigate the patterns of licit and illicit drug consumption among teenagers from other places and use a longitudinal design.

Prevalence and socio-demographic correlates of tobacco and alcohol use in four sub-Saharan African countries: a cross-sectional study of middle-aged adults

BackgroundSubstance misuse is a global public health problem. In addition to social and economic concerns, consumption of tobacco and alcohol is associated with susceptibility to cardiovascular, respiratory, and infectious diseases, cancers, and risk of transition to substance use disorders. African data suggest regional differences in the prevalence and patterns of substance use, but a number of key questions remain. This cross-sectional population-based study of middle-aged adults aims to examine prevalence and socio-demographic correlates of substance use in four sub-Saharan African countries, in rural and urban settings.MethodsParticipants aged between 40 and 60 years were recruited from six research centres as part of the Africa Wits-INDEPTH partnership for Genomic Research study. Data on patterns of tobacco and alcohol consumption was captured, and the latter further assessed using the CAGE (cut-annoyed-guilty-eye) questionnaire.ResultsData from 10,703 participants suggested that more men (68.4%) than women (33.3%) were current substance users. The prevalence of current smoking was significantly higher in men than in women (34.5% vs 2.1%, p < 0.001). Smokeless tobacco was used more by women than men (14.4% vs 5.3%, p < 0.001). Current smoking was associated with alcohol consumption in men, and smoking cessation in men was associated with being a former drinker, having higher socio-economic status, and if married or cohabiting. Current alcohol consumption was higher in men, compared to women (60.3% vs 29.3%), and highest in men from Soweto (70.8%) and women from Nanoro (59.8%). The overall prevalence of problematic alcohol consumption among men was 18.9%, and women 7.3%. Men were significantly more likely to develop problematic drinking patterns, and this was more common in those who were divorced or widowed, and in current smokers.ConclusionsRegional variation in the patterns and prevalence of substance use was observed across study sites, and in rural and urban settings. The high levels of substance use recorded in this study are of concern due to the increased risk of associated morbidities. Further longitudinal data will be valuable in determining trends in substance misuse in Africa.