Studying the Prevalence of Smokeless Tobacco Products and Related Factors among High School Students in Chabahar City

Subject Areas : Journal of Chemical Health Risks

Mohammad Saeed Jadgal ¹ , Moradali Zareipour ^{2 *} , Saeedeh Sadeghi ³ , Hadi Alizadeh Seiuoki ⁴ , Tahmineh Salehian ⁵

1 - Tropical and communicable diseases research center, Iranshahr University of Medical Sciences, Iranshahr, Iran |Department of Public Health, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
2 - Department of Public Health, School of Nursing and Midwifery, Iranshahr University of Medical Sciences and Health Services, Iran
3 - Department of Health Education and health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 - Department of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
5 - Tropical and communicable diseases research center, Iranshahr University of Medical Sciences, Iranshahr, Iran |Department of Nursing and Midwifery, Iranshahr University of Medical Sciences and health services, Iranshahr, Iran

Received: 2021-06-26 Accepted : 2021-09-07 Published : 2023-09-01

Keywords: Students, Chabahar, Teenagers, Smokeless Tobacco,

Abstract :

Smokeless tobacco consumption is one of the serious health-threatening factors in society, especially among adolescents. Due to the high usage of these products in the southeastern regions of Iran, this survey was conducted to investigate the prevalence of smokeless tobacco products and related factors among high school students in Chabahar city. This study was a cross-sectional (descriptive-analytical) study, in which 330 high school students were selected by a simple multi-stage random sampling method. Data were collected via a researcher-made questionnaire and was filled using an in-person method. Data were then analyzed using descriptive and analytical tests by SPSS v.21 software. In this study, the mean age of the students was 16.3±1.14 years. Results showed that the prevalence of smokeless tobacco products was 45.8% among students, 43.3% among close friends, and 38.8% in families, where the predominant form of smokeless tobacco products was Pan-Prague (62.2%). Furthermore, the results of logistic regression revealed that addiction of close friends (OR=3.8, p=0.001), addiction of family members (OR=2.1, p=0.03), addiction of males (OR=2.2, p=0.001), low awareness (OR=3.9, p=0.001), and low attitude (OR=2.7, p=0.001) can significantly increase the likelihood of smokeless tobacco usage in students. Altogether, the findings of this study showed that the prevalence of smokeless tobacco usage among high school students in Chabahar is high, and thus, appropriate, effective, and preventive interventions should be taken into account regarding the influential factors.

References:

1. 1. Mazloomy Mahmoodabad S., Jadgal M., Zareban I., Fallahzadeh H., 2020. The Status of Smokeless Tobacco Use and its Associated Factors among the Business Guilds Population of Chabahar. The Internet Journal of Allied Health Sciences and Practice. 18, 27-36.


2. 2. Henley S.J., Thun M.J., Connell C., Calle E.E., 2005. Two large prospective studies of mortality among men who use snuff or chewing tobacco (United States). Cancer Causes Control. 16, 347-58.


3. 3. Siddiqi K., Shah S., Abbas S.M., Vidyasagaran A., Jawad M., Dogar O., Sheikh A., 2015. Global burden of disease due to smokeless tobacco consumption in adults: analysis of data from 113 countries. BMC Medicine. 13, 194.

4 .Lawler T.S., Stanfill S.B., Zhang L., Ashley D.L., Watson C.H., 2013. Chemical characterization of domestic oral tobacco products: total nicotine, pH, unprotonated nicotine and tobacco-specific N-nitrosamines. Food and chemical toxicology. 57, 380-6.

5. 5. Mahmoodabad S.S.M., Jadgal M.S., Zareban I., Zadeh H.F., 2019. The Determinants of Salivary Cotinine Concentration in Smokeless Tobacco Users. Open Access Macedonian Journal of Medical Sciences. 7, 810.


6. 6. Mahmoodabad S.S.M., Jadgal M.S., Zareban I., Fallahzadeh H., 2019. Smokeless tobacco consumption awareness, attitude and behavior among guilds of Chabahar, Iran. Medical Science. 23, 262-8.


7. 7. Costea D.E., Lukandu O., Bui L., Ibrahim M.J.M., Lygre R., Neppelberg E., Ibrahim S.O., Vintermyr O.K., Johannessen A.C., 2010. Adverse effects of Sudanese toombak vs. Swedish snuff on human oral cells. Journal of Oral Pathology & Medicine. 39, 128-40.


8. 8. Ayo-Yusuf O.A., Connolly G.N., 2011. Applying toxicological risk assessment principles to constituents of smokeless tobacco products: implications for product regulation. Tobacco Control. 20, 53-7.


9. 9. Asha V., Dhanya M., 2015. Immunochromatographic assessment of salivary cotinine and its correlation with nicotine dependence in tobacco chewers. Journal of Cancer Prevention. 20, 159–163.


10. 10. Anand P.S., Kamath K.P., Shekar B., Anil S., 2012. Relationship of smoking and smokeless tobacco use to tooth loss in a central Indian population. Oral Health & Preventive Dentistry. 10, 3-11.


11. Zareipour M., Sadaghianifar A., Valizadeh R., Alinejad M., Noorani S., Ghelichi Ghojogh M., 2017 The Effect of Health Promoting Schools Program in Improving the Health Status of Schools in Urmia, North West of Iran. Int J Pediatr. 5, 4319-27

12 .Farhadmolashahi L., Honarmand M., Rigiladiz M., 2015. Prevalence of paan use among high school boys of Zahedan in 2007 and its contributory factors. Journal of Kerman University of Medical Sciences. 16, 263-9.

13. 13. Changrani J., Cruz G., Kerr R., Katz R., Gany F.M., 2006. Paan and gutka use in the United States: a pilot study in Bangladeshi and Indian-Gujarati immigrants in New York City. Journal of Immigrant & Refugee studies. 4, 99-109.


14. 14. Wali A., Siddiqui T.M., Shahab A., Ejaz A., 2016. Knowledge, attitude and practice of areca nut, Gutka and tobacco smoking amongst school children in Karachi. Res Rev J Dent Sci. 4, 39-42.


15. 15. Honarmand M., 2009. Prevalence of paan use among high school boys of Zahedan in 2007 and its contributory factors. Journal of Kerman University of Medical Sciences. 16, 263-9.


16. 16. Fattahi E., Tavousi M., Niknami S., Zareban I., Hidarnia A., 2013. Effectiveness of an educational intervention for reducing paan consumption among adolescent. Journal of the Iranian Institute for Health Sciences Research. 12, 109-16.

17 .Reddy S.S., Prashanth R., Devi B.Y., Chugh N., Kaur A., Thomas N., 2015. Prevalence of oral mucosal lesions among chewing tobacco users: A cross-sectional study. Indian Journal of Dental Research. 26, 537.

18. 18. Rozi S., Akhtar S., 2007. Prevalence and predictors of smokeless tobacco use among high-school males in Karachi, Pakistan. Eastern Mediterranean Health Journal. 13, 916-92


19. 19. Desalu O., Iseh K., Olokoba A., Salawu F., Danburam A., 2010. Smokeless tobacco use in adult Nigerian population. Nigerian Journal of Clinical Practice. 13, 382-7.


20. 20. Dhanani R., Jafferani A., Bhulani N., Azam S.I., Khuwaja A.K., 2011. Predictors of oral tobacco use among young adult patients visiting family medicine clinics in Karachi, Pakistan. Asian Pac J Cancer Prev. 12, 43-7.


21. 21. Cooper J., Ellison J.A., Walsh M.M., 2003. Spit (smokeless)-tobacco use by baseball players entering the professional ranks. Journal of Athletic Training. 38, 126–132.


22. 22. Honarmand M., Sanatkhani M., 2012. Prevalence of Smokeless Tobacco Use among Male Students in Zahedan Universities and Knowledge of its Side Effects in 2012. Journal of Mashhad Dental School. 37, 335-44.


23. 23. Jalilvand M., Nikmanesh Z., Kazemi Y., Emamhadi M.A., 2010. Smokeless tobacco use among university students: A cross-sectional study in Sistan Baloochestan province, Iran 2008. Iranian Journal of Psychiatry and Behavioral Sciences. 4, 23-9.


24. 24. Tiwari R.V., Gupta A., Agrawal A., Gandhi A., Gupta M., Das M., 2015. Women and tobacco use: discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural women in Chhattisgarh, central India. Asian Pac J Cancer Prev. 16, 6365-73.