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Table of Contents
ORIGINAL ARTICLE
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 52-54

Knowledge and perception toward tobacco use among selected colleges of Jodhpur city, Rajasthan


Department of Public Health Dentistry, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India

Date of Submission08-Feb-2021
Date of Acceptance07-Mar-2021
Date of Web Publication18-May-2021

Correspondence Address:
Dr. Ajaz Ahmed Dar
Department of Public Health Dentistry, Vyas Dental College and Hospital, Jodhpur 342001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJO.INJO_9_21

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  Abstract 

Introduction: Tobacco use in young age will have long adverse effects on overall health in later years of life. The purpose of the study was to evaluate knowledge and perception toward tobacco use among college students. Materials and Methods: It was a descriptive, cross-sectional study. The present study consisted of 145 students from five colleges from Jodhpur city. A validated, self-administered, structured questionnaire was used. Statistical analysis was done by descriptive statistics and χ2 test. Ethical clearance was obtained from the Institutional Ethics Committee. Results: Overall mean knowledge of the students regarding tobacco was 57%. They had only average knowledge about the ill-effects and de-addiction of tobacco use. Regarding attitude, majority of the students had healthy positive attitude toward tobacco use. Conclusion: There was no association between attitude and place of residence of students; also there was a positive association between level of knowledge and tobacco use.

Keywords: Cross-sectional, knowledge, nicotine, perception, tobacco, tobacco use


How to cite this article:
Dar AA, Garla BK, Dagli RJ, Khan M, Das M, Sharma S. Knowledge and perception toward tobacco use among selected colleges of Jodhpur city, Rajasthan. Int J Oral Care Res 2021;9:52-4

How to cite this URL:
Dar AA, Garla BK, Dagli RJ, Khan M, Das M, Sharma S. Knowledge and perception toward tobacco use among selected colleges of Jodhpur city, Rajasthan. Int J Oral Care Res [serial online] 2021 [cited 2021 Aug 6];9:52-4. Available from: https://www.ijocr.org/text.asp?2021/9/2/52/316302




  Introduction Top


Human beings have been using tobacco since 600 A.D.[1] In India, Portuguese travelers introduced tobacco 400 years ago.[2],[3],[4] Tobacco consumption contributes to poverty by diverting household spending from basic needs shelter to tobacco and because of addictive nature of this habit, this spending behavior is difficult to curb.[5],[6],[7],[8] In India, there is a unique pattern of consumption of tobacco reported, that is, smoking tobacco like cigarette accounts for around 9% of the typical tobacco consumed and remaining 91% consumption is reported via other tobacco products such as chewing tobacco, beedis, khaini, etc.[9],[10],[11] It is estimated that 5500 adolescents start the usage of tobacco every year in country, joining the four million young humans beneath the age of 15 who already use tobacco. Hence, the prevention of tobacco among early life is of huge importance.[12],[13],[14] The perceptions about tobacco use at personal, interpersonal, and community levels constitute one of the factors that may influence youth to adopt or reject smoking behavior. Hence, understanding of perceived images of tobacco use by youth may help in understanding youths’ behavior regarding tobacco use.[15] However, no one begins to use tobacco with the intention of becoming addicted; however, all too frequently what began as an experience to satisfy curiosity or peer group pressure leads to a point of no return where addiction has occurred.[16] In developing countries like India, tobacco-related cancers among men are about one-fifth of the total cancer among women.[17] The alarming statistics strongly felt to carry out a baseline study. Therefore, the aim of the present study was to evaluate the knowledge and perception toward tobacco use among college students of Jodhpur city, Rajasthan, India.


  Materials and Methods Top


It was a descriptive, cross-sectional study design. The settings for the study selected were five different colleges from five zones (such as east, west, south, north, and central) of Jodhpur city. The target population for the study were polytechnic students of the colleges. Sample selection for the present study was done by systematic random sampling from all the colleges. The total number of students was 882, to make a convenient size of sample to include in the study every sixth student from the college register. The final sample for the present study consisted of 145 students. All procedures performed in the study were conducted in accordance with the ethics standards given in 1964 Declaration of Helsinki, as revised in 2013. The study proposal was submitted for approval and clearance was obtained from the ethical committee, of our institution. A written informed consent was obtained from each participant. A validated, self-administered, structured questionnaire was used to collect the data. The final proforma was organized in three sections: section I — sociodemographic variables; section II — (a) knowledge of students regarding tobacco, (b) knowledge regarding ill-effects of tobacco use, and (c) knowledge regarding de-addiction of tobacco use; section III — attitude of students toward tobacco use. There were 15 items in sections II and III, which were arranged in a three-point Likert scale. The pilot study was conducted in one college among 20 students. It was revealed through the pilot study that two questions were too easy and then opinion of the guide was sought and the structures of both the questions were changed. The reliability of the tool was tested by introduction of the questionnaire among the students of pilot study and found satisfactory (r = 0.99). After obtaining the formal permission from the principal of all the colleges, data were collected in the classroom itself during the break-time as per the schedule. The subjects were explained about the purpose of the study and informed consent was obtained. Data were collected in 10 working days in the month of February 2020. Statistical analysis used in this study was descriptive. χ2 test was used to find out the association between variables. Statistical analysis was done by SPSS software (version 23). The level of significance (P-value) was set at 0.05.


  Results Top


A total of 145 students’ responses were analyzed. Findings in [Table 1] indicate that 100 (68.96%) of the subjects knew the original form of tobacco. [Table 2] indicates that 11.7% of the subjects were poor in their knowledge about tobacco, its ill-effects, and de-addictions.
Table 1: Distribution of subjects according to knowledge of tobacco

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Table 2: Distribution of subjects to the overall level of knowledge regarding tobacco use

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  Discussion Top


In the present study, 55% of the students were in the age group of 18–20 years. As far as the type of family concerned, the study revealed that 47.5% of the subjects were from joint family, whereas 36.5% belonged to nuclear and 23% extended families. Disintegration of family system, habitat, and family type influence in the form of habits. Further from the economic status of the family, 45.5% of the parent’s monthly income was between 5000 and 10,000Rs, whereas 30% of the parents had a monthly income of 10,000–20,000Rs. This shows that economic factor had an influence in habit formation. Biglan et al. developed a structured equation model which clearly showed that inadequate parental monitoring associated with deviant peer’s adolescent accept tobacco habit very easily. In this study, 37.24% of the subjects had the habit of tobacco chewing, 15.8% smoking, and 46.8% never touched tobacco. The influential factors in habit formation were 38% by friends, 13.10% by media, 2% by relatives, whereas 46.8% never got influenced at all on smoking-related behaviors and attitude on significant others. Their study result shows that friends and parents were the most consistent predictors of adolescent smoking. In our study, the reason for forming tobacco habit is as follows: 20% said for more concentration during exams, 19.3% for fun and pleasure, and 11.7% to elevate the mood. It shows various misconceptions youngsters have about tobacco use. Also, most of the subjects 57% had knowledge about tobacco. Regarding the ill-effects and de-addiction, the knowledge was below average. About 35% knew the type of cancer caused by tobacco chewing and only 42% said that passive smoking is harmful and 14% only availed help for de-addiction. However, the result showed that the youngsters are unaware about the consequences of tobacco addiction. Out of the 114 students, 68 students wanted to give up and 57 students had tried to give up the habit, and only 13 students (11.40%) could succeed and rest of them failed to do so. In this study, majority (77.3%) of the subjects had positive attitude toward tobacco use. About 82% of the subjects admitted that they need more detail information about ill-effects and 71.7% accept that mass media plays an important role in habit formation among youngsters. In our study, there was a statistically significant association between knowledge and attitude at P < 0.001; 23.5% of the subjects having poor knowledge had positive attitude compared with 6.9% of the subjects having good knowledge. About 35.4% of the subjects having average knowledge exhibit negative attitude as against 3.4% of the subjects with good knowledge. In this study, there is a relationship between knowledge and habit formation. About 94.1% of the subjects with poor knowledge were tobacco users as against 65.5% of the subjects with good knowledge and 42.4% with average knowledge. This was highly significant at P < 0.001. The findings of the study proved that ignorance led them to habit formation. In the present study, there was no association between attitude and place of residence of subject. There are few limitations of the study as small sample size and no broad generalization could be made due to limited area of settings. Furthermore, study with large sample size is recommended.


  Conclusion Top


There was a strong association between knowledge and perception of students regarding tobacco use; and there was no association between perception and place of residence of students.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

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Tobacco. World Health Organization [last accessed on May 30, 2020]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco.  Back to cited text no. 3
    
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Mohan P, Lando HA, Panneer S. Assessment of tobacco consumption and control in India. Indian J Community Med 2018;9:1-7.  Back to cited text no. 4
    
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Tobacco Consumption: Chewing Tobacco & Beedi Industry Revenue-India. TII Online [last accessed on May 30, 2020]. Available from: https://www.tiionline.org/facts-sheets/tobacco-consumption.  Back to cited text no. 5
    
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Bhojani UM, Elias MA, Devadasan N. Adolescents’ perceptions about smokers in Karnataka, India. BMC Public Health 2011;11:563.  Back to cited text no. 7
    
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Tobacco. Government of Canada. 2017 [last accessed on May 30, 2020]. Available from: https://www.canada.ca/en/health-canada/services/health-concerns/reports-publications/tobacco.html.  Back to cited text no. 9
    
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Warren CW, Riley L, Asma S, Eriksen MP, Green L, Blanton C, et al. Tobacco use by youth: A surveillance report from the Global Youth Tobacco Survey Project. Bull World Health Organ2000;78:868-76.  Back to cited text no. 10
    
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Gupta PC, Mehta HC. Cohort study of all-cause mortality among tobacco users in Mumbai, India. Bull World Health Organ 2000;78:877-83.  Back to cited text no. 11
    
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Sinha DN, Gupta PC, Pednekar MS, Jones JT, Warren CW. Tobacco use among school personnel in Bihar, India. Tob Control 2002;11:82-3.  Back to cited text no. 15
    
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Pradeepkumar AS, Mohan S, Gopalakrishnan P, Sarma PS, Thankappan KR, Nichter M. Tobacco use in Kerala: Findings from three recent studies. Natl Med J India 2005;18:148-53.  Back to cited text no. 16
    
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  Introduction
   Materials and Me...
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