J K Singh1, D Acharya2, R Kadel3, S Adhikari4, D Lombard3, S Koirala5, R Paudel6. 1. Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, India. 2. Department of Community Medicine, Devdaha Medical College and Research Institute, Kathmandu University, Bhaluhi, Rupandehi, Nepal. 3. Personal Social Services Research Unit, London School of Economics and Political Science, London, UK. 4. Institute of Medicine,TUTH, Kathmandu, Nepal. 5. Department of Nursing, Sanjeevani College of Medical Sciences, Rupandehi, Nepal. 6. Department of Community Medicine and Public Health, Institute of Medicine, Kathmandu, Nepal.
Abstract
BACKGROUND: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal. METHODS: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use. RESULTS: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers' group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts. CONCLUSIONS: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.
BACKGROUND:Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal. METHODS: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use. RESULTS: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers' group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts. CONCLUSIONS: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.
Authors: Dilaram Acharya; Jitendra Kumar Singh; Rajendra Kadel; Seok-Ju Yoo; Ji-Hyuk Park; Kwan Lee Journal: Int J Environ Res Public Health Date: 2018-11-03 Impact factor: 3.390
Authors: Dilaram Acharya; Jitendra Kumar Singh; Rajendra Kandel; Ji-Hyuk Park; Seok-Ju Yoo; Kwan Lee Journal: Int J Environ Res Public Health Date: 2019-05-28 Impact factor: 3.390
Authors: Jitendra Kumar Singh; Dilaram Acharya; Salila Gautam; Mandira Adhikari; Ji-Hyuk Park; Seok-Ju Yoo; Kwan Lee Journal: Int J Environ Res Public Health Date: 2019-06-17 Impact factor: 3.390
Authors: Jitendra Kumar Singh; Dilaram Acharya; Rajan Paudel; Salila Gautam; Mandira Adhikari; Shambhu Prasad Kushwaha; Ji-Hyuk Park; Seok-Ju Yoo; Kwan Lee Journal: Front Public Health Date: 2020-07-17