RESEARCH PAPER
Socio-demographic characteristics and tobacco use among the adults in urban slums of Dhaka, Bangladesh
 
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1
James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
2
Health Systems and Population Studies Division, Dhaka, Bangladesh
CORRESPONDING AUTHOR
Lal B Rawal   

James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
Publish date: 2017-05-05
 
Tob. Induc. Dis. 2017;15(May):26
KEYWORDS
ABSTRACT
Background:
Use of tobacco has become one of the major causes of premature deaths in most developing countries, including Bangladesh. The poorest and most disadvantaged populations, such as those living in slums, are considered to be extremely vulnerable to non-communicable diseases and their risk factors, especially tobacco use. The objective of this study was to assess the current status of tobacco consumption among slum dwellers and its association with socio-demographic factors.

Methods:
A cross-sectional study was conducted in three slums of Dhaka city. Information about tobacco use as well as socio-demographic characteristics was collected from adult slum dwellers via face to face interviews using WHO STEPS questionnaire.

Results:
Overall proportion of smoking, smokeless tobacco consumption and dual use of tobacco was 35% [95% CI: 31.6-39.8], 40.6% [95% CI: 36.5–45.2] and 12% [95% CI: 9.3–15.0] respectively. Elderly people (55–64 years) were more likely to smoke (OR: 2.34, 95% CI: 1.21–4.49) than younger people (aged 25–34 years). On the other hand, those who had no schooling history (OR: 2.95, 95% CI: 1.66–5.25) were more likely to consume smokeless tobacco than those who had higher education (secondary or above). At the same time, manual workers were more likely to indulge in dual use of tobacco (OR: 5.17, 95% CI: 2.82–9.48) as compared to non-manual workers.

Conclusions:
The urban slum population of Dhaka city has a high prevalence of tobacco use, which increases their likelihood of developing non-communicable diseases. Proper attention needs to be directed towards addressing the risk factors related to non-communicable diseases within this vulnerable population.

 
REFERENCES (28)
1.
World Health Organization: Global status report on noncommunicable diseases 2014. Geneva: World Health Organization; 2014.
 
2.
World Health Organization: Mortality attributable to tobacco: WHO Global Report. Geneva: World Health Organization; 2012.
 
3.
Institute for Health Metrics and Evaluation. Global Burden of Disease (GBD). 2010. Retrieved October 3, 2015, from http://www.healthdata.org/gbd.
 
4.
Eriksen M, Mackay J, Schluger NW, Islami F, Drope J: The Tobacco Atlas. Atlanta: The American Cancer Society; 2015.
 
5.
World Health Organization. WHO Report on the Global Tobacco Epidemic 2008: The MPOWER package. Geneva, Switzerland: World Health Organization; 2008.
 
6.
World Health Organization - Country Office for Bangladesh: Global Adult Tobacco Survey (GATS) Bangladesh Report. Dhaka: World Health Organization, Country Office for Bangladesh; 2009.
 
7.
World Health Organization - Country Office for Bangladesh: Non-communicable disease risk factor survey Bangladesh 2010. Dhaka: World Health Organization, Country Office for Bangladesh; 2011.
 
8.
Alam DS, Jha P, Ramasundarahettige C, Streatfield PK, Niessen LW, Chowdhury MAH, Siddiquee AT, Ahmed S, Evans TG. Smoking-attributable mortality in Bangladesh: proportional mortality study. Bull World Health Organ. 2013;91:757–64.
 
9.
Wu F, Chen Y, Parvez F, Segers S, Argos M, Islam T, Ahmed A, Rakibuz-zaman M, Hasan R, Sarwar G, Ahsan H: A Prospective Study of Tobacco Smoking and Mortality in Bangladesh. PLoS One. 2013;8(3).
 
10.
World Health Organization: Tobacco: deadly in any form or disguise. Geneva: World Health Organization; 2006.
 
11.
Efroymson D, Ahmed S, Townsend J, Alam SM, Dey AR, Saha R, Dhar B, Sujon AI, Ahmed KU, Rahman O. Hungry for tobacco: an analysis of the economic impact of tobacco consumption on the poor in Bangladesh. Tob Control. 2001;10:212–7.
 
12.
National Institute of Population Research and Training (NIPORT), Measure Evaluation/UNC, International Center for Diarrhoeal Disease Research (ICDDR, B). Bangladesh Urban Health Survey 2013. Dhaka: NIPORT; 2014.
 
13.
Mahmood SAI, Ali S, Islam R. Shifting from infectious diseases to non-communicable diseases : A double burden of diseases in Bangladesh. J Public Heal Epidemiol. 2013;5(November):424–34.
 
14.
Hancock C, Kingo L, Raynaud O. The private sector, international development and NCDs. Glob Health. 2011;7:23.
 
15.
The International Tobacco Control Policy Evaluation Project. ITC Bangladesh National Report. Waterloo, Ontario, Canada: University of Waterloo. Bangladesh: University of Dhaka; 2010.
 
16.
Acharyya T, Kaur P, Murhekar MV. Prevalence of behavioral risk factors, overweight and hypertension in the urban slums of North 24 Parganas District, West Bengal, India, 2010. Indian J Public Health. 2014;58:195–8.
 
17.
Chockalingam K, Vedhachalam C, Rangasamy S, Sekar G, Adinarayanan S, Swaminathan S, Menon PA: Prevalence of Tobacco Use in Urban, Semi Urban and Rural Areas in and around Chennai City, India. PLoS One. 2013;8(10).
 
18.
World Health Organization: WHO STEPS Surveillance Part 2 : Planning and Set Up Overview; Section 2: Preparing the Sample. WHO STEPS Surveill Man 2008. Geneva: World Health Organization; 2008.
 
19.
World Health Organization: The WHO STEPwise approach to noncommunicable disease risk factor surveillance (STEPS). Geneva: World Health Organization; 2011.
 
20.
World Health Organization: Noncommunicable Diseases Global Monitoring Framework: Indicator Definitions and Specifications. Geneva: World Health Organization; 2014.
 
21.
World Health Organization: Conducting the Survey, Data Entry, Data Analysis and Reporting and Disseminating Results Overview. WHO STEPS Surveill Man 2008. Geneva: World Health Organization; 2008.
 
22.
Singh A, Ladusingh L. Prevalence and determinants of tobacco use in India: Evidence from recent global adult tobacco survey data. PLoS One. 2014;9:1–18.
 
23.
Khan MMH, Khan A, Kraemer A, Mori M. Prevalence and correlates of smoking among urban adult men in Bangladesh: slum versus non-slum comparison. BMC Public Health. 2009;9:149.
 
24.
Thakur JS, Garg R, Narain JP, Menabde N. Tobacco use: a major risk factor for non communicable diseases in South-East Asia region. Indian J Public Health. 2011;55:155–60.
 
25.
Palipudi K, Rizwan SA, Sinha DN, Andes LJ, Amarchand R, Krishnan A, Asma S. Prevalence and sociodemographic determinants of tobacco use in four countries of the World Health Organization: South-East Asia region: findings from the Global Adult Tobacco Survey. Indian J Cancer. 2014;51 Suppl 1:S24–32.
 
26.
Zaman M, Bhuiyan M, Fernando T, Huq S, Rahman M, Sinha D. Dual use of tobacco among Bangladeshi men. Indian J Cancer. 2014;51:46.
 
27.
World Health Organization: Impact of Tobacco-related Illnesses in Bangladesh. New Delhi: World Health Organization Regional Office for South-East Asia; 2007.
 
28.
Sultana P, Akter S, Rahman MM, Alam MS: Prevalence and Predictors of Current Tobacco Smoking in Bangladesh. J Biostat Biometric App. 2015;1:1–8.
 
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