Impact of smokeless tobacco use on pregnant Indian women
Smokeless tobacco is a product consisting of tobacco or a tobacco blend that is used other than smoking. In Maharashtra the pattern of tobacco use is slightly different where smokeless tobacco is preferred over smoking. In the present study is focused to understand the impact of smokeless tobacco use on pregnant Indian women and assess adverse effects on feto-maternal outcome. The study is a hospital based case control study with sample size 591. Women who reside in Chawl type of resident, lower education level, homemaker/housewife, lesser family income and Marathi mother tongue are significantly associated with tobacco use and have prevalence of anaemia 77.32% among the pregnant women. The women who are tobacco users have 2 times higher risk of having anaemia as compared to tobacco non user women, (OR: 2.193, CI: 1.240 – 3.877), (p = 0.007). Women who delivered in the government hospital have 3 times higher chance of having anaemia as compared to the private hospital (OR: 3.268, CI: 1.889 – 5.652), (p = 0.000**). The illiterate have 9 times higher risk of having anaemia (OR: 9.545, CI: 2.191 – 41.592), (p = 0.003*) compared to post graduate.
Begum Shahina Jean J, Schensul Saritha Nair, and Balaiah Donta (2015) Initiating Smokeless Tobacco Use across Reproductive Stages. Asian Pacific Journal of Cancer Prevention 16 (17):7547–7554. https://doi.org/10.7314/APJCP.2015.16.17.7547
Gupta PC (2004) Smokeless Tobacco Use, Birth Weight, and Gestational Age: Population Based, Prospective Cohort Study of 1217 Women in Mumbai, India. BMJ 328 (7455):1538–0. https://doi.org/10.1136/bmj.38113.687882.EB
Gupta Prakash C, and Cecily S Ray (2003) Smokeless Tobacco and Health in India and South Asia. Respirology 8 (4):419–431
GATS (2016) http://www.searo.who.int/india/mediacentre/events/2017/gats2_india.pdf?ua=1
Hailu Jufar Alemayehu (2013) Prevalence of Anaemia among Pregnant Women Attending Antenatal Care at Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia. Journal of Hematology & Thromboembolic Diseases 02 (01). https://doi.org/10.4172/2329-8790.1000125
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans (2004) IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. IARC, Lyon 89:1–1452
Kulkarni Priya Y, Devidas T Khedkar, Jitendra S Bhawalkar, and Vandana A Kakrani (2015) Perceptions and Practices of Smokeless Tobacco Use in the Form of Mishri among Rural Women above 10 Years of Age in Pune, Maharashtra, India. International Journal of Medicine and Public Health 5 (2):173. https://doi.org/10.4103/2230-8598.153831
Majumdar Ratna, Swati S Raje, and Ashlesha Dandekar (2013) Socio Demographic Factors Associated with Tobacco Use in Rural Maharashtra. Medical Journal of Dr. D.Y. Patil University 6 (2):161. https://doi.org/10.4103/0975-2870.110303
Mathers Colin D and Dejan Loncar (2006) Projections of Global Mortality and Burden of Disease from 2002 to 2030. PLoS Medicine 3 (11):e442
Mutti S, Reid JL, Gupta PC, Pednekar MS, Dhumal G, Nargis N, Hussain AG, Hammond D (2016) Patterns of use and perceptions of harm of smokeless tobacco in Navi Mumbai, India and Dhaka, Bangladesh. Indian J Community Med 41:280-287
SEARO, WHO (2004) Report on Oral Tobacco Use and Its Implications in South-East Asia. Retrieved
WHO (2013) Smokeless Tobacco in South-East Asia in Relation to the WHO FCTC
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