The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 10 ( October, 2020 ) > List of Articles

ORIGINAL RESEARCH

Tobacco Awareness with Socioeconomic Status and Pictorial Warning in Tobacco Cessation: An Exploratory Institutional Survey in a Semi-urban Population

Praveena Raman, Raghuram Pitty

Keywords : Audiovisual aids, Awareness, Cessation, Chewing tobacco, Mouth neoplasms, Mouth self-examination, Risk habits, Second-hand smoke, Socioeconomic status, Tobacco smoke, Tobacco use

Citation Information : Raman P, Pitty R. Tobacco Awareness with Socioeconomic Status and Pictorial Warning in Tobacco Cessation: An Exploratory Institutional Survey in a Semi-urban Population. J Contemp Dent Pract 2020; 21 (10):1122-1129.

DOI: 10.5005/jp-journals-10024-2951

License: CC BY-NC 4.0

Published Online: 08-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To explore the impact of socioeconomic status (SES) and/on the awareness of ill effects of tobacco on oral and general health and to evaluate the effectiveness of pictorial warning on tobacco cessation in a semi-urban population of South Chennai. Materials and methods: This cross-sectional survey for 1 week was conducted using a two-stage sampling design, with a sample size of 300. New op patients constitute the first sampling design, and patients with history of any form of tobacco constituted second sampling design for the second part of the study. Following an informed consent in patient\'s own language, and as per inclusion criteria\'s, new op patient was interviewed with questionnaire 1, which comprised 27 closed-ended questions to assess subject\'s general awareness on tobacco, awareness of ill effects of tobacco on oral and general health, and their SES. Sociodemographic information such as age, sex, marital status, occupation, address, educational level, and family income per month was also recorded. Response categories for each of the questions were “yes”, “no”, and “don\'t know”. The Questionnaire-2 comprised 8 closed-ended questions that assessed the subject\'s willingness to quit and to evaluate the effectiveness of pictorial warning on tobacco cessation, which was subjected only to those patients who had a history of tobacco usage which was recorded after completing the Questionnaire-1. This group formed the secondary sampling unit. Questionnaire-2 also included an individual suggestion for the preference of type of warning sign on the tobacco packet/sachet in the end. Statistically, Cronbach\'s α coefficient, one-way analysis of variance, Tukey HSD post hoc tests, and Chi-square test were used. Results: On the whole, this study reported good awareness about harmful effects of tobacco. In all, 33.2% of respondents could not change after noticing the warning ads, 90.3% of our respondents are not aware that a professional help is available to motivate quitting. Smokers were more aware than smokeless tobacco users, and tobacco users recommended a greater area to be covered for pictorial warnings and to increase the frequency to change the pictorial warning signs. Conclusion: Alarmingly high statistics and delayed presentation of oral and health hazards at the time of primary diagnosis underscores the need for an extensive awareness campaign on the issues related to ill effects of tobacco more focused on tobacco user\'s perspective and feedback. Clinical significance: Health awareness programs related to awareness of ill effects of tobacco should be tailor-made to the targeted population and should be more focused on the control of specific risk factors. Health warnings on tobacco packages that combine text and pictures, along with the frequent role of impact of mass media and campaigns on mouth self-examination and improvement in quality of life can effectively increase the general public awareness of the serious and deleterious health risks of tobacco use and to reduce its consumption.


PDF Share
  1. WHO. Tobacco. Fact sheet. 2017. Available at: http://www.who.int/mediacentre/factsheets/fs339/en/.
  2. Mishra GA, Pimple SA, Shastri SS. An overview of the tobacco problem in India. Indian J Med Paediatr Oncol 2012;33(3):139–145. DOI: 10.4103/0971-5851.103139.
  3. Chapanda JP. Assessing the impact of tobacco farming in poverty alleviation: the case of small holder centenary farmers. 2016. Available at: http://ir.msu.ac.zw:8080/jspui/bitstream/11408/2168/1/julliet%20 dissertation%20final.pdf.
  4. Agrawal M, Pandey S, Jain S, et al. Oral cancer awareness of the general public in Gorakhpur city, India. Asian Pacific J Cancer Prev 2012;13(10):5195–5199. DOI: 10.7314/APJCP.2012.13.10.5195.
  5. Wakefield M, Letcher T. My pack is cuter than your pack. Tob Control 2002;11(2):154–156. DOI: 10.1136/tc.11.2.154.
  6. World Health Organization. WHO Framework Convention on Tobacco Control. Geneva: World Health Organization; 2003. Available from: http://www.who.int/tobacco/framework/WHO_FCTC_english.
  7. World Health Organization. MPOWER: a policy package to reverse the tobacco epidemic. Geneva: WHO; 2008.
  8. Arora M, Tewari A, Nazar GP, et al. Ineffective pictorial health warnings on tobacco products: Lessons learnt from india. Indian J Public Health 2012;56(1):61–64. DOI: 10.4103/0019-557X.96978.
  9. WHO Framework Convention on Tobacco Control. Geneva; 21 May, 2003. Available from: https://www.treaties.un.org/pages/ViewDetails. aspxsrc=TREATY&mtdsg_no=IX-4&chapter=9&lang=en.
  10. Government Releases New Pictorial Warnings for Tobacco Products. Available from: http://www.newindianexpress.com/nation/2017/apr/04/government-releases-new-pictorial-warnings-for-tobaccoproducts-1589510.html.
  11. India: 85% Pictorial Warnings Required, WHO Frame Work Convention on Tobacco Control, Implementation Database; 15 October, 2014. Available from: http://www.untobaccocontrol.org/impldb/updates/page/13/.
  12. Agarwal OP, Bhasin SK, Sharma AK, et al. A new instrument (scale) for measuring the socioeconomic status of a family: preliminary study. Indian J Community Med 2005;30:111–114.
  13. Kumar N, Gupta N, Kishore J. Modified Kuppuswamy's socioeconomic scale. Indian J Public Health 2012;56(1):103–104. DOI: 10.4103/0019-557X.96988.
  14. Declaration of Helsinki. World medical association of declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ 2001;79(4):373–374.
  15. Pai A, Arora A, Dyasanoor S. Awareness about effects of tobacco on oral and general health: a questionnaire study. Sch J App Med Sci 2014;2(4A):1190–1195.
  16. Dhadwal DS, Kaushal K. Knowledge about the ill effects of tobacco use and COTPA act among adult male population of Shimla city. CHRISMED J Health Res 2016;3(4):279–283. DOI: 10.4103/2348-3334.190577.
  17. Tirukkovalluri SS, Arumugam B, Gunasekharan N, et al. Social determinants in access to tobacco prevention and cessation support services among migrant construction workers in urban Chennai, India. J Family Med Prim Care 2020;9(4):1991–1998. DOI: 10.4103/jfmpc.jfmpc_1072_19.
  18. Madappady S, Kumar H, Jayaram S, et al. A study on awareness of health effects of tobacco consumption among medical students and impact of modular training. Int J Community Med Public Health 2018;5(9):4077–4085. DOI: 10.18203/2394-6040.ijcmph20183598.
  19. Yang Y, Wang J-J, Wang C-X, et al. Awareness of tobacco-related health hazards among adults in china. Biomed Environmen Sci 2010;23(6):437–444. DOI: 10.1016/S0895-3988(11)60004-4.
  20. Ibrahim A, Mathew SB, Arekal SS, et al. A study to assess the awareness of ill effects of tobacco among adolescents and young adults of Mangalore. NUJHS 2016;6(3):21–23. DOI: 10.1055/s-0040-1708656.
  21. Abu Shomar RT, Lubbad IK, Ansari WEl, et al. Smoking, awareness of smoking-associated health risks, and knowledge of national tobacco legislation in Gaza, Palestine. Cent Eur J Public Health 2014;22(2):80–89. DOI: 10.21101/cejph.a4005.
  22. Global GATS. Adult Tobacco Survey: Fact Sheet, India 2016-17. 2017 http://www.who.int/tobacco/surveillance/survey/gats/GATS_India_2016-17_FactSheet.pdf.
  23. Sunil Kumar D, Jom Thomas J, Mohandas A, et al. Prevalence of substance use and awareness about its ill effects among people residing in a rural village in Chamarajanagara district, Karnataka. Clinical Epidemiology and Global Health 2020;8(2):442–445. DOI: 10.1016/j.cegh.2019.10.005.
  24. Kaur P, Rao SR, Radhakrishnan E, et al. High prevalence of tobacco use, alcohol use and overweight in a rural population in Tamil Nadu, India. J Postgrad Med 2011;57(1):9. DOI: 10.4103/0022-3859. 74284.
  25. Chockalingam K, Vedhachalam C, Rangasamy S, et al. Prevalence of tobacco use in urban, semi urban and rural areas in and around Chennai city, India. PLoS ONE 2013;8(10):e76005. DOI: 10.1371/journal.pone.0076005.
  26. Elango KJ, Anandkrishnan N, Suresh A, et al. Mouth selfexamination to improve oral cancer awareness and early detection in a high-risk population. Oral Oncol 2011;47(7):620–624. DOI: 10.1016/j.oraloncology.2011.05.001.
  27. Nabillah Ghani WM, Geraldine Doss J, Jamaluddin M, et al. Oral cancer awareness and its determinants among a selected malaysian population. Asian Pacific J Cancer Prev 2013;14(3):1957–1963. DOI: 10.7314/APJCP.2013.14.3.1957.
  28. Prabhakar Y, Gayatri Devi R, Jyothipriya. A. Prevalence and awareness of health risks about passive smoking among Chennai population. Drug Invention Today 2019;12(5):877–879.
  29. Ogawa H, Tominaga S, Hori K, et al. Passive smoking by pregnant women and fetal growth. J Epidemiol Community Health 1991;45(2):164–168. DOI: 10.1136/jech.45.2.164.
  30. Martin T. How Second Hand Smoke Hurts Children. New York Times; 2018.
  31. Raghu S, Venkata Rao M, Pulivarthhi SK, et al. Awareness of harmful effects of smoking among smokers. J Evolut Med Dent Sci 2015;4(80):13937–13942. DOI: 10.14260/jemds/2015/1985.
  32. Raman P, Gayathri P. Dentist's delay or dexterity to diagnose the deadly: a clinicoradiological series of oral malignancies exhibiting varied presentations in the Tamil Nadu Rural Belt. Cureus 2019;11(2):e4051. DOI: 10.7759/cureus.4051.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.