PMID- 37643549
OWN - NLM
STAT- MEDLINE
DCOM- 20230925
LR  - 20230925
IS  - 1872-7654 (Electronic)
IS  - 0301-2115 (Linking)
VI  - 289
DP  - 2023 Oct
TI  - Chewing tobacco use among pregnant women in India: Analysis of national family 
      health surveys.
PG  - 79-84
LID - S0301-2115(23)00680-2 [pii]
LID - 10.1016/j.ejogrb.2023.08.377 [doi]
AB  - BACKGROUND: India accounts for over 67% of chewing tobacco users globally and 
      more than 50 million women in India chew tobacco. Chewing tobacco is documented 
      to have negative effects on health of mother and foetus. This research was 
      conducted to study the trends in chewing tobacco use among pregnant women in 
      India, and identify factors associated with chewing tobacco use among pregnant 
      women. METHODS: We analyzed micro-data from two representative national surveys 
      i.e., National Family Health Survey (NFHS)-4 (2015-16) & NFHS-5 (2019-21). A 
      sample of 32,428 & 28,408 pregnant women were extracted from NFHS-4 & NFHS-5 
      respectively. Weighted prevalence and 95% confidence levels of chewing tobacco 
      use were computed. State wide comparisons in chewing tobacco use were made. 
      Employing binary logistic regression, adjusted odds ratios (AOR) were computed to 
      identify factors associated with chewing tobacco use. RESULTS: From NFHS-4 to 5 
      the prevalence of chewing tobacco use among pregnant women decreased from 
      4.0%(95% CI = 3.9-4.0) to 2.3%(95% CI = 2.2-2.4) respectively indicating a 
      relative reduction of 42.5%. The highest prevalence remains to be in 
      north-eastern India at 13.0%. Belonging to north-eastern region 
      AOR = 7.0(95 %CI = 6.2-7.9), no-education AOR = 13.2(95 %CI = 10.5-16.5), poorest 
      wealth index AOR = 6.7(95 %CI = 5.6-8.0) and belonging to scheduled tribe 
      AOR = 2.6(95 %CI = 2.4-2.9) was significantly associated with chewing tobacco use 
      among pregnant women. CONCLUSION: From NFHS-4 to 5, chewing tobacco use during 
      pregnancy has shifted more towards socio-economically vulnerable population. 
      Targeted approaches with accessible and affordable tobacco cessation advice 
      integrated to primary healthcare system are needed.
CI  - Copyright (c) 2023 Elsevier B.V. All rights reserved.
FAU - Kodali, Prakash Babu
AU  - Kodali PB
AD  - Department of Public Health and Community Medicine, Central University of Kerala, 
      Kasaragod, Kerala, India. Electronic address: prakashkodali@cukerala.ac.in.
FAU - Longchar, Wapangjungla
AU  - Longchar W
AD  - Department of Public Health and Community Medicine, Central University of Kerala, 
      Kasaragod, Kerala, India.
FAU - Pulicherla, Naveen Kumar
AU  - Pulicherla NK
AD  - Department of Public Health and Community Medicine, Central University of Kerala, 
      Kasaragod, Kerala, India.
FAU - Thankappan, Kavumpurathu Raman
AU  - Thankappan KR
AD  - Department of Public Health and Community Medicine, Central University of Kerala, 
      Kasaragod, Kerala, India; Amrita Institute of Medical Sciences, Kochi, Kerala, 
      India.
LA  - eng
PT  - Journal Article
DEP - 20230823
PL  - Ireland
TA  - Eur J Obstet Gynecol Reprod Biol
JT  - European journal of obstetrics, gynecology, and reproductive biology
JID - 0375672
SB  - IM
MH  - Pregnancy
MH  - Female
MH  - Humans
MH  - *Tobacco, Smokeless
MH  - Pregnant Women
MH  - Mothers
MH  - India/epidemiology
MH  - Health Surveys
OTO - NOTNLM
OT  - Chewing tobacco
OT  - Pregnancy
OT  - Smokeless tobacco
OT  - Social determinants of health
OT  - Tobacco control
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/08/30 00:41
MHDA- 2023/09/25 06:42
CRDT- 2023/08/29 18:04
PHST- 2023/02/17 00:00 [received]
PHST- 2023/07/11 00:00 [revised]
PHST- 2023/08/21 00:00 [accepted]
PHST- 2023/09/25 06:42 [medline]
PHST- 2023/08/30 00:41 [pubmed]
PHST- 2023/08/29 18:04 [entrez]
AID - S0301-2115(23)00680-2 [pii]
AID - 10.1016/j.ejogrb.2023.08.377 [doi]
PST - ppublish
SO  - Eur J Obstet Gynecol Reprod Biol. 2023 Oct;289:79-84. doi: 
      10.1016/j.ejogrb.2023.08.377. Epub 2023 Aug 23.