Dual use of tobacco among Bangladeshi men.
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Date
2014-12
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Abstract
INTRODUCTION: Dual use of tobacco (using smoking and smokeless forms) in Bangladesh is uncommon in women but common in men. Dual users
are at additional risk of cancers and heart diseases compared with a single form of tobacco use. Knowledge about their socioeconomic background
is necessary for planning appropriate interventions. We report here socioeconomic background of the dual users of tobacco from a nationally
representative survey. METHODS: The study adopted a probability proportionate to size sampling technic of divisional population stratified into urban
and rural areas to recruit men aged 25 years or older from their households. A total of 4312 men were recruited. Variables included questions on 20
household assets, tobacco use and other behavioral risk factors, and measurement of body weight and height. RESULTS: The average age of dual
users was 46.7 years old compared to 43.4 and 52.3 years for smokers and smokeless tobacco users. Prevalence of “smoking only,” “smokeless
only” and “dual use” of tobacco was 40.6%, 15.2%, and 14.2%, respectively. Among all tobacco users, dual users constituted 20%. These dual users
had lower educational achievement, rural residence, lower intake of fruit, and higher intake of alcohol. They were more undernourished as indicated
by a thin body mass index compared to nonusers and smokers. Dual users were of socioeconomically deprived as measured by wealth quartiles
constructed out of household assets. CONCLUSION: Dual use of tobacco is common in Bangladesh, and it is intimately linked with socioeconomic
deprivation. Poverty reduction strategy and campaigns should address tobacco control not only tobacco in general, but its dual use in particular.
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Keywords
Bangladesh, dual use of tobacco, population, smoking and smokeless
Citation
Zaman M M, Bhuiyan M R, Huq S M, Rahman M M, Sinha D N, Fernando T. Dual use of tobacco among Bangladeshi men. Indian Journal of Cancer. 2014 Dec; 51(5_Suppl): s46-s49.