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 ORIGINAL ARTICLE
Year : 2012  |  Volume : 49  |  Issue : 4  |  Page : 387-392

Predictors of tobacco smoking and smokeless tobacco use among adults in Bangladesh


1 Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, USA
2 Surveillance (Tobacco Control) Tobacco Free Initiative, South-East Asia Regional Office, World Health Organization, New Delhi, India
3 Department of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh
4 Country Office for Bangladesh, World Health Organization, Dhaka, Bangladesh
5 Epidemiology Branch Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, USA

Correspondence Address:
K M Palipudi
Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta
USA
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Source of Support: Funding for GATS was provided by the Bloomberg Initiative to Reduce Tobacco Use, a program of Bloomberg Philanthropies., Conflict of Interest: None


DOI: 10.4103/0019-509X.107745

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Introduction: To examine predictors of current tobacco smoking and smokeless tobacco use among the adult population in Bangladesh. Materials and Methods: We used data from the 2009 Global Adult Tobacco Survey (GATS) in Bangladesh consisting of 9,629 adults aged ΃15 years. Differences in and predictors of prevalence for both smoking and smokeless tobacco use were analyzed using selected socioeconomic and demographic characteristics that included gender, age, place of residence, education, occupation, and an index of wealth. Results: The prevalence of smoking is high among males (44.7%, 95% confidence interval [CI]: 42.5-47.0) as compared to females (1.5%, 95% CI: 1.1-2.1), whereas the prevalence of smokeless tobacco is almost similar among both males (26.4%, 95% CI: 24.2-28.6) and females (27.9%, 95% CI: 25.9-30.0). Correlates of current smoking are male gender (odds ratio [OR] = 41.46, CI = 23.8-73.4), and adults in older age (ORs range from 1.99 in 24-35 years age to 5.49 in 55-64 years age), less education (ORs range from 1.47 in less than secondary to 3.25 in no formal education), and lower socioeconomic status (ORs range from 1.56 in high wealth index to 2.48 in lowest wealth index. Predictors of smokeless tobacco use are older age (ORs range from 2.54in 24-35 years age to 12.31 in 55-64 years age), less education (ORs range from 1.44 in less than secondary to 2.70 in no formal education), and the low (OR = 1.34, CI = 1.0-1.7) or lowest (OR = 1.43, CI = 1.1-1.9) socioeconomic status. Conclusion: Implementation of tobacco control strategies needs to bring special attention on disadvantaged group and cover all types of tobacco product as outlined in the WHO Framework Convention on Tobacco Control (FCTC) and WHO MPOWER to protect people's health and prevent premature death.






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