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dc.contributorPradeepkumar, AS-
dc.contributorMohan, S-
dc.contributorGopalakrishnan, P-
dc.contributorSarma, PS-
dc.contributorThankappan, KR-
dc.contributorNichter, M-
dc.identifier.citationNATIONAL MEDICAL JOURNAL OF INDIA. 18; 3; 148-153en_US
dc.description.abstractBackground. We reviewed the literature on tobacco use in Kerala and present data from three recently conducted unpublished studies.Methods. Three cross-sectional studies were conducted; a community-based study of 1298 individuals aged 15 years and above (mean age 37.4 years, men 630), a school-based study of 132 3 boys (mean age 14.7 years), and a college-based study of 1254 male students (mean age 18.2 years). Information on tobacco use and sociodemographic variables was collected using pre-tested, structured interview schedules and questionnaires.Results. In the community study, 72% of men and 6% of women had ever used tobacco. Compared to men with > 12 years of schooling, those with <5 years of schooling were 7 times more likely to smoke (OR 7, Cl 3.2-15.6). The age at initiation of smoking was 19 years among those <25 years of age compared to 25.5 years among ever smokers >44 years. In the school study, the age at initiation among boys aged: 13 years was 10.7 years compared with 13.2 years among 2:16-year-old boys. Boys whose fathers and friends used tobacco were 2 times and 2.9 times more likely to use tobacco (OR 2.0, Cl 1.3-3.1 and OR 2.9, Cl 1.6-5.1), respectively, compared with their counterparts. In the college study, 29% of the commerce students used tobacco compared with 5.3% of polytechnic students (p<0.001).Conclusion. Survey data suggest that the age at initiation of tobacco use appears to be failing. A series of cross-sectional studies with larger sample sizes of the youth is required to confirm this impression. Tobacco use habits of fathers and peers are significant influences on youth smoking. There is a need to focus on particular types of colleges as these appear to have high-risk tobacco use environments.-
dc.subjectPublic Health-
dc.titleTobacco use in Kerala: Findings from three recent studies-
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