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Indian J Tuberc. 2016 Jul;63(3):183-191. doi: 10.1016/j.ijtb.2015.07.004. Epub 2015 Dec 8.

Tobacco use and its impact on pulmonary health among elderly population in rural area of Muzaffarnagar - A cross-sectional study.

Author information

1
Assistant/Associate Professor, Department of Community Medicine, Muzaffarnagar Medical College & Hospital, Muzaffarnagar 251203, Uttar Pradesh, India. Electronic address: Sanjeevdavey333@gmail.com.
2
Professor & HOD, Muzaffarnagar Medical College & Hospital, Muzaffarnagar 251203, Uttar Pradesh, India.
3
Lecturer cum Statistician, Department of Community Medicine, Muzaffarnagar Medical College & Hospital, Muzaffarnagar 251203, Uttar Pradesh, India.
4
PG 1st Year Student, Department of Community Medicine, Muzaffarnagar Medical College & Hospital, Muzaffarnagar 251203, Uttar Pradesh, India.

Abstract

BACKGROUND:

The tobacco use is significant in Indian rural population. Among them, elderly people in rural area are at special risk due to ageing and other factors. The impact of tobacco use on elderly health, therefore, needs to be studied in depth in rural context.

OBJECTIVE:

To study the patterns of tobacco use and its consequent impact on pulmonary health of the elderly.

DESIGN AND METHODOLOGY:

A community-based cross-sectional study was done (April 1st to September 30th, 2014) in the field practice area (village Bilaspur) of Rural Health Training Centre (RHTC) of Muzaffarnagar Medical College, Muzaffarnagar. A simple random sampling was used and elderly of 60 years and above were interviewed by semi-structured interview schedule. The data were analyzed by software Epi-info. version 7.1.3.3.

RESULTS AND CONCLUSION:

The prevalence of tobacco usage among elderly was 56.7%, in which smoking was the dominant one (37%) and majority being in the form of Bidi (56.7%). Tobacco usage was significantly associated not only with age, sex, and caste (p<0.05 each), but occupational and socio-economic status (p<0.01 each) also; however, literacy was the most significant factor (p<0.0001) among all. The tobacco usage in smoking form was highly significantly associated with the presence of chronic obstructive pulmonary disease (p<0.0001), elucidating a significant impact on their pulmonary health. The rural elderly people need health education regarding curtailing the use of tobacco for their better health from health clinics.

KEYWORDS:

COPD; Elderly; Pulmonary health; Smoked tobacco; Smokeless tobacco

PMID:
27865241
DOI:
10.1016/j.ijtb.2015.07.004
[Indexed for MEDLINE]

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