A Study Of The Prevalence, Pattern And Health Effects Of Passive Smoking In A Slum Area Of Ahmedabad City
A Study Of Passive Smoking in Slum Area
Keywords:
Smoker’s profile, Passive smoking, Effects of passive smoking, Bio-mass fuels, Environmental Tobacco SmokeAbstract
especially for children & those chronically exposed. Objectives: To know the pattern of smoking, proportion of household passive smokers, subjective and health effects amongst passive smokers. Methods: The present study is a cross sectional study carried out in Shankar Bhuvan na Chhapara slum area of the Ahmedabad by using a pre-designed and pre-tested proforma. A house to house survey was carried out to collect the information as per the format. Those households which were having at least one active tobacco smoker in any form, were included in study and all members of such households were surveyed.Results: Total 118 houses out of 250 total houses had at least one smoker in them and were covered in the survey. Total population surveyed was 683 out of which 131 were smokers and 552 were non-smokers. The ratio of active versus passive smokers in the survey population was 1: 4.21. The mean age of smokers was 45.24+12.97 years whereas mean age of passive smokers was 20.13+14.44 years. The mean active smokers per family were 1.11 and passive smokers per family were 4.72. Firewood and kerosene were the most common fuels and majority of houses had no separate cooking area. Bidi was most commonly smoked stuff. Majority were chronic smokers and smoking on average 20.16+14.28 items per day. Amongst the subjective feelings unpleasant smell was present in 74% of respondents on acute exposure to tobacco smoke and coughing was the most common immediate symptom experienced by the passive smokers. Sixty nine percent children of less than 5 years of age had history of repeated Acute Respiratory Tract Infections as per mothers. Conclusions: Women and children are the victims of the exposure to ETS and indoor air pollution due to use of Bio-mass fuel and substandard housing add to this problem. Over and above that the immediate adverse subjective feelings amongst passive smokers are un-noticed and not given importance. All these are bared by the passive smokers constantly multiple times a day and may affect their mental health. The damage to physical health is a well known fact.
References
2. Shaham J, Ribak J, Green M. The Consequences of Passive Smoking : an overview. Public Health Rev.1992-1993; 20(1-2) : 15-28
3. Eriksen MP, LeMaistre CA, Newell GR. Health Hazards of Passive Smoking. Annu Rev Public Health. 1998; 9: 47-70
4. Jindal SK. Emergence of Chronic Obstructive Pulmonary Disease as an epidemic in India, Indian J Med Res. 2006 Dec; 124(6): 619-30
5. No authors listed. Environmental Tobacco Smoke. Health effects and Prevention Policies. Council on Scientific Affairs, American Medical Association, Arch Fam Med, 1994 Oct ; 3(10) : 865-71
6. Jinot J, Bayard S. Respiratory Health Effects of exposure to Environmental Tobacco Smoke. Rev Environ Health. 1996, Jul-Sep; 11(3) : 89-100.
7. Yang GH, Ma JM, Liu n , Zhou LN. Smoking and Passive Smoking in Chinese 2002. Zhonghua Liu Xing Bing Xue Za Zhi, 2005 Feb ; 26(2) : 77-83
8. Han JX, Ma L, Zhang HW, Liu X, Zheng SH, Gan DK, Fang J. A cross sectional study of passive smoking of non-smoking women and analysis of influence factors on women passive smoking. Wei Sheng Yen Jiu, 2006 Sep; 35(5) : 609-11
9. Jindal SK, Aggarwal AN, Chaudhry K, Chhabra SK, D’ Souza GA, Gupta D et al, Tobacco smoking in India: prevalence, quit-rates and respiratory morbidity, Indian J. Chest Dis Allied Sci, 2006, Jan-March ; 48(1) : 37-42
10. Smoking and Health in Asia, WHO Chron. 1982 ; 36(4) : 156-9
11. Cohen N, Smoking, Health and Survival : Prospects in Bangladesh. Lancet, 1981;1(8229) : 1090-3.
