Smokeless tobacco more prevalent than smoked tobacco in pregnant, lactating women: Study

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Smokeless tobacco (SLT) use is more prevalent than smoked tobacco use in pregnant and lactating women in India, even as SLT use is steadily declining over the last few years, new research published in The Lancet Regional Health Southeast Asia journal said.

Overall, 719 (2.5 per cent) of currently pregnant women and 3426 (3.2 per cent) of currently married lactating women were using tobacco in some form, the cross-sectional study from Dr. BR Ambedkar State Institute of Medical Sciences (AIMS), Punjab, and other institutes found after analysing data from the Fifth National Family Health Survey (NFHS-5).

Of the 7,24,115 women interviewed in the NFHS-5 survey, 70.7 per cent (5,12,575) were currently married. Of these, 5.5 per cent (28,408) were pregnant, 616 of whom used smokeless tobacco, 95 used smoked tobacco, and 8 used both smoked and smokeless tobacco, the study found.

Of the currently married population, 20.6 per cent (1,05,482) were lactating at the time of the survey. 2934 (2.8 per cent) of these used smokeless tobacco, 447 (0.4 per cent) used smoked tobacco and 45 (0.04 per cent) used both smoked and smokeless tobacco.

Most (85.6 per cent) of the respondents using tobacco were found to use it in a smokeless form.

The study revealed a higher SLT use among respondents from the poorest wealth quintile, with tobacco-using pregnant women in central Indian regions more likely to consume ST and combined tobacco and those in the south more likely to consume SLT.

These regional variations may be attributed to cultural influences, a wider acceptance of tobacco use and differences in the implementation of tobacco control policies across the country, the study said.

Traditionally, the use of tobacco during pregnancy has often been reported with seeking a change of taste or to obtain relief from nausea, vomiting, constipation, cold and influenza, the study said.

Comparing rural and urban settings, the study found that the odds of smokeless tobacco use were 19.4 per cent less in rural areas as compared to urban areas among tobacco-using lactating women.