Addressing the disease burden of asthma and chronic bronchitis due to tobacco consumption: a study of Kanpur, India

  • Gyan Chandra Kashyap
  • Jitendra GuptaEmail author
  • Shri Kant Singh
  • Manish Singh
  • Madhumita Bango
Original Article



There is a well-established association between tobacco consumption with asthma and chronic bronchitis (CB). This study aimed at estimating the prevalence of tobacco consumption and its association with asthma and CB in Kanpur, Uttar Pradesh, India.

Subjects and methods

A cross-sectional household survey of 573 males was conducted during January–June 2015 in the Jajmau area of Kanpur, Uttar Pradesh, India. The questionnaire was designed to collect information on self-reported symptoms pertaining to asthma and CB, which were considered as response variables for the study.


More than one-third of the respondents (36%) smoked tobacco and 44% consumed smokeless tobacco. Men who were aged 35 years and above were more prone to CB, with odds ratios (ORs) of 2.08 in model 1 and 1.84 in model 2. The prevalence of CB is higher among those from the Scheduled Castes and Scheduled Tribes (12.4%). People consuming any form of tobacco are more likely to get CB (OR = 5.22) than their counterparts who do not consume tobacco. The chances of getting asthma was higher among those who consumed any form of smokeless tobacco (OR = 1.34) and those who consume any form of tobacco (OR = 2.30) in model 2.


Our study found a significant association between tobacco consumption (smoking and use of smokeless tobacco) with asthma and CB and the predictors that affect the pattern of tobacco consumption, such as respondents’ age, education level, caste, level of exposure to the media, and standard of living index.


Asthma Chronic bronchitis Media exposure Tobacco Prevalence 



The authors are thankful to all the participants of the study.

Author contributions

Background/introduction/scientific questions: GCK, JG; methods: SKS, GCK; results: GCK, JG, MS, MB; discussion/conclusion: MB, JG, MS.


This research received no specific grant from any funding agency, commercial entity, or not-for-profit organization.

Compliance with ethical standards

Ethics approval and consent to participate

We have received ethical clearance from the committee. The Student Research Ethics Committee of the International Institute for Population Sciences, Mumbai, India approved the study. We have also received formal written consent to participate from each of the respondents before starting the interview.

Availability of data and material

This study is based on the primary data. We would like to share the data set with the editor of the journal.

Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Indian Institute of Health Management Research (IIHMR Bangalore)BengaluruIndia
  2. 2.International Institute for Population SciencesMumbaiIndia
  3. 3.Department of Mathematical Demography & StatisticsInternational Institute for Population SciencesMumbaiIndia
  4. 4.School of Public HealthTata Institute of Social SciencesMumbaiIndia

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