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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
  • 61 Downloads

Abstract

Aim

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.

Results

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.

Conclusions

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.

Keywords

Asthma Chronic bronchitis Media exposure Tobacco Prevalence 

Notes

Acknowledgements

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.

Funding

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.

References

  1. Arora M, Madhu R (2012) Banning smokeless tobacco in India: policy analysis. Indian J Cancer 49:336–341. http://www.indianjcancer.com/text.asp?2012/49/4/336/107724 CrossRefPubMedGoogle Scholar
  2. Ayo-Yusuf OA, Reddy PS, van den Borne BW (2008) Association of snuff use with chronic bronchitis among South African women: implications for tobacco harm reduction. Tob Control 17:99–104.  https://doi.org/10.1136/tc.2007.022608 CrossRefPubMedGoogle Scholar
  3. Bjornsson E, Plaschke P, Norrman E, Janson C, Lundback B, Rosenhall A, Lindholm N, Rosenhall L, Berglund E, Boman G (1994) Symptoms related to asthma and chronic bronchitis in three areas of Sweden. Eur Respir J 7:2146–2153. https://erj.ersjournals.com/content/erj/7/12/2146.full.pdf CrossRefPubMedGoogle Scholar
  4. de Marco R, Pesce G, Marcon A, Accordini S, Antonicelli L, Bugiani M, Casali L, Ferrari M, Nicolini G, Panico MG, Pirina P (2013) The coexistence of asthma and chronic obstructive pulmonary disease (COPD): prevalence and risk factors in young, middle-aged and elderly people from the general population. PLoS One 8:e62985.  https://doi.org/10.1371/journal.pone.0062985 CrossRefPubMedPubMedCentralGoogle Scholar
  5. Jha P (2011) Avoidable deaths from smoking: a global perspective. Public Health Rev 33:569.  https://doi.org/10.1007/BF03391651 CrossRefGoogle Scholar
  6. Jindal SK (2014) Effects of smoking on asthma. J Assoc Physicians India 62:32–37. http://www.japi.org/march_2014_special_issue/07_effects_of_smoking.pdf PubMedGoogle Scholar
  7. Jindal SK, Gupta D (2004) The relationship between tobacco smoke & bronchial asthma. Indian J Med Res 120:443–453. https://pdfs.semanticscholar.org/a908/87772fd78e668206167f3f324ff9e6daf079.pdf PubMedGoogle Scholar
  8. Jindal SK, Aggarwal AN, Gupta D, Agarwal R, Kumar R, Kaur T, Chaudhry K, Shah B (2012) Indian study on epidemiology of asthma, respiratory symptoms and chronic bronchitis in adults (INSEARCH). Int J Tuberc Lung Dis 16:1270–1277.  https://doi.org/10.5588/ijtld.12.0005 CrossRefPubMedGoogle Scholar
  9. Kaur J, Jain DC (2011) Tobacco control policies in India: implementation and challenges. Indian J Public Health 55:220–227. http://www.ijph.in/text.asp?2011/55/3/220/89941 CrossRefPubMedGoogle Scholar
  10. Kim V, Oros M, Durra H, Kelsen S, Aksoy M, Cornwell WD, Rogers TJ, Criner GJ (2015) Chronic bronchitis and current smoking are associated with more goblet cells in moderate to severe COPD and smokers without airflow obstruction. PLoS One 10:e0116108.  https://doi.org/10.1371/journal.pone.0116108 CrossRefPubMedPubMedCentralGoogle Scholar
  11. Kish L (1949) A procedure for objective respondent selection within the household. J Am Stat Assoc 44:380–387. https://www.tandfonline.com/doi/abs/10.1080/01621459.1949.10483314 CrossRefGoogle Scholar
  12. Koshiol J, Rotunno M, Consonni D, Pesatori AC, De Matteis S, Goldstein AM, Chaturvedi AK, Wacholder S, Landi MT, Lubin JH, Caporaso NE (2009) Chronic obstructive pulmonary disease and altered risk of lung cancer in a population-based case–control study. PLoS One 4:e7380.  https://doi.org/10.1371/journal.pone.0007380 CrossRefPubMedPubMedCentralGoogle Scholar
  13. Mishra V (2003) Effect of indoor air pollution from biomass combustion on prevalence of asthma in the elderly. Environ Health Perspect 111:71. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1241308/pdf/ehp0111-000071.pdf CrossRefPubMedPubMedCentralGoogle Scholar
  14. Prakash K, Usha R (2017) Patterns, factors associated and morbidity burden of asthma in India. PLoS One 12:e0185938.  https://doi.org/10.1371/journal.pone.0185938 CrossRefGoogle Scholar
  15. Singh M, Ladusingh L (2017) Factors associated with chronic bronchitis among municipal sanitary workers in Varanasi, India. Asian J Epidemiol 10:101–107. https://scialert.net/abstract/?doi=aje.2017.101.107 CrossRefGoogle Scholar
  16. Terho EO, Husman K, Vohlonen I, Heinonen OP (1987) Atopy, smoking, and chronic bronchitis. J Epidemiol Community Health 41:300–305.  https://doi.org/10.1136/jech.41.4.300 CrossRefPubMedPubMedCentralGoogle Scholar
  17. Vellakkal S, Subramanian SV, Millett C, Basu S, Stuckler D, Ebrahim S (2013) Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures. PLoS One 8:e68219.  https://doi.org/10.1371/journal.pone.0068219 CrossRefPubMedPubMedCentralGoogle Scholar
  18. Wang TN, Huang MS, Lin MC, Duh TH, Lee CH, Wang CC, Chen PH, Chiang SL, Sheu CC, Chen VCH, Wu CC, Ferri CP, Stewart R, Ko YC (2014) Betel chewing and arecoline affects eotaxin-1, asthma and lung function. PLoS One 9:e91889.  https://doi.org/10.1371/journal.pone.0091889 CrossRefPubMedPubMedCentralGoogle Scholar
  19. World Health Organization (WHO) (2013) Draft comprehensive mental health action plan 2013–2020. http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_10Rev1-en.pdf
  20. World Health Organization (WHO) (2015) Tobacco Free Initiative (TFI). WHO global report on trends in tobacco smoking 2000–2025. http://www.who.int/tobacco/publications/surveillance/reportontrendstobaccosmoking/en
  21. World Health Organization (WHO) (2017) Global Adult Tobacco Survey. Fact sheet. India 2016–17. Tata Institute of Social Sciences, Mumbai, India. http://www.who.int/tobacco/surveillance/survey/gats/ind/en. Accessed 20 May 2018

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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