The Knowledge and Attitude Regarding Hazards of Tobacco Chewing among People of Early Adulthood at Selected area, Jaipur

  • Avinash Choudhary M.Sc. Nursing, Medical-Surgical Nursing, RUHS College of Nursing Sciences, Jaipur, Rajasthan, India
  • Prakash Babulal Sharma Professor, Medical-Surgical Nursing, Govt. College of Nursing, Jaipur, Rajasthan, India
  • Prakash Salvi M.Sc. Nursing, Pediatric Nursing, RUHS College of nursing sciences, Jaipur, Rajasthan, India
Keywords: Knowledge and Attitude, Tobacco Chewing, oral mucosal fibrosis


Introduction: Healthy habits are a vital role to survive for long period even, such as eating well,avoiding harmful substances, exercising and yoga etc. Second-hand smoke (SHS) has two maincomponents, sidestream and mainstream smoke. Non-smokers can get affected by breathing incigarette smoke at home and in other areas outside home..

Material and methods: It isdescriptive non-experimental study carried out among the mothers of under-five children atSPMCHI, Jaipur city (Rajasthan). Study was conducted in year 2020 and 60 mothers under-fivechildren were selected by using purposive non-probability sampling method. A pilot study wasperformed on 10 mothers of under-five children to test reliability and feasibility of study. Reliabilityof knowledge tool was conducted through Kuder and Richardson Formula 20 (KR20) result was 0.72and reliability of 5 point rating scale was analyzed by using the Cronbach alfa method it was 0.89.

Results: Level of knowledge mothers of under-five children, which 60% (36) had poor knowledge,25% (15) had average knowledge and 15% (9) had good knowledge regarding impact of passivesmoking. Level of attitude of mothers under-five children, that 20% (12) had an unfavourableattitude, 67% (40) had neutral attitude, and 13% (8) had favourable attitude. It evidenced that forcorrelation between knowledge and attitude calculated value of Karl Pearson’s correlation coefficientis 0.11 and tabulated value of correlation coefficient is 0.250 for df 58 at 0.05 level ofsignificance.

Conclusion: Present study reveals most of socio-demographic variables indicate asignificant association with level of knowledge regarding impact of passive smoking among mothersof under-five children except age and smoking habit of family member.


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1. Warnakulasuriya S, Dietrich T, Bornstein MM, Casals Peidró E, Preshaw PM, Walter C, et al. Oral health risks of tobacco use and effects of cessation. Int Dent J. 2010 Feb; 60(1):7–30. PMID: 20361572
2. WHO. Tobacco or health: a global status report. Geneva: World Health Organization, 1997.
3. Murray CJ, Lopez AD.eds. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to2020. Cambridge, Massachussets: Harvard School of Public Health, 1996.
4. Bokot-Btsyiv M., et al.―Cigarettesmoking as a risk factor associated with oral leukoplakia.‖Archive of oncology (2002),10(2): 67-70 UDC: 616-006:613.84:616-037
5. global-tobacco-use-trends
6. recommends- banning-selling-import-of-smokeless-tobacco-products
7. Singhvi A, Joshi A, Bagul N, Bhatia S, Singh G, Gupta R. The Insight for Initiation and Maintenance of Areca nut chewing Habit and its Effects on Oral Health Status among School Age Population in Western Rajasthan, India. J Clin Diagn Res.2016Nov;10(11):ZC15-ZC18. doi: 10.7860/JCDR/2016/21010.8789. Epub 2016 Nov 1. PMID: 28050496; PMCID: PMC5198449.
8. . Mahapatra S, Kamath R, Shetty BK, Binu VS. Risk of oral cancer associated with gutka and other tobacco products: a hospital-based case-control study. J Cancer Res Ther. 2015Jan-Mar;11(1):199-203. doi: 10.4103/0973-1482.143332. PMID: 25879362.
9. Amtha R, Razak IA, Basuki B, Roeslan BO, Gautama W, Puwanto DJ, Ghani WM, Zain RB. Tobacco (kretek) smoking, betel quid chewing and risk of oral cancer in a selected Jakarta population. Asian Pac J Cancer Prev. 2014;15(20):8673-8. doi: 10.7314 /apjcp.2014.15.20.8673. PMID: 25374188.
10. Tsai WC, Chen CY, Kuo HF, et al. Areca nut chewing and risk of atrial fibrillation in Taiwanese men: a nationwide ecological study. Int J Med Sci. 2013;10(7):804-811.Published 2013 Apr 25. doi:10.7150/ijms.5998
11. Akhtar, Saeed. “Areca nut chewing and esophageal squamous-cell carcinoma risk in Asians: a meta-analysis of case-control studies.” Cancer causes & control : CCC vol.24,2 (2013): 257-65. doi:10.1007/s10552-012-0113-9
12. . Madani AH, Dikshit M, Bhaduri D. Risk for oral cancer associated to smoking, smokeless and oral dip products. Indian J Public Health. 2012 Jan-Mar;56(1):57-60. doi:10.4103/0019-557X.96977. PMID: 22684175.
13. Narain R, Sardana S, Gupta S, Sehgal A. Age at initiation & prevalence of tobacco use among school children in Noida, India: a cross-sectional questionnaire based survey. Indian J Med Res. 2011;133(3):300-307.
14. Mirza SS, Shafique K, Vart P, Arain MI. Areca nut chewing and dependency syndrome: is the dependence comparable to smoking? a cross sectional study. Subst Abuse Treat Prev Policy. 2011;6:23. Published 2011 Aug 18. doi:10.1186/1747-597X-6-23
15. Saraswat N, Everett B, Pillay R, Prabhu N, George A. Knowledge, attitudes and practices of general medical practitioners in developed countries regarding oral cancer: an integrative review. Fam Pract. 2020 Oct 19;37(5):592-605. doi: 10.1093/fampra/cmaa026. PMID: 32253436.
16. Saraswat N, Pillay R, Everett B, George A. Knowledge, attitudes and practices of South Asian immigrants in developed countries regarding oral cancer: an integrative review. BMC Cancer. 2020 May 27;20(1):477. doi: 10.1186/s12885-020-06944-9. PMID: 32460718; PMCID: PMC7251750.
17. Asthana S, Vohra P, Labani S. Association of smokeless tobacco with oral cancer: A review of systematic reviews. Tob Prev Cessat. 2019 Oct 8; 5:34. doi: 10.18332/tpc/112596. PMID: 32411897; PMCID: PMC7205108
18. Metgud R, Murugesh CJ, Shiva Kumar BN, Priya NK, Rashmi P, Naik S, Tak A. Prevalence, knowledge, and attitude of gutkha chewing among school children of Arsikere, India. J Cancer Res Ther. 2018 Jan-Mar;14(2):368-371. doi: 10.4103/0973-1482.174532. PMID: 29516921
19. Vanishree N, Narayan RR, Naveen N, Bullapa D, Vignesh D, P Raveendran NM. Impact of pictorial warning labels on tobacco products among patients attending outpatient department of a dental college in Bangalore city: A cross-sectional study. Indian J Cancer. 2017 Apr-Jun;54(2):461-466. doi: 10.4103/ijc.IJC_203_17. PMID: 29469079.
20. Shetty KV, Johnson NW. Knowledge, attitudes and beliefs of adult South Asians living in London regarding risk factors and signs for oral cancer. Community Dent Health. 1999 Dec;16(4):227-31. PMID: 10665176.
21. Jayant K, Notani PN, Gulati SS, Gadre VV. Tobacco usage in school children in Bombay, India. A study of knowledge, attitude and practise. Indian J Cancer. 1991 Sep;28(3):139-47. PMID: 1786980.
How to Cite
Avinash Choudhary, Prakash Babulal Sharma, Prakash Salvi. The Knowledge and Attitude Regarding Hazards of Tobacco Chewing among People of Early Adulthood at Selected area, Jaipur. Int J Med Res Rev [Internet]. 2022Jun.6 [cited 2023Mar.27];10(3):96-103. Available from:
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