Public Health Research
p-ISSN: 2167-7263 e-ISSN: 2167-7247
2015; 5(6): 198-205
doi:10.5923/j.phr.20150506.05
Samia Aziz, Tarzia Choudhury, Nafisa Huq
School of Public Health, Independent University, Bangladesh, Dhaka, Bangladesh
Correspondence to: Samia Aziz, School of Public Health, Independent University, Bangladesh, Dhaka, Bangladesh.
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This work is licensed under the Creative Commons Attribution International License (CC BY).
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Tobacco smoking, a leading risk factor for non-communicable diseases (NCDs), has been recognized as the 2nd leading cause of death globally. Bangladesh has been ranked among the top tobacco consuming countries in the world where 68 percent of the total mortality reported in 2006 was due to non-communicable diseases NCDs. This paper explores the association of tobacco consumption with socio-demographic factors, self-rated health and non-communicable chronic diseases among the rural population in Bangladesh. Methods: A cross sectional data from “IUB Health and Socio Economic Survey” 2013 was used for this study. A sample of 1512 male and 1569 female aged 18 and above were randomly selected from four districts of Bangladesh. Binary logistic regression was used to explore the association of tobacco consumption with socio-demographic characteristics; self reported chronic diseases and general health. Results: The prevalence of current tobacco use in any form (smoking or chewing tobacco) among adults in rural Bangladesh was 47.4%. Poor self reported general health was found to be a significant predictor of tobacco consumption. Males were 2.13 times more likely to use tobacco than their female counterparts. Tobacco use was significantly associated with older age (OR=3.18, CI= 2.507-4.035), higher education (OR=0.426, CI=0.289-0.628) and Sylhet region (OR=3.707, CI=2.911-4.720). Conclusions: Strategies to reduce tobacco consumption can focus more on older adults as they are at higher risk of developing chronic morbidity, which may be exacerbated by tobacco use. Regional variation and the role of higher education need to be explored further using in-depth qualitative research. The impact of self-rated health on tobacco consumption should be studied as poor self-rated health is in itself an important predictor of mortality.
Keywords: Tobacco Use, Self Rated Health, Chronic Morbidity
Cite this paper: Samia Aziz, Tarzia Choudhury, Nafisa Huq, Tobacco Use in Rural Bangladesh: Socio-Demographic Characteristics, Self Rated Health and Diseases, Public Health Research, Vol. 5 No. 6, 2015, pp. 198-205. doi: 10.5923/j.phr.20150506.05.
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Table 2. Multiple regression analysis with Tobacco Use as dependent variable and Self-reported Health, Socio-demographic Status and self rated chronic morbidity as independent variables |