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D.L. Francis



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    P1.01 - Poster Session with Presenters Present (ID 453)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Epidemiology/Tobacco Control and Cessation/Prevention
    • Presentations: 3
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      P1.01-007 - A Cross-Sectional Study on Tobacco Consumption Pattern among Auto Rickshaw Drivers in Chennai City, Tamil Nadu, India (ID 4415)

      14:30 - 15:45  |  Author(s): D.L. Francis

      • Abstract
      • Slides

      Background:
      Tobacco use is a major preventable cause of premature death and diseases, currently leading to five million deaths worldwide which are expected to raise over eight million deaths worldwide by 2030. India is the second largest consumer of tobacco in the world. Tobacco use is a leading cause of deaths and disabilities in India as well, killing about 1.2 lakh people in 2010. About 29% of adults use tobacco on a daily basis and an additional 5% use it occasionally. This study is contemplated with an aim to assess the prevalence of tobacco consumption and the associated factors involved in its consumption, as this group of the population is under constant pressure and account for the workforce of the country. So through this study we could be able to know * The reasons of consumption. * Amount of consumption *Awareness of ill effect of tobacco consumption* Out of Pocket expenditure.

      Methods:
      ACross sectional descriptive study was conducted among Auto Rickshaw Drivers in Chennai City.Auto drivers who were working for more than two years and present on the day of examination and who were willing to participate in the study were included.Cluster random sampling technique was used. 400 samples were selected from 40 auto stands of various parts of Chennai City.Data was collected using a Survey Proforma which comprised of a Questionnairewhich can assess the frequency of consumption, age of initiation, the amount of consumption, mental stress, economic factors, any past history of disease and most importantly the awareness towards oral cancer.The data recorded was transferred and analysed using SPSS version 20.Chi- square test was used to test the significance between groups.

      Results:
      Prevalence among auto rickshaw drivers for consumption of tobacco products was very high (87%). Auto rickshaw drivers were mostly used tobacco in the form of Gutkha (72%) and bidi (40%) in comparison to other products. In the opinion of auto rickshaw drivers increase in tax may reduce it consumption and the majority of drivers (70%) think that tobacco must be banned.

      Conclusion:
      Prevalence of tobacco use among auto rickshaw drivers was very high. Mostly they use tobacco products to reduce stress, to be awake or to remove nervousness but a large number of participants also use them without any reason. Almost one half of the study population was suffering from tobacco related diseases like cough, ulcer on mouth, lung disorder. They are in definite need of tobacco cessation activities.

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      P1.01-008 - Knowledge, Attitudes, and Smoking Behaviours among Dental and Medical Students in Chennai, Tamil Nadu, India (ID 4839)

      14:30 - 15:45  |  Author(s): D.L. Francis

      • Abstract
      • Slides

      Background:
      Tobacco use continues to be the leading cause of preventable disease and it is responsible for more than 5 million deaths each year worldwide. Despite this, there are still 650 million smokers in the world. The prevalence of smoking among adults accounts for approximately 25% deaths annually. smoking remains the main cause of mortality and morbidity in the developing nations. Healthcare professionals have an important role to play both as advisers influencing smoking cessation and as role models. However, many of them continue to smoke. Several studies have demonstrated the efficacy of smoking cessation programs and the importance of physician’s advice to their patients. The aims of the present study are as follows: (i) to evaluate smoking prevalence, knowledge and attitudes, and tobacco cessation training (ii) to examine the difference between smokers and nonsmokers;

      Methods:
      A structured questionnaire consisting of 14 questions related to tobacco/smoking habits, cessation training and role of health professionals in tobacco control were asked to the study population and their response was recorded. Random sampling method was used and data was collected from a cross-sectional survey. The surveywas conducted between January and February 2015. Statistical analysis was done using SPSS version 17 and Logistic regression model was used to identify possible associations with tobacco smoking status. The level of significance was

      Results:
      A total of 259answered the questionnaire of which 29% declared to be smokers. About 53% of the males have smoked at least once in their life and the age of cigarette initiation was 16-17 years for 28% of the sample.76%considered health professionals as behavioural models for patients, and 96% affirmed that health professionals have a role in giving advice or information about smoking cessation. Although 87% heard about smoking related issues during undergraduate courses, only 17% received specific smoking cessation training during specialization. 93% of the sample agreed that health professionals should receive specific training on smoking cessation according to while 6% were of the opposite opinion.

      Conclusion:
      The present study highlights the importance of focusing attention on smoking cessation training, given the high prevalence of smokers among physicians specializing in medicine and dentistry, their key role both as advisers and behavioural models, and the limited tobacco training offered in the curriculum. In the field of public health, tobacco screening, and intervention is one of the most effective clinical preventive services.

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      P1.01-026 - Tobacco Use, Awareness and Cessation among Malayali Tribes, Yelagiri Hills, Tamil Nadu, India (ID 4838)

      14:30 - 15:45  |  Author(s): D.L. Francis

      • Abstract
      • Slides

      Background:
      Health is a state of complete wellbeing free from any discomfort and pain. Despite remarkable world-wide progress in the field of diagnostic, curative and preventive medicine, still there are large populations of people living in isolation in natural and unpolluted surroundings far away from civilisation, maintaining their traditional values, customs, beliefs and myths. India has the second largest tribal population of the world next to the African countries. About half of the world’s autochthonous people live in India, thus making India home to many tribes which have an interesting and varied history of origins, customs and social practices. The present study was conducted to assess the tobacco use, awarness and its effect on health among Malayali tribes, Yelagiri Hills, Tamil nadu, India.

      Methods:
      The inhabitants of the 14 villages of the Yelagiri hills, who have completed 18years and residing for more than 15years present on the day of examination and who were willing to participate in the study were included. Data was collected from a cross-sectional survey, using a Survey Proforma, clinical examinationand a pre-tested questionnaire which included Demographic data, tobacco habits. An intra-oral examination was carried out by a single examiner to assess the Oral Health Status using WHO Oral Health Surveys – Basic Methods Proforma (1997).SPSS version15 was used for statistical analysis.

      Results:
      Results showed that among 660 study population, 381(57.7%) had no formal education. Among the study population 75%) had the habit of alcohol consumption. Of those who had the habit of smoking, 26% smoked beedi, 10.9% smoked cigarette, 65% chewed raw tobacco, 18% chewed Hans and 28% had a combination of smoking and smokeless tobacco usage. The reason for practicing these habits were as a measure to combat the cold, relieving stress and body pain after work, and the lack of awareness of the hazards of the materials used. Prevalence of oral mucosal lesions in the study population was due to tobacco usage and alcohol consumption and lack of awareness regarding the deleterious effects of the products used.

      Conclusion:
      From the results of this study it may be concluded that the Malayali tribes were characterized by a lack of awareness about oral health, deep rooted dental beliefs, high prevalence of tobacco use and limited access to health services.

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