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Background: Regular physical activity is an important behavior for promoting health or preventing diseases. Poor participation in physical activity, especially in school-going children, has a multifactorial causation. Present study aimed to find out the proportion and determinants of insufficient physical activity among school-going adolescents at selected government high schools of Dumdum. Methodology: A cross-sectional observational study was conducted among school-going adolescent students of class VIII, IX, X, XI, XII in two selected government high schools of Dumdum municipality of North 24 Parganas. Complete enumeration method was used to select 199 participants. Students, who were absent during the day of the survey or were not willing to participate were excluded. A pre-designed pretested structured schedule was used to collect data. Data was analyzed using statistical software SPSS version 16. Results: Out of 199 students, 62.9% were aged 13--14 years with mean age 14.4 (±1.37). 54.3% were females. Only 22.1% do adequate physical activity, 59.8% participants have satisfactory attitude towards adequate physical activity practices. 42.2% participants were addicted to smartphone according to smartphone addiction scale (SAS). Physical activity was significantly associated with female gender (OR = 2.56. 95% CI = 1.28--5.11), unsatisfactory attitude (OR = 2.41, 95% CI = 1.13--5.10) towards PA practices, high smartphone addiction (OR = 2.57. 95% CI = 1.23--5.35), and more screen time (OR = 2.20, 95% CI = 1.11--4.37). Conclusions: Physical activities in the school environment have short-term as well as long-term benefits over health. Various factors act as a barrier to physical activity. PA promotion programs in the school setting is needed for disease-free and healthy life. [ABSTRACT FROM AUTHOR]

Context: Tobacco smoking is one of the preventable causes of death. Global Adult Tobacco Survey 2 report showed that 19% Indian males were current smokers. It is important to find out factors which help smokers on smoking cessation, ultimately to prevent of lung and other morbidities. There are few community-based studies on intention and attempt to quit smoking in rural area. Aims: The present study aimed to determine the factors associated with intention and attempt to quit smoking among current smokers. Settings and Design: A cross-sectional study was conducted from June to September 2019 among 198 male daily smokers residing in the rural field practice area of AllH and PH, Kolkata. Subjects and Methods: After cluster sampling, data were collected by predesigned schedule by the face-to-face interview. Results: 151 (76.3%) study subjects intended to quit smoking. 63 (31.8%) study subjects attempted to quit in last 1 year. Thirty-one (47.5%) showed high-to-medium nicotine dependence. There was a significant association of intention to quit with agriculture as occupation (acquisitive crime [AOR]-2.17, confidence interval [CI]-1.01--4.63), low nicotine dependence (AOR-2.98, CI-1.43--6.21), doctor's advice (AOR = 2.84, CI-1.27--6.33), and family pressure (AOR = 2.16, CI-1.07--4.38). Attempt to quit was significantly associated with low nicotine dependence (AOR = 5.85, CI-2.85--12.00), family pressure (AOR = 2.94, CI-1.47--5.91). Conclusion: Along with counseling to reduce nicotine dependence, comprehensive approach both from family members as well as health care providers, is vital to escalate the quitting behaviour in smoking habit. [ABSTRACT FROM AUTHOR]

Introduction: The automobile industry is a large and growing industry in India and this industry employs many workers as manufacturers, distributors, retailers, and automobile garage workers. Automobile garage workers suffer from many health problems among which Musculoskeletal Discomfort (MSD) is very common. Aim: To find the proportion of MSD among automobile garage workers in Chetla, Kolkata and to describe the factors associated with the musculoskeletal discomfort. Materials and Methods: The study was a work place based, observational study with cross-sectional design. The study was conducted among 101 automobile garage workers at nine automobile garages of Chetla, Kolkata. A pre-designed, pre-tested structured schedule was used to collect data. The outcome variable was MSD and it was assessed using Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). MSD score was categorised into mild, moderate and severe discomfort. Data was analysed using IBM SPSS Software version 16. Results: Around one-third (30.7%) study participants belonged to the age group 41-50 years with mean (SD) age 43.35 (13.46) years. Knee discomfort was present among 42% study participants while 21% had low back pain according to CMDQ tool. Around three fourth (73.3%) study participants had at least one kind of MSD and around 46.6% had moderate to severe musculoskeletal discomfort. MSD was significantly associated with increasing age and increasing duration of working hours per week in univariate and multivariable logistic regression. Conclusion: The proportion of musculoskeletal discomfort among automobile workers was quite high. Early diagnosis and regular screening of MSD is very much needed to introduce appropriate preventive and treatment measures at appropriate time. [ABSTRACT FROM AUTHOR]

Context: Anemia is a serious public health concern especially in women of reproductive age (WRA) as it causes a high burden of morbidity and mortality and persists through intergenerational cycle. As most of the risk factors are preventable, a thorough understanding of its risk factors is necessary to design better interventions. Aims: Current study aimed to estimate the burden of anemia as well as explore determinants of various grades of anemia among WRA in a rural area. Settings and Design: A community-based cross-sectional study was conducted among non-pregnant, non-lactating women of reproductive age in rural field practice area of All India Institute of Hygiene and Public Health. Methods and Materials: House to house visit was conducted for interviewing with pre-designed pre-tested questionnaire along with blood hemoglobin and anthropometric measurement. Statistical Analysis Used: Descriptive statistics and test of significance like multinomial logistic regression and Kruskal-Wallis test (with post-hoc) were used. Results: Majority (70.8%) of participants were anemic. Proportion of mild, moderate, and severe anemia were 24.16%, 37.5%, and 9.16%, respectively. Different levels of anemia were significantly associated with higher age, lower education, poor iron-rich food intake, lack of dietary diversity, and adiposity. Significantly low hemoglobin level in both underweight and obesity was noticed suggesting U shaped relationship between BMI and anemia. Conclusion: Periodic screening for anemia among WRA especially in both extremes of malnutrition, i.e., undernutrition and obesity should be considered at the policy level. Year-round behaviour change communication campaigns must be carried out for the promotion of necessary food groups in diet. [ABSTRACT FROM AUTHOR]

Context: In India, despite implementation of the strategies under National Tobacco Control Programme [NTCP], women are easily exposed to tobacco consumption that is smokeless (SLT) and smoking tobacco along with second-hand smoke [SHS], making them highly susceptible to tobacco hazards. Aims: This study aimed to assess the exposure of women to tobacco use and SHS at home and to elicit predictors of tobacco exposure in a rural community of West Bengal. Methodology: A community based, cross-sectional study was conducted among 176 women aged 18 years and above. Data was collected by cluster sampling technique (16*11) using predesigned pretested structured schedule. Tobacco exposure was measured using a composite score including tobacco consumption and SHS at home. Results: Tobacco use (SLT and smoking tobacco) was significantly associated with educational attainment [AOR = 2.12], occupation [AOR = 2.13] and knowledge [AOR = 1.22]. There was significant association between SHS at home with knowledge [AOR = 1.16] and attitude of the study subjects. [AOR = 1.93]. Overall tobacco exposure (SLT, smoking tobacco, and SHS), was found to be 79.5%. Significant association was found between high tobacco exposure with age group [AOR = 3.82], educational attainment [AOR = 1.74] and knowledge regarding hazards of tobacco [AOR = 1.31]. Conclusion: Prevalence of SLT use as well as exposure of women to SHS at home is unexpectedly high in the study population. Women specific information and education campaigns focusing on tobacco hazards (both tobacco use and SHS) through existing primary health care infrastructure should be strategized under NTCP. [ABSTRACT FROM AUTHOR]