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Is smokeless tobacco use associated with lower health-related quality of life? A cross-sectional survey among women in Bangladesh.
- Source :
- Tobacco Induced Diseases; Apr2024, Vol. 22, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- INTRODUCTION Bangladesh has 22 million adult users of smokeless tobacco (ST). The prevalence among women is higher (24.8%). Health-related quality of life outcome (HRQoL) for ST use is little known. We investigated the association between HRQoL and daily ST use among adult women in Bangladesh. METHODS Using multi-stage design, a cross-sectional survey was conducted. Adult women (randomly selected) were surveyed from 4 purposively selected divisions (Dhaka, Chittagong, Khulna and Rangpur). Female ST users and non-users were compared using HRQoL scores. Self-perceived Visual Analogue Scale (EQ-VAS) values and HRQoL scores were modelled to examine their association with ST use. RESULTS A total of 2610 women (1149 users and 1461 non-users) were surveyed. The proportion reported any type of problem in all health dimensions was significantly higher among female ST users than non-users (mobility: 43.3% vs 19.5%, self-care: 29.6% vs 11.9%, usual activities: 48.7% vs 21.8%, pain or discomfort: 69.8% vs 40.6%, and anxiety or depression: 61.3% vs 37.5%). The average HRQoL scores were 0.79 (95% CI: 0.78-0.81) and 0.90 (95% CI: 0.89-0.90) for users and non-users, respectively. Moreover, EQ-VAS average values were significantly higher for non-users [80.7 (95% CI: 79.9-81.6) vs 70.27 (95% CI: 69.2-71.2)]. Controlling the sociodemographics, ST use significantly reduced the HRQoL score by an average of 0.15 points. The EQ-VAS values on average decreased by 0.04 points for ST use. CONCLUSIONS ST use is significantly associated with the HRQoL of females in Bangladesh. Considering the higher prevalence of ST, especially among women, HRQoL hazards need to be communicated for awareness building. [ABSTRACT FROM AUTHOR]
- Subjects :
- CROSS-sectional method
HEALTH status indicators
WOMEN
CLUSTER analysis (Statistics)
RISK-taking behavior
RESEARCH funding
STATISTICAL sampling
JUDGMENT sampling
DESCRIPTIVE statistics
ANXIETY
ATTITUDE (Psychology)
SURVEYS
QUALITY of life
PAIN
SMOKELESS tobacco
WOMEN'S health
COMPARATIVE studies
RISK perception
CONFIDENCE intervals
SOCIODEMOGRAPHIC factors
SELF-perception
MENTAL depression
Subjects
Details
- Language :
- English
- ISSN :
- 20707266
- Volume :
- 22
- Database :
- Complementary Index
- Journal :
- Tobacco Induced Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 177210741
- Full Text :
- https://doi.org/10.18332/tid/185969