| Peer-Reviewed

Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study

Received: 12 June 2017    Accepted:     Published: 15 June 2017
Views:       Downloads:
Abstract

Tobacco use remains a major cause of preventable deaths worldwide. WHO estimated that about 25% of Nepalese population smokes. In Nepal it is widely believed that tobacco use among bus drivers and staffs is very high. This descriptive cross sectional study was conducted in Dharan bus station among 300 bus drivers and staffs who voluntarily responded with self-administered questionnaire to estimate the prevalence of tobacco consumption and to assess their knowledge, attitude and practice regarding tobacco use. Prevalence of tobacco consumption among the respondents was 96.3%. Tobacco initiation at the age <18 years was 52%. ‘Peer pressure’ and ‘Influenced by family member(s)’ were the reasons for initiation while ‘Like the intoxicated feeling’ (67.5%) and ‘Feeling Mature’ for continued use. Respondents (97%) claimed they knew about the injurious effect of tobacco use, diseases cited being respiratory, cancer and cardiac, but only 48.9% knew this before initiating its use. A 75.8% of tobacco consumers had tried to quit it due to ‘Health issue’ (65.3%) followed by ‘Pressure from family member/s’ and ‘Economic burden’. Only about 20% were successful in quitting. The main reason for failure was feeling of addiction (69.7%). Among current tobacco users, 95% would like to seek medical help in quitting, if available. Our study concluded that the prevalence of tobacco consumption among bus drivers and staffs was very high. More than half started its use at age <18 years without prior knowledge of harmful effects of tobacco use. Majority would like to seek medical help as they have failed quitting it due to feeling of addiction. Targeted programs such as nicotine replacement clinics would be highly effective for them with desire to quit tobacco use with medical help.

Published in Science Journal of Public Health (Volume 5, Issue 4)
DOI 10.11648/j.sjph.20170504.14
Page(s) 301-306
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tobacco Use, Bus Drivers, Eastern Nepal, Knowledge Attitude Practice

References
[1] WHO. WHO global report on trends in prevalence of tobacco smoking 2015. Available from: http://apps.who.int/iris/bitstream/10665/156262/1/9789241564922_eng.pdf. Accessed on- 5th December, 2015.
[2] WHO. Report on the Global Tobacco Epidemic, 2013. Available from: http://apps.who.int/iris/bitstream/10665/85380/1/9789241505871_eng.pdf. Accessed on- 5th December, 2015.
[3] Pandey MR, Pathak RP, Shrestha S, Saud S. National Global Youth Tobacco Survey (GYTS) and National Global School Personnel Survey (GSPS) in Nepal (2007). Available from: http://www.searo.who.int/entity/noncommunicable_diseases/data/nep_gyts_report_2007.pdf?ua=1. Accessed- 10 Feb 2016.
[4] Ministry of Health and Population. Nepal Adolescents and Youth Survey 2010/11. Available from: http://nepal.unfpa.org/sites/default/files/pub-pdf/NepalAdolescentandYouthSurveyHighlights%282%29.pdf. Accessed- 7 Feb 2016.
[5] Sinha DN, Bajracharya B, Khadka BB, Rinchen S, Bhattad VB, Singh PK. Smokeless tobacco use in Nepal. Indian journal of cancer 2012; 49(4); p: 352-6.
[6] Kabir MA, Goh KL, Khan MH. A cross-country comparison of tobacco consumption among youths from selected South-Asian countries. BMC Public Health 2013; 13:379 Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-379. [ Accessed:15th dec.2015 ].
[7] Pradhan PMS, Niraula SR, Ghimire A, Singh SB, Pokharel PK. Tobacco use and associated factors among adolescent students in Dharan, Eastern Nepal: a cross-sectional questionnaire survey. Bmjopen 2013. 3 (2). Available from: http://bmjopen.bmj.com/content/3/2/e002123.full. [Accessed: 6th December 2015].
[8] Choe MK, Thapa S, Podhisita C, Raymundo C, Lin HS, Achmad S. The Teen Tobacco Epidemic in Asia: Indonesia, Nepal, Philippines, Taiwan, and Thailand. Journal of Youth Studies 2004. 7 (1). P: 73–87.
[9] Aryal UR, Petzold M, Bondjers G, Krettek A. Correlates of smoking susceptibility among adolescents in a peri-urban area of Nepal: a population-based cross-sectional study in the Jhaukhel-Duwakot Health Demographic Surveillance Site. globalhealthaction 2014. 7 (2014). Available from: http://www.globalhealthaction.net/index.php/gha/article/view/24488 [Accessed: 8th December 2015].
[10] Aryal UR, Bhatta DN, Shrestha N, Gautam A. Assessment of nicotine dependence among smokers in Nepal: a community based cross-sectional study. Tobacco Induced Diseases 2015. 13:26. Available from: http://tobaccoinduceddiseases.biomedcentral.com/articles/10.1186/s12971-015-0053-8. [Accessed: 7th December 2015].
[11] Dhungana RR, Khanal MK, Baniya A. Prevalence of current tobacco use among secondary students in Nepal: a meta-analysis. Journal of Chitwan Medical College 2013. 3 (6). P: 1-5.
[12] Khanal V, Adhikari M, Karki S. Social determinants of tobacco consumption among Nepalese men: findings from Nepal Demographic and Health Survey 2011. Harm Reduction Journal 2013. 10:40. Available from: http://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-10-40. [Accessed: 10th December 2015].
[13] Narain R, Sardana S, Gupta S, Sehgal A. Risk factors associated with tobacco habits among adolescents: A cross-sectional school-based study. The national medical journal of India 2013; 26 (4); p: 197-202.
[14] Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, Mcafee T. Social Determinants of Health and Tobacco Use in Thirteen Low and Middle Income Countries: Evidence from Global Adult Tobacco Survey. PLOS ONE 2012; 7 (3) e33466. Available: http://dx.doi.org/10.1371/journal.pone.0033466. [Accessed: 2nd February 2016].
[15] Singh N, Tamrakar N. Practices and attitudes towards tobacco use among the employees of a private organization in Nepal. Nepal Med Coll J 2012. 14 (4). P: 312-315.
[16] Sreeramareddy CT, Ramakrishnareddy N, Kumar HNH, Sathian B, Arokiasamy JT. Prevalence, distribution and correlates of tobacco smoking and chewing in Nepal: a secondary data analysis of Nepal Demographic and Health Survey-2006. Sreeramareddy et al. Substance Abuse Treatment, Prevention, and Policy 2011; 6:33 Available from: http://www.substanceabusepolicy.com/content/6/1/33. [Accessed: 26th February 2016].
[17] Binu VS, Subba SH, Menezes RG, Kumar G, Ninan J, Rana MS, Chhetri SK, Sabu KM, Nagraj K. Smoking among Nepali youth--prevalence and predictors. Asian Pac J Cancer Prev.2010; 11 (1). p: 221-6.
[18] Echer IC, Correa APA, Lucena AF, Ferreira SAL, Knorst MM. Prevalence of Smoking among employees of a University Hospital. Rev. Latino-Am. Enfermagem 2011; 19 (1) p: 179-86.
[19] Niraula SR. Tobacco Use among Women in Dharan, Eastern Nepal. J Health Popul Nutr 2004; 22 (1); p:68-74.
[20] Subba SH, Binu VS, Menezes RG, Ninan J, Rana MS. Tobacco Chewing and Associated Factors Among Youth of Western Nepal: A Cross-sectional Study. Indian J Community Med. 2011; 36 (2); p: 128-32.
[21] Mao A, Yang T, Bottorff JL, Sarbit G. Personal and social determinants sustaining smoking practices in rural china: a qualitative study. International Journal for equity in health 2014. 13 (12).
[22] Lalithambigai G, Rao A, Rajesh G, Ramya S, Pai BHM. Predictors of Cigarette Smoking among Young Adults in Mangalore, India. Asian Pacific Journal of Cancer Prevention 2016; 17 (1), p: 45-50.
[23] Shomar RTA, Lubbad IK, Ansari WEI, Al-khatib A, Alharazin HJ. Smoking, awareness of smoking-associated health risks, and knowledge of national legislation in Gaza Palestine. Cent Eur J Public Health 2014; 22 (2): 80–89.
[24] Narain R, Sardana S, Gupta S, Sehgal A. Age at initiation and prevalence of tobacco use among school children in Noida, India: A cross-sectional questionnaire based survey. Indian J Med Res 2011; 133 (3); p: 300-307.
Cite This Article
  • APA Style

    Giri Saroj, Chaudhuri Sonai, Yadav Ashok Kumar, Yadav Ajay Kumar, Shrestha Shree Ram, et al. (2017). Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study. Science Journal of Public Health, 5(4), 301-306. https://doi.org/10.11648/j.sjph.20170504.14

    Copy | Download

    ACS Style

    Giri Saroj; Chaudhuri Sonai; Yadav Ashok Kumar; Yadav Ajay Kumar; Shrestha Shree Ram, et al. Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study. Sci. J. Public Health 2017, 5(4), 301-306. doi: 10.11648/j.sjph.20170504.14

    Copy | Download

    AMA Style

    Giri Saroj, Chaudhuri Sonai, Yadav Ashok Kumar, Yadav Ajay Kumar, Shrestha Shree Ram, et al. Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study. Sci J Public Health. 2017;5(4):301-306. doi: 10.11648/j.sjph.20170504.14

    Copy | Download

  • @article{10.11648/j.sjph.20170504.14,
      author = {Giri Saroj and Chaudhuri Sonai and Yadav Ashok Kumar and Yadav Ajay Kumar and Shrestha Shree Ram and Baral Dharani Dhar},
      title = {Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {4},
      pages = {301-306},
      doi = {10.11648/j.sjph.20170504.14},
      url = {https://doi.org/10.11648/j.sjph.20170504.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170504.14},
      abstract = {Tobacco use remains a major cause of preventable deaths worldwide. WHO estimated that about 25% of Nepalese population smokes. In Nepal it is widely believed that tobacco use among bus drivers and staffs is very high. This descriptive cross sectional study was conducted in Dharan bus station among 300 bus drivers and staffs who voluntarily responded with self-administered questionnaire to estimate the prevalence of tobacco consumption and to assess their knowledge, attitude and practice regarding tobacco use. Prevalence of tobacco consumption among the respondents was 96.3%. Tobacco initiation at the age <18 years was 52%. ‘Peer pressure’ and ‘Influenced by family member(s)’ were the reasons for initiation while ‘Like the intoxicated feeling’ (67.5%) and ‘Feeling Mature’ for continued use. Respondents (97%) claimed they knew about the injurious effect of tobacco use, diseases cited being respiratory, cancer and cardiac, but only 48.9% knew this before initiating its use. A 75.8% of tobacco consumers had tried to quit it due to ‘Health issue’ (65.3%) followed by ‘Pressure from family member/s’ and ‘Economic burden’. Only about 20% were successful in quitting. The main reason for failure was feeling of addiction (69.7%). Among current tobacco users, 95% would like to seek medical help in quitting, if available. Our study concluded that the prevalence of tobacco consumption among bus drivers and staffs was very high. More than half started its use at age <18 years without prior knowledge of harmful effects of tobacco use. Majority would like to seek medical help as they have failed quitting it due to feeling of addiction. Targeted programs such as nicotine replacement clinics would be highly effective for them with desire to quit tobacco use with medical help.},
     year = {2017}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Tobacco Use Among Long Route Bus Drivers and Staffs of Dharan Eastern Nepal a KAP Study
    AU  - Giri Saroj
    AU  - Chaudhuri Sonai
    AU  - Yadav Ashok Kumar
    AU  - Yadav Ajay Kumar
    AU  - Shrestha Shree Ram
    AU  - Baral Dharani Dhar
    Y1  - 2017/06/15
    PY  - 2017
    N1  - https://doi.org/10.11648/j.sjph.20170504.14
    DO  - 10.11648/j.sjph.20170504.14
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 301
    EP  - 306
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20170504.14
    AB  - Tobacco use remains a major cause of preventable deaths worldwide. WHO estimated that about 25% of Nepalese population smokes. In Nepal it is widely believed that tobacco use among bus drivers and staffs is very high. This descriptive cross sectional study was conducted in Dharan bus station among 300 bus drivers and staffs who voluntarily responded with self-administered questionnaire to estimate the prevalence of tobacco consumption and to assess their knowledge, attitude and practice regarding tobacco use. Prevalence of tobacco consumption among the respondents was 96.3%. Tobacco initiation at the age <18 years was 52%. ‘Peer pressure’ and ‘Influenced by family member(s)’ were the reasons for initiation while ‘Like the intoxicated feeling’ (67.5%) and ‘Feeling Mature’ for continued use. Respondents (97%) claimed they knew about the injurious effect of tobacco use, diseases cited being respiratory, cancer and cardiac, but only 48.9% knew this before initiating its use. A 75.8% of tobacco consumers had tried to quit it due to ‘Health issue’ (65.3%) followed by ‘Pressure from family member/s’ and ‘Economic burden’. Only about 20% were successful in quitting. The main reason for failure was feeling of addiction (69.7%). Among current tobacco users, 95% would like to seek medical help in quitting, if available. Our study concluded that the prevalence of tobacco consumption among bus drivers and staffs was very high. More than half started its use at age <18 years without prior knowledge of harmful effects of tobacco use. Majority would like to seek medical help as they have failed quitting it due to feeling of addiction. Targeted programs such as nicotine replacement clinics would be highly effective for them with desire to quit tobacco use with medical help.
    VL  - 5
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of General Practice and Emergency Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Department of Community Medicine and SPH, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

  • Sections