Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

  • Jitendra Kumar Singh Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, India.
  • Dilaram Acharya Department of Community Medicine, Devdaha Medical College and Research Institute, Kathmandu University, Bhaluhi, Rupandehi, Nepal.
  • Rajendra Kadel Personal Social Services Research Unit, London School of Economics and Political Science, London, UK.
  • Samaj Adhikari Institute of Medicine, Kathmandu, Nepal.
  • Daniel Lombard Personal Social Services Research Unit, London School of Economics and Political Science, London, UK.
  • Sumitra Koirala Department of Nursing, Sanjeevani College of Medical Sciences, Rupandehi, Nepal.
  • Rajan Paudel Department of Community Medicine and Public Health, Institute of Medicine, Kathmandu, Nepal.

Abstract

Background: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal.
Methods: A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use.
Results: In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers’ group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts.
Conclusions: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.
Keywords: Nepal; pregnant women; smokeless tobacco.

Published
2017-06-08
How to Cite
SINGH, Jitendra Kumar et al. Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal. Journal of Nepal Health Research Council, [S.l.], june 2017. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/965>. Date accessed: 24 sep. 2017.
Section
Original Article