Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women

Background and aim: Tobacco use among adolescents and young women is a global health concern. This study investigates the prevalence and determinants of tobacco use among adolescents and young women in India. Methods: Based on data from the National Family Health Survey-5, this study explored tobacc...

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Main Authors: Jobinse Jose, Aditi Chaudhary, Abhishek Ghosh, Sonu Goel
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/02537176241233186
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author Jobinse Jose
Aditi Chaudhary
Abhishek Ghosh
Sonu Goel
author_facet Jobinse Jose
Aditi Chaudhary
Abhishek Ghosh
Sonu Goel
author_sort Jobinse Jose
collection DOAJ
description Background and aim: Tobacco use among adolescents and young women is a global health concern. This study investigates the prevalence and determinants of tobacco use among adolescents and young women in India. Methods: Based on data from the National Family Health Survey-5, this study explored tobacco use among 241,180 young women aged 15–24 in India. The research investigated determinants of current tobacco use, encompassing any tobacco use in any form, smoked and smokeless tobacco (SLT). Independent variables include demographics, religion, caste, region, education, occupation, body mass index, wealth index, alcohol consumption, and media exposure. We used multivariable logistic regression models to estimate the adjusted odds ratio (OR) and 95% confidence intervals (95%CI). Results: Findings revealed that 1.3% of the population are current tobacco users, with 1.2% using SLT and 0.14% smoking. Significant determinants included age, urban residence, religion, scheduled tribe status, wealth index, education, alcohol co-use, region, and pregnancy/lactation status. Young women (young women, 3.5% > adolescents, 1.5%; OR 1.78, 95%CI 1.65, 1.92), urban dwellers (OR 1.38, 95%CI 1.32, 1.43), and alcohol users (OR 5.6, 95%CI 4.88, 6.33) exhibited higher odds of tobacco use. In contrast, education (higher education OR 0.15, 95%CI 0.13, 0.18) and higher socioeconomic status (richest OR 0.3, 95%CI 0.22, 0.31) were protective factors. Conclusion: Our research offered valuable insights into tobacco use among young Indian women. To effectively curb tobacco use in this population, it is imperative to address the identified determinants and vulnerabilities through tailored public health strategies and policies.
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spelling doaj-art-fa54bb72565c4b46a95f65390d100b3c2025-01-31T11:05:20ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642025-01-014710.1177/02537176241233186Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young WomenJobinse Jose0Aditi Chaudhary1Abhishek Ghosh2Sonu Goel3 Dept. of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangaluru, Karnataka, India. Dept. of Survey Research and Data Analytics, International Institute for Population Sciences, Mumbai, Maharashtra, India. Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Drug Deaddiction and Treatment Centre, Chandigarh, India. Dept. of Public Health and Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Background and aim: Tobacco use among adolescents and young women is a global health concern. This study investigates the prevalence and determinants of tobacco use among adolescents and young women in India. Methods: Based on data from the National Family Health Survey-5, this study explored tobacco use among 241,180 young women aged 15–24 in India. The research investigated determinants of current tobacco use, encompassing any tobacco use in any form, smoked and smokeless tobacco (SLT). Independent variables include demographics, religion, caste, region, education, occupation, body mass index, wealth index, alcohol consumption, and media exposure. We used multivariable logistic regression models to estimate the adjusted odds ratio (OR) and 95% confidence intervals (95%CI). Results: Findings revealed that 1.3% of the population are current tobacco users, with 1.2% using SLT and 0.14% smoking. Significant determinants included age, urban residence, religion, scheduled tribe status, wealth index, education, alcohol co-use, region, and pregnancy/lactation status. Young women (young women, 3.5% > adolescents, 1.5%; OR 1.78, 95%CI 1.65, 1.92), urban dwellers (OR 1.38, 95%CI 1.32, 1.43), and alcohol users (OR 5.6, 95%CI 4.88, 6.33) exhibited higher odds of tobacco use. In contrast, education (higher education OR 0.15, 95%CI 0.13, 0.18) and higher socioeconomic status (richest OR 0.3, 95%CI 0.22, 0.31) were protective factors. Conclusion: Our research offered valuable insights into tobacco use among young Indian women. To effectively curb tobacco use in this population, it is imperative to address the identified determinants and vulnerabilities through tailored public health strategies and policies.https://doi.org/10.1177/02537176241233186
spellingShingle Jobinse Jose
Aditi Chaudhary
Abhishek Ghosh
Sonu Goel
Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
Indian Journal of Psychological Medicine
title Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
title_full Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
title_fullStr Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
title_full_unstemmed Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
title_short Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women
title_sort youthful choices a secondary analysis of the nfhs 5 data to examine tobacco use in indian adolescent girls and young women
url https://doi.org/10.1177/02537176241233186
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