Indian Journal of Public Health

: 2004  |  Volume : 48  |  Issue : 3  |  Page : 111--117

Tobacco use among students in Bihar (India)

Dhirendra N Sinha1, Prakash C Gupta2, Mangesh Pednekar2 
1 School of Preventive Oncology, Patna, India
2 Healis Sekhsaria Institute of Public Health, Navi Mumbai, India

Correspondence Address:
Dhirendra N Sinha
School of Preventive Oncology, A/27, Anandpuri, West Boring Canal Road, Patna-800 001, BIHAR

Determination of the prevalence and attitudes toward tobacco use was assessed among 13-15 years school students in Bihar (India). Settings and design: Schools having grade 8-10 in Bihar. A two stage cluster sample design was used. SUDAAN; and the C-sample procedure in Epi- Info was used for statistical analysis. Of the 2636 respondents, 71.8% (76.5% boys, 57.2% girls) were ever tobacco users; of them 48.9% had used tobacco before 10 years of age. Current use was reported by 58.9% (Boys 61.4%, Girls 51.2%); smokeless tobacco by 55.6% (Boys 57.6%, Girls 49.2%); and smoking by 19.4% (23.0 % boys, 7.8% girls). Nearly one third (29%) students were exposed to ETS inside their homes and nearly half (48%) outside their homes. Almost all students reported watching cigarette and gutka advertisements in almost all kinds of media and events. Tobacco use by parents and friends, knowledge on harmful effects of chewing tobacco, smoking and environmental smoke, and attitudes on tobacco use by others were strongly associated with student tobacco use. Current tobacco use was reported significantly more by students who received pocket money/or were earning than by students who did not receive any pocket money/ or did not earn (p value for trend <0.0001). Over half of current users (56%) bought their tobacco products from stores; of these, over 3/4th (77.2%) of them despite their age, had no difficulty in procuring these products. Teaching in schools regarding harmful effects of tobacco use was non-existent (3%). This urgently requires a comprehensive prevention program in schools and the community especially targeted towards girls.

How to cite this article:
Sinha DN, Gupta PC, Pednekar M. Tobacco use among students in Bihar (India).Indian J Public Health 2004;48:111-117

How to cite this URL:
Sinha DN, Gupta PC, Pednekar M. Tobacco use among students in Bihar (India). Indian J Public Health [serial online] 2004 [cited 2020 Feb 17 ];48:111-117
Available from:;year=2004;volume=48;issue=3;spage=111;epage=117;aulast=Sinha;type=0