Tobacco Consumption, Early Initiation, and Determinants Among School-Going Adolescents in Ranchi, Jharkhand: A Cross-Sectional Study.

Q2 Medicine

Asian Pacific Journal of Cancer Prevention Pub Date : 2026-09-01 DOI:10.31557/APJCP.2026.27.9.3457

Sachender Pal Singh, Priyadarshini Mathew, Niraj Kaushik

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引用次数: 0

Abstract

Objective: India faces a rapidly increasing burden of oral cancer. Adolescence is a critical period for risk-taking behaviours, yet state-level, school-based data from high-burden regions such as Jharkhand are limited. To estimate the prevalence and patterns of tobacco use and identify socio-demographic, familial, and awareness-related predictors of ever tobacco use among school-going children in Ranchi, Jharkhand.

Methods: A cross-sectional survey was conducted among 898 students from government and government-aided schools in Ranchi using a pre-tested, structured, self-administered questionnaire. Data included demographics, awareness, tobacco use, social influences, and attitudes toward tobacco control. Ever tobacco use was defined as lifetime use of smoked or smokeless tobacco; current use was defined as use within the past 30 days among ever users. Prevalence was estimated with 95% confidence intervals (CIs). Chi-square tests assessed associations, and logistic regression identified independent predictors.

Results: Of 898 students (52.1% girls; mean age 15.6 years), 7.9% (95% CI 6.1-9.7) had ever used tobacco. Among ever users, 22.5% were current users and 50.7% had discontinued. Ever use was higher among boys than girls (12.4% vs 4.1%; OR 3.36, 95% CI 1.95-5.78). However, among ever users, girls were more likely to be current users (OR 5.79, 95% CI 1.74-19.25). Initiation clustered between 10-15 years. In multivariable analysis, male gender (adjusted OR 2.76, 95% CI 1.55-4.93) and family tobacco use (adjusted OR 1.77, 95% CI 1.06-2.95) were independent predictors.

Conclusion: Tobacco experimentation begins by mid-adolescence in Ranchi. Prevention should start before age 10, emphasize family-centred strategies, and address social modelling beyond awareness programmes.

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贾坎德邦兰契学龄青少年的烟草消费、早期启蒙和决定因素：一项横断面研究。

目的：印度口腔癌负担迅速增加。青少年是冒险行为的关键时期，然而，来自贾坎德邦等高负担地区的邦一级、基于学校的数据有限。估计贾坎德邦兰契市学龄儿童烟草使用的流行程度和模式，并确定与社会人口统计学、家庭和意识相关的预测因素。方法：采用预先测试的、结构化的、自我管理的问卷，对兰契公立和政府资助学校的898名学生进行了横断面调查。数据包括人口统计、意识、烟草使用、社会影响和对烟草控制的态度。曾经使用烟草被定义为终生使用吸烟或无烟烟草；当前使用定义为过去30天内曾经使用过的用户。以95%置信区间（ci）估计患病率。卡方检验评估相关性，逻辑回归确定独立预测因子。结果：在898名学生中（52.1%为女生，平均年龄15.6岁），7.9% （95% CI 6.1-9.7）曾经使用过烟草。在曾经的使用者中，22.5%是目前的使用者，50.7%已经停止使用。曾经使用过的男孩高于女孩（12.4% vs 4.1%; OR 3.36, 95% CI 1.95-5.78）。然而，在曾经的用户中，女孩更有可能是现在的用户（OR 5.79, 95% CI 1.74-19.25）。起始期聚集在10-15年之间。在多变量分析中，男性性别（校正OR 2.76, 95% CI 1.55-4.93）和家庭吸烟（校正OR 1.77, 95% CI 1.06-2.95）是独立预测因子。结论：烟草实验始于兰契的青春期中期。预防应在10岁之前开始，强调以家庭为中心的战略，并在提高认识规划之外处理社会模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Pacific Journal of Cancer Prevention 医学-肿瘤学

CiteScore

2.80

自引率

0.00%

发文量

779

审稿时长

3 months

期刊介绍： Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.