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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Tobacco Related Morbidity among the Clients of a Tobacco Cessation Centre in India

Rohini Premkumari, MBBS, MD, DMRT, Preventive Oncology., Cancer Institute (WIA), Room No:5, Maduram Narayanan Block, 38, Sardar Patel Road, Adyar. 600036., Chennai, India

Objective: Tobacco has been incriminated for tissue damages all over the body, notably coronary heart disease, stroke, respiratory diseases and cancer. This study aims to bring these effects to light.

Methods: 1500 clients, enrolled from December 2001 to June 2005 at the Tobacco Cessation Centre, at Cancer Institute, Chennai, India, were analysed for the present study. The physical problems, as expressed by these clients, established co-morbidity, psychosocial problems, psychiatric co-morbidity and physical findings in the oral cavity have been studied. Descriptive statistics and Logistic regression analysis were used. Variables considered were age, sex, education, income, type of tobacco, quantity and duration of smoking and smokeless tobacco, severity of use and concomitant alcohol use.

Results: Complaints pertaining to the respiratory system were expressed by 37.2%, cardiovascular system by 18.1%, gastrointestinal system by 25.7% and psychological problems in 22.6% of clients. Overall morbidity was found in 46%. Melanoplakia was seen in 15.4%, erythroplakia in 1.3%, leukoplakia in 6.1% submucous fibrosis in 6%, caries in 6.6%, sharp teeth in 1.8%, gum recession in 1%, smoker's palate in 0.2%, cancerous lesions in 0.4%, tartar in 4%, tobacco staining in 11.7%, and trismus in 2.4%. Using Logistic Regression, factors such as sex, education, type of tobacco, severity of use and alcohol use were found to contribute significantly to the associated reported problems. Age, education, type of tobacco, and alcohol use contributed significantly to precancerous conditions such as leucoerythroplakia and SMF.

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