INTRODUCTION:

Tobacco consumption is a global problem. It is the single most preventable cause for adult death and disease in the world today. It is estimated that one in three people use tobacco products, with over one million people use tobacco and its products world-wide. Nearly four million of the world population would have been saved from the clutches of death due to tobacco addiction. Nicotine is a highly addictive substance and adult people experimentation can easily lead to a life time of tobacco dependence. The adolescent’s tobacco consumption has been found to be major contributors of specially adolescents have habit of tobacco consumption¹

The scope of the burden of disease and death that cigarette smoking imposes on the public's health is extensive. Cigarette smoking is the major focus of this chapter because it is the central public health problem, but the topics of secondhand smoke exposure, smoking of other combustible tobacco products, smokeless tobacco, and electronic nicotine delivery systems (ENDS) are also considered. The magnitude of the public health threat posed by cigarette smoking stems from two factors: (1) the prevalence of cigarette smoking is so high, and (2) smoking causes so many deleterious health effects. A policy change that reduces the prevalence of cigarette smoking will result in a commensurate reduction in the population burden of disease and death caused by cigarette smoking. The associations between cigarette smoking and the adverse health effects caused by smoking are dose-dependent². Tobacco is used in a wide variety of ways in India including smoking and smokeless use.

Smoking Practices:

Tobacco is smoked in the forms of beed is and cigarettes or by using devices like hooka, hookli, chhutta, dhumti, or chillum. Smoking of cigars and pipes are not common in India, as they are in most western countries.

Cigarette smoking is common in urban areas. Both locally manufactured and imported brands of cigarettes are available. However, because of relatively higher cost of cigarettes as compared to other forms of tobacco, cigarette smoking is more common among the upper and middle socioeconomic classes than among the poor population.³

Smokeless tobacco use:

Tobacco is used in a number of smokeless forms in India, which include betel quid chewing, mishri, khaini, gutka, snuff, and as an ingredient of pan masala.

For preventing tobacco the proper action required to modifications in behavior and adoption of good habits. Among the youth, students are particularly involved due to increase in academic pressure and uncertain carrier encouragement from peer group, the cure of popularity, influence by favorite personalities and easily availability of tobacco in different forms make a teenager start using tobacco products daily. The majority of users have first used tobacco prior to the adolescents in early age groups⁴

Therefore, we felt necessary to assess the level of knowledge regarding tobacco and its effect to the health among adolescents to improve their knowledge and change their attitude towards tobacco consumption.

MATERIAL AND METHODS:

The present descriptive study was conducted with an aim to assess the knowledge regarding tobacco use and its ill effects on health among the adolescents residing in loni bk. An ethical approval was obtained from Institutional Ethics Committee of Pravara Institute of Medical Sciences (Deemed University), Loni (Bk). The purpose of study was explained to the samples, and a written informed consent was sought before enrolling them A sample comprising 50 adolescents in the age group of 13 to 19 was taken. Those adolescents satisfying the inclusion criteria were selected by using a non-probability purposive sampling. The expert validated tool to collect the data.

After seeking informed consent, structured questionnaire was prepared in the form of checklist to assess knowledge regarding tobacco use and its ill effects on health. The study was conducted in rural area which includes adolescents both male and female between age group 13 to 19. Samples for the present study were the adolescents residing in Loni BK village. Structured questionnaire was used to gather data. The socio demographic data was elicited from the samples itself. Further, the tool comprised of assessment of socio-demographic data and structured questionnaire.

The socio-demographic data was used to assess age, gender, area of residence, educational qualification of sample, parents education, family income, family type and any bad habit.

Structured questionnaire was used to assess the knowledge regarding tobacco use and its ill effects on the health among adolescents including the ‘YES’ AND ‘NO’ type of response.

RESULTS:

A total of 50 adolescents were participated in the study.

The result of the data was presented under the following headings:

Section A: Description of demographic data of adolescents:

Percentage wise distribution of respondents according to their age depicts that highest percentage 50% were in the age group of 17 to 19 years, 34% of the respondents were in the age group of 14 to 16 years and 16% of the respondents were in the age group of 10 to 13 years.

Percentage wise distribution of respondents according to their Gender depicts that highest percentage 56% of the respondents were male and 44% of the respondents were female.

Percentage wise distribution of respondents according to their area of residence depicts that 100% of the respondents were from rural area.

Percentage wise distribution of respondents according to their education depicts that highest percentage 90% of the respondents were having secondary education and 10% of the respondents were having primary education.

Percentage wise distribution of respondents according to their parents education depicts that highest percentage 30% of the respondents were having undergraduate education, 24% of the respondents were having higher secondary education, 20% of the respondents were illiterate, 12% of the respondents were having secondary education, and 04% of the respondents were having primary education.

Percentage wise distribution of respondents according to their family income depicts that highest percentage 48% of the respondents were having 10001 and above income, 36% of the respondents were having 3000 to 5000 income and 16% were having 5001 to 10000 income.

Percentage wise distribution of respondents according to their type of family depicts that highest percentage 70% of the respondents were from nuclear family and 30% of the respondents were from joint family.

Percentage wise distribution of respondents according to their any bad habits depicts that highest percentage 66% of the respondents were having no response and 34% of the respondents were having yes response.

Percentage wise distribution of respondents according to their awareness about ill effects of tobacco use depicts that highest percentage 86% of the respondents were having yes response and 14% of the respondents were having no response.

Section B: Assessment of knowledge regarding tobacco use and its ill effects on health among adolescents.

Percentage wise distribution of respondents according to YES response depicts that, highest percentage (94%) was for the question do you know how to use bidi, paan, cigarette? And the lowest percentage (26%) was for the question do you know using tobacco is against the law?

Percentage wise distribution of respondents according to NO response depicts that, highest percentage (74%) was for the question do you know using tobacco is against the law? And the lowest percentage (06%) was for the question do you know how to use bidi, paan, cigarette?

SECTION C: Association between knowledge score of tobacco use and its ill effects on health with their selected demographic variables.

Chi square values were calculated to find out the association between the study findings and demographic variables of respondents. Findings reveals that there was significant association between study findings and demographic variable like income.

Table no 1: Description of demographic data of adolescents.

Sr	Demographic Variables
1	Age in year	freq	%
a	10 years to 13 years	8	16
b	14 years to 16 years	17	34
c	17 years to 19 years	25	50
2	Gender
a	Male	28	56
b	Female	22	44
3	Area of residence
a	Rural	50	100
b	Urban	00	00
4	Educational qualification of sample
a	Primary	5	10
b	Secondary	45	90
5	Parents education
a	Illiterate	10	20
b	Primary	02	4
c	Secondary	06	12
d	Higher secondary	12	24
e	Under-graduate	15	30
f	Post-graduate and above	05	10
6	Income
a	Rs. 3000 to Rs. 5000	18	36
b	Rs. 5001 to Rs. 10000	8	16
c	Rs. 10001 and above	24	48
7	Family type
a	Nuclear	35	70
b	Joint	15	30
8	Having any bad habit?
a	Yes	17	34
b	No	33	66
9	Awareness about harms of tobacco use?
a	Yes	43	86
b	No	7	14

Table no 2: Structured Questionnaire

S.No	Question	Response Percentage
1	YES RESPONSE
2	do you know how to use bidi, paan, cigarette? (HIGHEST)	94%
3	do you know using tobacco is against the law? (LOWEST)	26%
4	NO RESPONSE
5	do you know using tobacco is against the law? (HIGHEST)	74%
6	do you know how to use bidi, paan, cigarette? ? (LOWEST)	06%

Table no 3: Association between knowledge score of tobacco use and its ill effects on health with their selected demographic variables.

Sr. No	Demographic Variables	Chi Value For Response of
Sr. No	Demographic Variables	Yes	No
1	Age	0.072	0.016
2	Gender	0.055	0.1125
3	Education of sample	0.0125	0.45
4	Parent education of sample	0.3289	0.3302
5	Income	2.095*	0.0864
6	Family type	0.3684	0.8

DISCUSSION:

Section A: Description of Demographic Variables:

The study results showed that, regarding age depicts percentage 50% respondents were in the age group 17 to 19 years, 34% respondents were in the age group 14 to 16 years and 16% respondents were in the age group 10 to 13 years. Hence it can be interpreted that most of the respondents under study were from the age group of 17 to 19 years.⁵

The study results showed that percentage wise distribution of respondents according to their Gender depicts that highest percentage 56% of the respondents were male and 44% of the respondents were female. Hence it can be interpreted that most of the respondents under study were male.

The study results showed that percentage wise distribution of respondents according to their area of residence depicts that 100% of the respondents were from rural area. Hence it can be interpreted that all of the respondents under study were from rural area.

The study results showed that percentage wise distribution of respondents according to their education depicts that highest percentage 90% of the respondents were having secondary education and 10% of the respondents were having primary education. Hence it can be interpreted that most of the respondents under study were having secondary education.

The study results showed that percentage wise distribution of respondents according to their parents education depicts that highest percentage 30% of the respondents were having undergraduate education,24% of the respondents were having higher secondary education, 20% of the respondents were illiterate, 12% of the respondents were having secondary education, and 04% of the respondents were having primary education. Hence it can be interpreted that most of the respondents under study were having undergraduate education of their parents.

The study results showed that percentage wise distribution of respondents according to their family income depicts that highest percentage 48% of the respondents were having 10001 and above income, 36% of the respondents were having 3000 to 5000 income and 16% were having 5001 to 10000 income. . Hence it can be interpreted that most of the respondents under study were having 10001 and above income

The study results showed that percentage wise distribution of respondents according to their type of family depicts that highest percentage 70% of the respondents were from nuclear family and 30% of the respondents were from joint family. Hence it can be interpreted that most of the respondents under study were from nuclear type of family.

The study results showed that percentage wise distribution of respondents according to their any bad habits depicts that highest percentage 66% of the respondents were having no response and 34% of the respondents were having yes response. Hence it can be interpreted that most of the respondents under study were having no response.

The study results showed that percentage wise distribution of respondents according to their awareness about ill effects of tobacco use depicts that highest percentage 86% of the respondents were having yes response and 14% of the respondents were having no response. Hence it can be interpreted that most of the respondents under study were having yes response.

Section B: Description of Structured Questionnaire:

The study results showed that, regarding YES response percentage, highest percentage (94%) was for the question do you know how to use bidi, paan, cigarette? And the lowest percentage (26%) was for the question do you know using tobacco is against the law?⁶

The study results showed that, regarding NO response percentage, highest percentage (74%) was for the question do you know using tobacco is against the law? And the lowest percentage (06%) was for the question do you know how to use bidi, paan, cigarette?⁷

Section C: Find out association between knowledge score of tobacco use and its ill effects on health with their selected demographic variables:

CONCLUSION:

The conclusion drawn from the study was that the adolescents were from the age group 17 to 19, the majority of the adolescents had YES response percentage for the question do you know how to use bidi, paan, cigarette? and NO response percentage for the question do you know using tobacco is against the law? It was noted that the extraneous variables like gender, marital status, relation with sample, occupation, type of family, etc. does not affect the knowledge regarding tobacco use and its ill effects. Similarly income influences the consumption of tobacco thus increasing the risk for secondary medical illness.

ACKNOWLEDGEMENT:

I would like to take this opportunity to express my profound gratitude and deep regard to Dr. Rajendra D. Lamkhede, Principal, PIMS, S.S.E.V.P. College of Nursing, Loni for his exemplary guidance, valuable feedback and constant encouragement throughout the duration of the research. His valuable suggestions were of immense help throughout my research work. His perceptive criticism kept me working to make this project in a much better way.

My special words of thanks should go to my parents for their continuous support, cooperation, encouragement and for facilitating all the requirements, going out of their way. They have taught me another aspect of life, that, “goodness can never be defied and good human beings can never be denied”. Their constant cooperation, motivation and support have always kept me going ahead.

A heartfelt thanks to Ms. Nayana Shinde and Ms. Pooja Dighe for their continuous support and guidance throughout the research work.

I owe my deepest gratitude towards my friend Mr. Sanket B. Kolase for his eternal support and understanding of my goals and aspirations. Without his help, I would not have been able to complete much of what I have done.

REFERENCES:

1. The Battle Autumn of 1862 [Internet]. Poets.org. Academy of American Poets; 2017 [cited 2017May23]. Available from: http://www.poets.org/poetsorg/poems

2. Robot Check [Internet]. Robot Check. [cited 2017May23]. Available from: https://Brunner-Suddarths-Textbook-Medical-Surgical-Nursing/dp/0781785901

3. Robot Check [Internet]. Robot Check. [cited 2017May23]. Available from: https://Books Joyce M. Black PhD RN CPSN CWCN

4. Journal of Critical Care | Vol 39, In Progress , (June [Internet]. [cited 2017May23]. Available from http://www.jccjournal.org/article/S0883-9441(16)30966-2/abstract

5. Kristofferzon MEL, Löfmark R, Carlsson M. Coping, social support and quality of life over time after myocardial infarction [Internet]. Journal of Advanced Nursing. Blackwell Science Ltd; 2005 [cited 2017May9]. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2005.03571.x/full

6. Sex Differences in Perceived Stress and Early Recovery in [Internet]. [cited 2017May9]. Available from: http://www.bing.com/cr?IG=65060CCBE5464C76A74DD0DF72F27520&CID=1BDA0413D75969C43EF40E6ED6C96811&rd=1&h=aFblpWTOU8K0XgC5Bb3b5R0vwcZKEOSkL1DUmC6yuVM&v=1&r=http%3a%2f%2fcirc.ahajournals.org%2fcontent%2fearly%2f2015%2f02%2f04%2fCIRCULATIONAHA.114.012826.full.pdf&p=DevEx,5041.1

7. D'Avanzo B, La Vecchia C, Negri E. Age at starting smoking and number of cigarettes smoked. Annals of Epidemiology. 1994;4(6):455–459. [PubMed]

8. http://www.indianjournals.com/ijor.aspx?target=ijor:ijner&volume=4&issue=1&article=001

Received on 17.02.2025 Revised on 08.03.2025

Accepted on 24.03.2025 Published on 17.05.2025

Available online from May 20, 2025

Int. J. Nursing Education and Research. 2025;13(2):107-111.

DOI: 10.52711/2454-2660.2025.00022

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Creative Commons License.