IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i6p3239-d767665.html
   My bibliography  Save this article

Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study

Author

Listed:
  • Prashant Kumar Singh

    (Division of Preventive Oncology & Population Health, ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India
    WHO FCTC Knowledge Hub on Smokeless Tobacco, ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India)

  • Ritam Dubey

    (Division of Preventive Oncology & Population Health, ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India)

  • Lucky Singh

    (ICMR-National Institute of Medical Statistics, New Delhi 110029, India)

  • Nishikant Singh

    (Division of Preventive Oncology & Population Health, ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India)

  • Chandan Kumar

    (Department of Policy and Management Studies, TERI School of Advanced Studies, New Delhi 110070, India)

  • Shekhar Kashyap

    (Department of Cardiology, Army Research & Referral Hospital, New Delhi 110010, India)

  • Sankaran Venkata Subramanian

    (Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA
    Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Shalini Singh

    (WHO FCTC Knowledge Hub on Smokeless Tobacco, ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India
    ICMR-National Institute of Cancer Prevention and Research, Noida 201301, India)

Abstract

Sporadic evidence is available on the association of consuming multiple substances with the risk of hypertension among adults in India where there is a substantial rise in cases. This study assesses the mutually exclusive and mixed consumption patterns of alcohol, tobacco smoking and smokeless tobacco use and their association with hypertension among the adult population in India. Nationally representative samples of men and women drawn from the National Family and Health Survey (2015–2016) were analyzed. A clinical blood pressure measurement above 140 mmHg (systolic blood pressure) and 90 mmHg (diastolic blood pressure) was considered in the study as hypertension. Association between mutually exclusive categories of alcohol, tobacco smoking and smokeless tobacco and hypertension were examined using multivariate binary logistic regression models. Daily consumption of alcohol among male smokeless tobacco users had the highest likelihood to be hypertensive (OR: 2.32, 95% CI: 1.99–2.71) compared to the no-substance-users. Women who smoked, and those who used any smokeless tobacco with a daily intake of alcohol had 71% (OR: 1.71, 95% CI: 1.14–2.56) and 51% (OR: 1.51, 95% CI: 1.25–1.82) higher probability of being hypertensive compared to the no-substance-users, respectively. In order to curb the burden of hypertension among the population, there is a need for an integrated and more focused intervention addressing the consumption behavior of alcohol and tobacco.

Suggested Citation

  • Prashant Kumar Singh & Ritam Dubey & Lucky Singh & Nishikant Singh & Chandan Kumar & Shekhar Kashyap & Sankaran Venkata Subramanian & Shalini Singh, 2022. "Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3239-:d:767665
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/6/3239/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/6/3239/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ahmad Salman & Patrick Doherty, 2020. "Is Weight Gain Inevitable for Patients Trying to Quit Smoking as Part of Cardiac Rehabilitation?," IJERPH, MDPI, vol. 17(22), pages 1-11, November.
    2. Rizwan Suliankatchi Abdulkader & Dhirendra N. Sinha & Kathiresan Jeyashree & Ramashankar Rath & Prakash C. Gupta & Senthamarai Kannan & Naveen Agarwal & Deneshkumar Venugopal, 2019. "Trends in tobacco consumption in India 1987–2016: impact of the World Health Organization Framework Convention on Tobacco Control," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 841-851, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rawat, Pankaj S. & Sharma, Seema, 2021. "TFP growth, technical efficiency and catch-up dynamics: Evidence from Indian manufacturing," Economic Modelling, Elsevier, vol. 103(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3239-:d:767665. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.