Document Type : Research Articles
Authors
1
Consultant, Head & Neck Oncosurgeon, Ranchi Cancer Hospital & Research Centre, Ranchi, Jharkhand - 834006, India.
2
Manager Marketing, Branding, Ranchi Cancer Hospital & Research Centre, Ranchi, Jharkhand - 834006, India.
3
Program Coordinator, Tobacco Control, Ranchi Cancer Care Foundation, Ranchi Cancer Hospital & Research Centre, Ranchi, Jharkhand - 834006, India.
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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