Abstract: Poster Presentations |

Population Prevalence of Respiratory symptoms in Bidi and Cigarette Smokers in India FREE TO VIEW

Surinder K. Jindal, MD*; V. K. Vijayan, MD; George D’Souza, MD; S. K. Katiyar, MD
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Postgraduate Institute of Medical Education & Research, Chandigarh, India


Chest. 2004;126(4_MeetingAbstracts):866S. doi:10.1378/chest.126.4_MeetingAbstracts.866S
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PURPOSE:  Bidi, a product of cottage industry, is the most prevalent form of tobacco smoked in India. A bidi contains crude tobacco wrapped in a dry Tendu leaf (Dyospyros melonaxylon). Health effects of bidi may therefore be different from those of cigarettes.

METHODS:  Smoking habits and respiratory symptoms were analyzed from the data collected as a part of a large multi-centric population survey conducted in/around four cities in India for studying the prevalence of asthma.

RESULTS:  Preliminary analyses of data from 55,641 adult subjects (28363 men and 27278 women) revealed 16.4% prevalence of self reported smoking (30% men and 2.3% women). Amongst smokers 67.6% smoked bidis, 27.6% smoked cigarettes and 4.7% smoked hooka (traditional water pipe). Prevalence of common respiratory symptoms was higher in smokers than in non-smokers and in bidi than cigarette smokers. Multiple logistic regression modeling revealed higher OR’s for bidi smoking vis-à-vis cigarette smoking (Table 1Table 1:

Prevalence of respiratory symptoms in relation to different smoking habits

Symptom% Prevalence of the symptomLogistic Regression analysis with non- smokers as reference categoryNSCigarettesBidiHookaCigarettesBidiHookaOR*95%CIOR*95%CIOR*95%CIWheezing2. on exertion5.08.59.914.41.721.4-2.01.771.6-2.01.391.0-1.9Cough at night2.56.48.910.72.221.8-2.72.942.6- in morning2.26.78.311.22.552.1-3.02.812.4-3.22.391.7-3.4Phlegm in morning2.06.17.910.02.191.8-2.72.622.3- in morning >3 months/year1.*

OR adjusted for age, sex, socio-economic status, atopy and family history of asthma. (NS = non-smokers)


CONCLUSION:  Bidi smoking highly prevalent in India and is associated with a high risk of respiratory symptoms that is even greater than cigarette or hooka smoking.

CLINICAL IMPLICATIONS:  Tobacco cessation should be targeted at bidi smoking as much as cigarettes.

DISCLOSURE:  S.K. Jindal, None.

Wednesday, October 27, 2004

12:30 PM- 2:00 PM




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