Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India

A Nationally Representative Cross-Sectional Study

Bibliographic Data

ID15466352
AuthorsPrashant Kumar Singh (0000-0003-3105-2631, National Institute of Cancer Prevention and Research, corresponding author), Ritam Dubey (0000-0002-7913-759X, National Institute of Cancer Prevention and Research), Lucky Singh (0000-0003-2590-6135, National Institute of Medical Statistics), Nishikant Singh (0000-0002-0502-9967, National Institute of Cancer Prevention and Research), Chandan Kumar (0000-0002-2351-2442, Department of Policy and Management Studies, TERI School of Advanced Studies, New Delhi 110070, India), Shekhar Kashyap (Army Hospital Research and Referral), V Subramanian (0000-0003-2365-4165, Harvard University), Shalini Singh (0000-0002-0652-4580, National Institute of Cancer Prevention and Research)
Year2022
Volume19
Issue6
Pages3239-3239
Publication date2022-03-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19063239
PMID35328927
OpenAlexW4220661419
LanguageEN
Citations received2
References cited24

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

Alcohol · Alcohol consumption · Blood pressure · Cross-sectional study · Environmental health · Logistic regression · Pathology · Population · Smokeless tobacco · Tobacco use · Alcohol Consumption and Health Effects · Blood Pressure and Hypertension Studies · Demography · Medicine · Nutritional Studies and Diet · Internal Medicine

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