World no tobbacco day
On 31st May, the World No-tobacco Day is celebrated every year. Main purpose is to discourage its usage which is increasing day by day. Tobacco includes cigarette, sheesha, paan, chhalia, gutka, niswar etc. Head and neck cancers are rampant in Pakistan. Eight pinches of niswar are equal to seven cigarettes. Regular use of Niswar results in oral cavity cancer.
Electronic smoking is also common in Pakistan. According to survey, almost one hundred thousand get into smoking addiction in a year. Also use of Chhalia causes oral cavity cancer. They share a common risk factor profile including regular consumption of products of betel, areca and tobacco. Use of paan, chhalia, gutka, niswar and tumbaku is acceptable in Pakistan and is considered a normal cultural practice. Socio-demographic factors for the consumption of paan, chhalia, gutka, niswar and tumbaku are found in Pakistani population. High risk behaviour was defined for daily use of any of the above products.
Daily use of all the substances except chaalia is higher among males compared to females. Chaalia use is higher among adolescents than adults while non-married consume both chaalia and gutka more than married. Mohajir ethnicity had higher prevalence of paan, gutka and tumbaku, while Pathans had higher prevalence of niswar use. Prevalence of use of chewable products is high in Pakistan with particularly high use of certain substances related with socio-demographic profiles. Industrially prepared products, chhalia and gutka, are gaining popularity among youth. Policies and focused interventions can be developed taking into consideration the preferred use of products among different socio-demographic groups. —Via email