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

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 tobac...

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Autores principales: Singh, Prashant Kumar, Dubey, Ritam, Singh, Lucky, Singh, Nishikant, Kumar, Chandan, Kashyap, Shekhar, Subramanian, Sankaran Venkata, Singh, Shalini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950998/
https://www.ncbi.nlm.nih.gov/pubmed/35328927
http://dx.doi.org/10.3390/ijerph19063239
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author Singh, Prashant Kumar
Dubey, Ritam
Singh, Lucky
Singh, Nishikant
Kumar, Chandan
Kashyap, Shekhar
Subramanian, Sankaran Venkata
Singh, Shalini
author_facet Singh, Prashant Kumar
Dubey, Ritam
Singh, Lucky
Singh, Nishikant
Kumar, Chandan
Kashyap, Shekhar
Subramanian, Sankaran Venkata
Singh, Shalini
author_sort Singh, Prashant Kumar
collection PubMed
description 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.
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spelling pubmed-89509982022-03-26 Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study Singh, Prashant Kumar Dubey, Ritam Singh, Lucky Singh, Nishikant Kumar, Chandan Kashyap, Shekhar Subramanian, Sankaran Venkata Singh, Shalini Int J Environ Res Public Health Article 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. MDPI 2022-03-09 /pmc/articles/PMC8950998/ /pubmed/35328927 http://dx.doi.org/10.3390/ijerph19063239 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Singh, Prashant Kumar
Dubey, Ritam
Singh, Lucky
Singh, Nishikant
Kumar, Chandan
Kashyap, Shekhar
Subramanian, Sankaran Venkata
Singh, Shalini
Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title_full Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title_fullStr Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title_full_unstemmed Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title_short Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study
title_sort mixed effect of alcohol, smoking, and smokeless tobacco use on hypertension among adult population in india: a nationally representative cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950998/
https://www.ncbi.nlm.nih.gov/pubmed/35328927
http://dx.doi.org/10.3390/ijerph19063239
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