Kerman University of Medical Sciences

Document Type: Original Article


1 Department of Community Medicine, Tomo Riba Institute of Health and Medical Sciences, Arunachal Pradesh, India

2 Department of Psychiatry, Niba Hospital, Naharlagun, Arunachal Pradesh, India

3 Department of Community Medicine, Pacific Institute of Medical Sciences, Umarda, Udaipur, Rajasthan, India

4 Department of Community Medicine, Shri M.P. Shah Government Medical College, Jamnagar, Gujarat, India


Background: Both hypertension (HTN) and tobacco addiction pose a threat to the health, environment, and socioeconomic status (SES) of the people. When tobacco use disorder exists in people with HTN, it hastens the disease progress and causes early complications. The present study aimed to study the knowledge and practice of tobacco addiction in patients with HTN and find out the correlates of knowledge and practice of tobacco addiction.
Methods: A cross-sectional study was conducted for a period of one year in the Jamnagar District of Western Gujarat, India. Out of total 400 samples, 50% were collected from the five selected Community Health Centers (CHCs) by random sampling and the rest from non-communicable disease (NCD) clinics at the tertiary care hospital of the district.
Findings: Most of the patients were in their fifties or above (67.0%), women (57.0%), and married (86.5%). Only 12.0% had awareness about the hazards of tobacco addiction and the prevalence of tobacco addiction was 11%. It was found that use of smokeless tobacco (SLT) among samples was the highest (72.7%) followed by dual consumption, i.e., SLT and smoking (20.5%). The frequency of consumption was ≥ 5 times/day in 54.5%, 70.4% were addicted for > 10 years, and only 15.9% had ever tried to quit tobacco while only 11.4% had successfully quit it. It was seen that those who were aged < 50 years, men, literates, employed, and those belonging to higher SES and urban residence had better knowledge of the health hazards. This was found to have significant statistical association.
Conclusion: The results provide valuable insight into the tobacco addiction in patients with HTN on which non-pharmacological treatment of HTN can be based.


Bloch MJ. Worldwide prevalence of hypertension
exceeds 1.3 billion. J Am Soc Hypertens 2016;
10(10): 753-4.
2. Kearney PM, Whelton M, Reynolds K, Muntner P,
Whelton PK, He J. Global burden of hypertension:
Analysis of worldwide data. Lancet 2005;
365(9455): 217-23.
3. Staessen JA, Wang J, Bianchi G, Birkenhager WH.
Essential hypertension. Lancet 2003; 361(9369):
4. Reddy KS. Hypertension control in developing
countries: Generic issues. J Hum Hypertens 1996;
10(Suppl 1): S33-S38.
5. Anchala R, Kannuri NK, Pant H, Khan H, Franco
OH, Di Angelantonio E, et al. Hypertension in India:
A systematic review and meta-analysis of
prevalence, awareness, and control of hypertension. J
Hypertens 2014; 32(6): 1170-7.
6. Pais P, Fay MP, Yusuf S. Increased risk of acute
myocardial infarction associated with beedi and
cigarette smoking in Indians: Final report on tobacco
risks from a case-control study. Indian Heart J 2001;
53(6): 731-5.
7. Alam N, Soni GP, Jain KK, Verma S, Panda PS.
Prevalence and determinants of hypertension in
elderly population of Raipur city, Chhattisgarh. Int J
Res Med Sci 2015; 3(3): 568-73.
8. Mackay J, Eriksen J. The tobacco atlas. 2nd ed.
Geneva, Switzerland: WHO; 2002.
9. Ministry of Health and Family Welfare Government
of India. Global Adult Tobacco Survey (GATS),
India: 2009-2010 [Online]. [cited 2010]; Available
from: URL:
10. Lwanga SK, Lemeshow S. Sample size determination
in health studies: A practical manual. Geneva,
Switzerland: World Health Organization: 1991.
11. Sarkar A, Makwana N, Pradeep P, Parmar V.
Compliance to antihypertensive therapy and its
predictors: A Cross-sectional Study in western
coastal region of India. J Clin Diagn Res 2018;
12(3): LC26-LC30.
12. All India Consumer Price Index (General) for
Industrial Workers [Online]. [cited 2014 Sep 20];
Available from: URL:
13. Reynolds K, Liese AD, Anderson AM, Dabelea D,
Standiford D, Daniels SR, et al. Prevalence of
tobacco use and association between cardiometabolic
risk factors and cigarette smoking in youth with type
1 or type 2 diabetes mellitus. J Pediatr 2011; 158(4):
14. Chhabra SK, Rajpal S, Gupta R. Patterns of smoking
in Delhi and comparison of chronic respiratory
morbidity among beedi and cigarette smokers. Indian
J Chest Dis Allied Sci 2001; 43(1): 19-26.
15. Pandor J. A study on Hypertension and its risk
factors in Jamnagar city [Thesis]. Gujarat, India:
Saurashtra University; 2006.
16. Kahar P, Misra R, Patel TG. sociodemographic
correlates of tobacco consumption in rural Gujarat,
India. Biomed Res Int 2016: 2016: 5856740.
17. Bhanushali VV. Risk factor modification through life
style interventions in coronary artery disease patients
[Thesis]. Gujarat, India: Saurashtra University; 2002.
18. Sochaliya K. A study on assessment of risk factors of
lifestyle diseases in Jamanagar city [Thesis]. Gujarat,
Tobacco Use and High Blood Pressure Sarkar et al.
Addict Health, Winter 2019; Vol 11, No 1 41, 05 January
India: Saurashtra University; 2010.
19. Srivastava S, Malhotra S, Harries AD, Lal P, Arora
M. Correlates of tobacco quit attempts and cessation
in the adult population of India: Secondary analysis
of the Global Adult Tobacco Survey, 2009 10.
BMC Public Health 2013; 13(1): 263.
20. Bhaskar RK, Sah MN, Gaurav K, Bhaskar SC, Singh
R, Yadav MK, et al. Prevalence and correlates of
tobacco use among adolescents in the schools of
Kalaiya, Nepal: A cross-sectional questionnaire
based study. Tob Induc Dis 2016; 14: 11.
21. Osman el FM, Suleiman I, Alzubair AG. Clinicoepidemiological features of hypertensive subjects in
kassala town, eastern Sudan. J Family Community
Med 2007; 14(2): 77-80.
22. Jesus ES, Augusto MAO, Gusmao J, Junior DM,
Ortega KC, Pierin AMG. Profile of hypertensive
patients: Biosocial characteristics, knowledge, and
treatment compliance. Acta Paul Enferm 2008;
21(1): 59-65.