Nass use and associated factors among outpatients in northern Afghanistan: a cross-sectional study in Andkhoy City

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dc.authorid0000-0003-3967-0127en_US
dc.authorid0000-0002-6438-6833en_US
dc.authorid0000-0003-1758-8341en_US
dc.contributor.authorHamrah, Mohammad Hasssan
dc.contributor.authorHamrah, Mohammad Shoaib
dc.contributor.authorHamrah, Mohammad Hussain
dc.contributor.authorDahi, Toba
dc.contributor.authorFotouhi, Akbar
dc.date.accessioned2021-06-23T19:49:36Z
dc.date.available2021-06-23T19:49:36Z
dc.date.issued2018
dc.departmentBAİBÜ, Diş Hekimliği Fakültesien_US
dc.description.abstractINTRODUCTION Tobacco use is one of the main risk factors for a number of chronic diseases, including cancer, lung diseases, and cardiovascular diseases. Nass is a form of smokeless tobacco. It is used most commonly in Central Asia, Afghanistan, Pakistan, and Iran, and is significantly associated with oral and oesophageal cancers. The aim of this study was to determine the prevalence of nass use and its associated factors among patients attending an outpatient clinic in Afghanistan. METHODS This cross-sectional study was performed in an outpatient clinic in Andkhoy, Afghanistan, from April to July 2017. The study included 387 consecutive patients. The data collection tool was a questionnaire, which includes three main items: demographic, physical, and biomedical measurements. We performed binary logistic regression to identify independent risk factors of nass use. RESULTS The study included 387 participants, of whom 225 were males (58.1%) and 162 were females (41.9%). The overall prevalence of nass use was 48.8% (95% CI: 43.8-53.9%), with the Turkmen ethnic group having significantly higher prevalence than other ethnic groups (58.2%, 95% CI: 50.8-65.3% vs 41.8%, 95% CI: 34.7-49.2%). The mean and standard deviation of the age was 63.9 (17.2) years for nass users and 42.3 (17.4) years for non-users. Based on a multivariate analysis, family history of nass use (OR= 31.4, 95% CI: 12.5-78.5), illiteracy (OR= 8.9, 95% CI: 2.5-31.2), rural residence (OR= 2.0, 95% CI: 1.0-3.9), and unemployment (OR= 5.4, 95% CI: 1.4-21.4) were associated with nass use. CONCLUSIONS Our results indicate that about half of the participants were nass users, and nass use associated factors were family history of nass use, illiteracy, unemployment, and rural residency in outpatient clinics in Afghanistan. More surveillance data are needed on a national level to inform the development of strategies for the prevention and control of nass consumption in Afghanistan.en_US
dc.identifier.doi10.18332/tid/93574
dc.identifier.issn1617-9625
dc.identifier.pmid31516435en_US
dc.identifier.scopus2-s2.0-85052754407en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.18332/tid/93574
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9558
dc.identifier.volume16en_US
dc.identifier.wosWOS:000442779200002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDahi, Toba
dc.language.isoenen_US
dc.publisherEuropean Publishingen_US
dc.relation.ispartofTobacco Induced Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - İdari Personel ve Öğrencien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAssociated Factorsen_US
dc.subjectAfghanistanen_US
dc.subjectNass Useen_US
dc.titleNass use and associated factors among outpatients in northern Afghanistan: a cross-sectional study in Andkhoy Cityen_US
dc.typeArticleen_US

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