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Int. J. Environ. Res. Public Health 2016, 13(9), 848; doi:10.3390/ijerph13090848

Awareness of Tobacco-Related Health Harms among Vulnerable Populations in Bangladesh: Findings from the International Tobacco Control (ITC) Bangladesh Survey

1
Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
2
Boston University School of Medicine, Boston Medical Center, Boston, MA 02118, USA
3
Global Health Program, Duke Kunshan University, Kunshan 215347, China
4
Duke Global Health Institute, Duke University, Durham, NC 27710, USA
5
Economic and Health Policy Research Unit, American Cancer Society, Atlanta, GA 30303-1002, USA
6
Department of Economics, University of Dhaka, Dhaka 1000, Bangladesh
7
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
8
Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada
9
Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, ON N2L 3G1, Canada
*
Author to whom correspondence should be addressed.
Academic Editors: Linda Bauld and Rosemary Hiscock
Received: 22 June 2016 / Revised: 3 August 2016 / Accepted: 19 August 2016 / Published: 25 August 2016
(This article belongs to the Special Issue Tobacco Control and Priority Groups)
View Full-Text   |   Download PDF [319 KB, uploaded 25 August 2016]

Abstract

This study assessed the knowledge of the harmful effects of tobacco use among vulnerable populations in Bangladesh and whether vulnerability was associated with the presence of complete home smoking bans. Data came from Wave 3 (2011–2012) of the International Tobacco Control (ITC) Bangladesh Survey, a nationally-representative survey of 3131 tobacco users and 2147 non-users. Socio-demographic measures of disadvantage were used as proxy measures of vulnerability, including sex, residential location, education and income. Outcome measures were awareness of the harmful effects of (a) cigarette smoking and (b) smokeless tobacco use and (c) whether respondents had complete smoking bans in their homes. Logistic regression was used to examine whether the adjusted prevalence of each outcome differed by socio-demographic proxies of vulnerability. Smaller percentages of women, the illiterate, urban slum residents and low-income Bangladeshis were aware of the health harms of tobacco. These vulnerable groups generally had lower odds of awareness compared to the least disadvantaged groups. Incomplete knowledge of tobacco’s harms may prevent vulnerable groups from taking steps to protect their health. Development goals, such as increasing literacy rates and empowering women, can complement the goals of WHO’s Framework Convention on Tobacco Control. View Full-Text
Keywords: vulnerable populations; smoking; smokeless tobacco; health knowledge; health literacy vulnerable populations; smoking; smokeless tobacco; health knowledge; health literacy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Driezen, P.; Abdullah, A.S.; Nargis, N.; Hussain, A.K.M.G.; Fong, G.T.; Thompson, M.E.; Quah, A.C.K.; Xu, S. Awareness of Tobacco-Related Health Harms among Vulnerable Populations in Bangladesh: Findings from the International Tobacco Control (ITC) Bangladesh Survey. Int. J. Environ. Res. Public Health 2016, 13, 848.

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