DR.SREE AARTHI,DR.HARSAVARTHINI.K. R,DR.MANJU.N. V,DR. PRAKASH. D
DOI: https://doi.org/Background: Tobacco use is the leading preventable cause of mortality worldwide, with low‐ and middle‐income countries disproportionately affected. Among indigenous groups, such as the Narikuravars, tobacco consumption, especially smokeless forms, remains pervasive, compounded by early initiation and dual usage patterns.
Objective: This study aimed to assess tobacco consumption patterns and nicotine dependence among the indigenous population in a field practice area, and to evaluate the associated oral health risks.
Methods: A community-based cross-sectional study was conducted over six months among Narikuravar adults (≥18 years) in district. Using a total sampling method, 247 participants were interviewed face-to-face in their local language via a structured questionnaire covering demographics, tobacco use (smoking, smokeless, and dual use), age of initiation, and frequency. Nicotine dependence was measured using the Fagerstrom Test for Nicotine Dependence (FTND). Collected data were entered in Microsoft Excel and analyzed using SPSS version 24 with appropriate descriptive and inferential statistics.
Results: Tobacco use was reported by 71.3% of participants, with 61% smoking, 85.8% using smokeless tobacco, and 56.3% practicing dual use. Notably, 43.7% initiated use before age 18. Oral health assessments indicated significant associations between tobacco use and gingival bleeding (p=0.001) as well as recurrent ulcers (p=0.03). Higher nicotine dependence was observed among males, older participants, and early initiators.
Conclusion: The high burden of tobacco use and associated oral health risks in this indigenous community highlights the need for culturally tailored, community-driven cessation programs, integrated health education, and improved access to cessation support.
