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Under-reporting of tobacco use among Bangladeshi women in England

Roth, MA; Aitsi-Selmi, A; Wardle, H; Mindell, J; (2009) Under-reporting of tobacco use among Bangladeshi women in England. European Journal of Public Health , 31 (3) 326 - 334. 10.1093/pubmed/fdp060. Green open access

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Abstract

This study investigates the prevalence of under-reported use of tobacco among Bangladeshi women and the characteristics of this group.The 1999 and 2004 Health Survey for England included 996 Bangladeshi women aged 16 years and above, 302 with a valid saliva sample and 694 without. The main outcome measure was the prevalence of under-reported tobacco use.Fifteen per cent of Bangladeshi women with a saliva sample under-reported their personal tobacco use. Under-reporters were very similar to self-reported users except for being much more likely to report chewing paan without tobacco (47% versus 9%, P < 0.001). Under-reporters differed significantly from cotinine-validated non-users in most respects. Regression analyses confirmed that under-reporters and self-reported users were similar in age, education level and exposure to passive smoking. Under-reporters were older and less educated than cotinine-validated non-users. Both self-reported users [odds ratio (OR): 0.11, 95% confidence interval (CI): 0.04-0.30] and cotinine-validated non-users (OR: 0.42, 95% CI: 0.20-0.89) were far less likely to report chewing paan without tobacco compared with under-reporters.Contrary to our a priori hypothesis, under-reporters were not young, British-born, English-speaking women likely to be concealing smoking but resembled self-reported tobacco users except for being much more likely to report chewing paan without tobacco.

Type: Article
Title: Under-reporting of tobacco use among Bangladeshi women in England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/pubmed/fdp060
Publisher version: http://dx.doi.org/10.1093/pubmed/fdp060
Language: English
Additional information: This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Tobacco Control 2009;18:491–495 is available online at: http://tobaccocontrol.bmj.com/content/18/6/491.full.pdf+html
Keywords: SMOKELESS TOBACCO, RISK-FACTOR, SMOKING, HEALTH, ADOLESCENTS, KNOWLEDGE, CANCER, LONDON, ASIANS, INDIA
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/135399
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