title: Smokeless tobacco consumption among school children.
abstract: BACKGROUND
  More than one-third of the tobacco consumed regionally is of smokeless form.
  
  
  OBJECTIVE
  To determine the prevalence and pattern of smokeless tobacco use among school children.
  
  
  METHODS
  This cross-sectional study was conducted among children in 5 randomly selected high schools in Kannur district, Kerala, India.
  
  
  METHODS
  This cross-sectional study was conducted among 1200 children. A self-administered questionnaire was used for data collection.
  
  
  METHODS
  PASW 17 software was used for data analysis.
  
  
  RESULTS
  The mean age of the students was 14.4 years with a standard deviation (SD) of 1.2 years, and 8.5% (CI, 7.1-10.2) of the participants were tobacco users. Smokeless tobacco was used by 2% (CI, 1.2-3.4) of the participants. None of the female students used tobacco products. Among the tobacco users, the mean age at the start of any tobacco use was 12.8 years with an SD of 1.1 years. The minimum age was 12 years and the maximum was 14 years. More than 50% smokeless tobacco users started their habit at the age of 12 years; 38.5% of them started at the age of 13 years and remaining at the age of 14 years. The 84.6% smokeless tobacco users were using it 2-3 times a week and 39% of them revealed that the tobacco products were purchased from shops located near the schools. Among the users, one used to keep the quid in the mouth for more than half an hour.
  
  
  CONCLUSIONS
  The study concludes that there is a need to educate the children regarding the hazards associated with tobacco consumption.
authors.affiliation: Research Division, Gulf Medical University, Ajman-UAE, United Arab Emirates.
authors.forename: J
authors.initials: J
authors.lastname: Muttapppallymyalil
authors.forename: J
authors.initials: J
authors.lastname: Sreedharan
authors.forename: B
authors.initials: B
authors.lastname: Divakaran
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D012307:Risk Factors; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000517:prevention & control*; D014030:Tobacco, Smokeless