title: Knowledge, Attitude, and Practice of Women in Slums of Pimpri, Chinchwad, Pune, Maharashtra, India, regarding Usage of Mishri.
abstract: BACKGROUND
  Mishri is one of the form of smokeless tobacco, which is a roasted, powdered preparation made by baking tobacco on a hot metal plate until it is uniformly black, after which it is powdered. It is noted that mishri use is more commonly used by the women of low socioeconomic status, hence the need was felt to conduct this study among women mishri users of slums. Also, the consequences of mishri use are little known, hence an effort is made to find out its ill-effect on oral health.
  
  
  OBJECTIVE
  To assess knowledge, attitude, and practice (KAP) among women using mishri regarding its effects on their oral and general health.
  
  
  METHODS
  A 6-month KAP study was conducted among 100 women who were using mishri. Snowball sampling was used. Oral examination of the participants was also done for oral potentially malignant disorders, such as leukoplakia, erythroplakia, oral submucous fibrosis, and hyperkeratinized pouch.
  
  
  RESULTS
  About 61% of the population used mishri for cleaning the teeth and others used it as quid; 0.85% of the total participants knew that the use of mishri may lead to precancerous lesions/conditions. Only 17% knew that mishri use can cause gum disease; 84% of the population was willing to quit the habit of using mishri.
  
  
  CONCLUSIONS
  It is concluded that all the participants had poor knowledge. Attitude toward quitting mishri use was found to be good. About 4% of the participants reported about quitting the habit.
  
  
  CONCLUSIONS
  There is need to create awareness regarding harmful effects of mishri usage in this particular area to improve oral health status.
authors.affiliation: Department of Public Health Dentistry, Vidarbha Youth Welfare Society's Dental College & Hospital, Amravati, Maharashtra India, Phone: +919860321216, e-mail: roshanichawla@gmail.com.
authors.forename: Roshani M
authors.initials: RM
authors.lastname: Chawla
authors.affiliation: Department of Public Health Dentistry, Institute of Dental Education & Advance Studies, Gwalior, Madhya Pradesh India.
authors.forename: Pranjan
authors.initials: P
authors.lastname: Mitra
authors.affiliation: Department of Public Health Dentistry, Dr. D.Y Patil Dental College & Hospital, Dr. D .Y. Patil Vidyapeeth, Pimpri, Pune Maharashtra, India.
authors.forename: Sahana H
authors.initials: SH
authors.lastname: Shetiya
authors.affiliation: Department of Public Health Dentistry, Dr. D.Y Patil Dental College & Hospital, Dr. D .Y. Patil Vidyapeeth, Pimpri, Pune Maharashtra, India.
authors.forename: Deepti R
authors.initials: DR
authors.lastname: Agarwal
authors.affiliation: Department of Public Health Dentistry, Panineeya Institute of Dental Sciences & Research Centre, Hyderabad, Telangana India.
authors.forename: D Satya
authors.initials: DS
authors.lastname: Narayana
authors.affiliation: Department of Public Health Dentistry, Shri. Yashwantrao Chavan Memorial Medical & Rural Development Foundation's Dental College & Hospital, Ahmednagar, Maharashtra, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Bomble
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India; D009909:Oral Health; D009910:Oral Hygiene / Q000009:adverse effects / Q000379:methods; D011204:Poverty Areas; D014030:Tobacco, Smokeless / Q000009:adverse effects
keywords: Mishri; Oral health Women.