Prevalence and determinants of substance use among indigenous tribes in South India: Findings from a tribal household survey

dc.check.date2022-01-25
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorSadath, Anvar
dc.contributor.authorJose, Kurian
dc.contributor.authorJiji, K. M.
dc.contributor.authorMercy, V. T.
dc.contributor.authorRagesh, G.
dc.contributor.authorArensman, Ella
dc.contributor.funderGovernment of Keralaen
dc.date.accessioned2021-02-15T12:25:07Z
dc.date.available2021-02-15T12:25:07Z
dc.date.issued2021-01-25
dc.date.updated2021-02-15T11:53:44Z
dc.description.abstractBackground: Indigenous populations have higher substance use than non-indigenous populations. Current evidence on indigenous substance use is largely derived from national household surveys, while there are no specifically designed, culturally specific methodological studies available to determine the prevalence of substance abuse among the indigenous tribes. The present study examined the prevalence and predictors of alcohol use, smoking, and betel quid chewing among indigenous tribes in South India. Method: We conducted a cross-sectional population-based random survey of 2186 tribal households in the Wayanad District, Kerala. A self-prepared, pilot-tested structured interview schedule was used to collect information on sociodemographic variables and substance use. Multivariate logistic regression models were used to examine the sociodemographic predictors of substance use. Results: The overall prevalence of current alcohol use, current smoking and daily betel quid use was 17.2%, 18.8% and 47.6% respectively. Consistently, male gender (alcohol use OR = 13.55; smoking OR = 3.42; betel quid use OR = 1.65), increasing age (OR = 1.32; OR = 1.01; OR = 1.03), Paniya tribe status (OR = 2.24; OR = 1.39; OR = 5.38) and employment status being working (OR = 2.07; OR = 1.77; OR = 1.26) increased the risk of alcohol use, smoking and betel quid chewing. Furthermore, having ‘no formal education’ was associated with smoking (OR = 1.35), and betel quid chewing (OR = 3.27). Conclusion: Substance use was high among the indigenous tribes. The male gender, increasing age, Paniya tribe and working status significantly influenced alcohol use, smoking and betel quid chewing. The results underscore the need for indigenous specific de-addiction policies and programmes, alongside a consideration of the critical sociodemographic predictors.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSadath, A., Jose, K., Jiji, K. M., Mercy, V. T., Ragesh, G. and Arensman, E. (2021) 'Prevalence and determinants of substance use among indigenous tribes in South India: Findings from a tribal household survey', Journal of Racial and Ethnic Health Disparities. doi: 10.1007/s40615-021-00964-2en
dc.identifier.doi10.1007/s40615-021-00964-2en
dc.identifier.eissn2196-8837
dc.identifier.issn2197-3792
dc.identifier.journaltitleJournal of Racial and Ethnic Health Disparitiesen
dc.identifier.urihttps://hdl.handle.net/10468/11065
dc.language.isoenen
dc.publisherSpringer Nature Switzerland AGen
dc.rights© 2021, W. Montague Cobb-NMA Health Institute. Published by Springer Nature Switzerland AG. This is a post-peer-review, pre-copyedit version of an article published in Journal of Racial and Ethnic Health Disparities. The final authenticated version is available online at: https://doi.org/10.1007/s40615-021-00964-2en
dc.subjectAlcohol useen
dc.subjectSmokingen
dc.subjectBetel quiden
dc.subjectIndigenous populationen
dc.subjectTribesen
dc.subjectSouth Indiaen
dc.titlePrevalence and determinants of substance use among indigenous tribes in South India: Findings from a tribal household surveyen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
e.Proofing.pdf
Size:
1.15 MB
Format:
Adobe Portable Document Format
Description:
Accepted Version
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description: