National Journal of Community Medicine

Original Article

Year: 2020 | Volume: 11 | Issue: 10 | Page No: 390-394

Assessment of Nicotine Dependence among Adult Tobacco Users in Selected Urban Population of Ahmedabad City

Author: Anjali Mall1, Sheetal Vyas2


1Assistant Professor, Department of Community Medicine, Grant Government Medical College, Mumbai

2Professor and Head, Department of Community Medicine, AMC, MET Medical College, Ahmedabad


Background: Tobacco consumption is considered as a major public health problem in India. However, nicotine dependency is an area which has not been given much importance. The FTND score is con-sidered as an easy tool to assess the dependence through physiological and behavioural symptoms. Aim and Objectives: To assess the nicotine dependence of the tobacco users in urban slums of Ahmedabad city. Methodology: Nicotine dependence among tobacco users (18-60 years) was studied by means of six -item. (Fagerstrom Test for Nicotine Dependence) in a community based interventional cluster randomized trial which was conducted through house to house survey from 20 clusters (slums) of Ahmedabad district. Result: Among 1968 people surveyed, a total of 400 subjects in intervention and control arm were interviewed. The prevalence of tobacco use was 20.3%. 23 % of the tobacco users had high to very high dependence. The overall FTND score was 4.5 and score for smoking was high 5.4 (2.2). Conclusion: A medium level of dependence was observed among the tobacco users in the current study. Tobacco intervention study can be more effective and productive if a baseline assessment of nicotine dependence is measured before any intervention.

Keywords: Tobacco, Urban slums, Fragerstrom test for nicotine dependence.

DOI: 10.5455/njcm.20201004045523