Abstract
Background
The study analyzes the association between substance use among scheduled tribe men mostly known for their primitiveness, geographical isolation, insecurity, social, educational, and economic backwardness, and non-scheduled tribe men in India’s northeastern state and the eastern state of West Bengal.
Methods
The analysis of data representative across the country from the National Family and Health Survey's fifth wave (NFHS-5), which was conducted in 2019-2020, evaluated the prevalence of tobacco and alcohol use among 12,950 men between the ages of 15 and 54. Logistic regressions and bivariate analyses were performed to analyze the relationship between the socio-demographic determinants of substance use among ST and non-ST men.
Results
It has been found significant that 30.62% of non-ST males and 39.14% of ST males in the study’s sample consume any form of tobacco, whereas 49.23% of ST men and 29.56% of non-ST men consume alcohol. Men in the middle age groups, lower or uneducated, divorced, separated, or deserted, mainly from the urban residence; others, Buddhist, Hindu, and Christian religions belonging to the wealth quintiles of the poorest to richest; also, the unorganized workers consumed higher quantities of substances. Based on a correlation study between substance use and socioeconomic factors, middle-aged males who work in unorganized jobs, follow other religions, are from worse socioeconomic quintiles, are divorced, separated, deserted, or widowed are much more likely to consume substances.
Conclusion
This study concludes that both smoking and non-smoking tobacco substance, mostly alcohol, is more common among ST men compared to the non-STs in WB and NEI due to low sociodemographic status. The study also highlights the regional differences in substance use among both communities. However, there is a need to address substance misuse among the most vulnerable socioeconomic groups as it concerns their health and well-being.
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Availability of Data and Material
The datasets and materials used are accessible on the DHS website at https://dhsprogram.com/data/.
Abbreviations
- NEI:
-
North Eastern States of India
- ST:
-
Scheduled Tribe
- NFHS:
-
National Family Health Survey
- WB:
-
West Bengal
References
Acharyya, A., & Ghosh, K. (2022). NCD risk factors in different administrative divisions of West Bengal: An insight analysis from National Family Health Survey-5 Report. Journal of the Indian Medical Association, 120(5), 26–32.
Anand, A., & Roy, N. (2022, April 13). Prevalence and determinants of co-use of alcohol and tobacco among men in working age group (18–59 years) in India. Epidemiology, Biostatistics, and Public Health, 13(1). https://doi.org/10.2427/11642
Balasubramani, K., Paulson, W., Chellappan, S., Ramachandran, R., Behera, S. K., & Balabaskaran Nina, P. (2021, August 27). Epidemiology, hot spots, and sociodemographic risk factors of alcohol consumption in Indian men and women: Analysis of national family health survey-4 (2015–16), a nationally representative cross-sectional study. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.617311
Bhawna, G. (2013, May 30). Burden of smoked and smokeless tobacco consumption in India - Results from the global adult tobacco survey india (GATS-India)- 2009–2010. Asian Pacific Journal of Cancer Prevention, 14(5), 3323–3329. https://doi.org/10.7314/apjcp.2013.14.5.3323
Chaturvedi, H. K., Bajpai, R. C., & Pandey, A. (2016). Predictors of substance use in the tribal population of northeast India: Retrospective analysis of a cross-sectional survey. Journal of Addiction Research & Therapy, 7(5). https://doi.org/10.4172/2155-6105.1000295
Chaturvedi, H. K., Phukan, R. K., & Mahanta, J. (2003, January 1). The association of selected sociodemographic factors and differences in patterns of substance use: A pilot study in selected areas of northeast India. Substance Use & Misuse, 38(9), 1305–1322. https://doi.org/10.1081/ja-120018488
Debbarma. (2019, June). Behavioural health risks associated with substance use: Tobacco and alcohol consumption among ethnic population in Tripura. Journal of North East India Studies, 9(1), 64–82. Retrieved August 7, 2023, from https://www.jneis.com/9-1-4/
Fu, S. H., Jha, P., Gupta, P. C., Kumar, R., Dikshit, R., & Sinha, D. (2014, July 15). Geospatial analysis on the distributions of tobacco smoking and alcohol drinking in India. PLoS ONE, 9(7), e102416. https://doi.org/10.1371/journal.pone.0102416
Gaidhane, A., Nazli, K., Zahiruddin, Q., Bawankule, S., & Zodpey, S. (2011). Prevalence and pattern of tobacco use among tribal adolescents: Are tobacco prevention messages reaching the tribal people in India? Annals of Tropical Medicine and Public Health, 4(2), 74. https://doi.org/10.4103/1755-6783.85756
Haobijam, S., & Singh, K. A. (2021, March 27). Socioeconomic determinants of domestic violence in northeast India: Evidence from the National Family Health Survey (NFHS-4). Journal of Interpersonal Violence, 37(15–16), NP13162–NP13181. https://doi.org/10.1177/08862605211005133
Indigenous Peoples at the United Nations | United Nations for Indigenous Peoples. (n.d.). Retrieved October 19, 2023, from https://www.un.org/development/desa/indigenouspeoples/about-us.html
International Institute for Population Sciences and MoHFW. (2021). National Family Health Survey (NFHS-5). Retrieved August 5, 2023, from http://rchiips.org/nfhs/factsheet_NFHS-5.shtml
Kalita, K. (2022, June 9). Northeast has highest prevalence of alcohol and tobacco consumption in India: Survey. The Times of India. Retrieved August 5, 2023, from https://timesofindia.indiatimes.com/city/guwahati/ne-has-highest-prevalence-of-alcohol-and-tobacco-consumption-in-country-survey/articleshow/92092054.cms
Kumari, N., & Salve, P. S. (2020, May 18). Substance use and non-communicable diseases in India: Evidence from national family health survey-4. Journal of Substance Use, 26(1), 30–35. https://doi.org/10.1080/14659891.2020.1766126
Lhungdim, Sahoo, & Ladusingh. (2021, July). Population growth, ethnic diversity, socio-economic status, and healthcare utilization in North East India: With special reference to the recognized tribes (IIPS working paper series no. 21). International institute for population sciences. Retrieved October 19, 2023, from https://www.iipsindia.ac.in/sites/default/files/IIPS_Working_Paper_Series_No_21_0.pdf
Ministry of Development of North Eastern Region, North East India. (n.d.). Retrieved October 19, 2023, from https://mdoner.gov.in/
Neufeld, K., Peters, D., Rani, M., Bonu, S., & Brooner, R. (2005, March). Regular use of alcohol and tobacco in India and its association with age, gender, and poverty. Drug and Alcohol Dependence, 77(3), 283–291. https://doi.org/10.1016/j.drugalcdep.2004.08.022
Pradhan, M. R., Patel, S. K., & Prusty, R. K. (2019, October 1). Pattern and predictors of tobacco use in India: Evidence from national family health survey (2015–2016). Journal of Health Management, 21(4), 510–524. https://doi.org/10.1177/0972063419868566
Rao, V., Bhat, J., Yadav, R., Muniyandi, M., Bhondeley, M., & Wares, D. (2017, January). Smoking and alcohol consumption: Risk factors for pulmonary tuberculosis among the tribal community in central India. Indian Journal of Tuberculosis, 64(1), 40–43. https://doi.org/10.1016/j.ijtb.2016.11.009
Ruhil, R. (2019, April). Sociodemographic determinants of tobacco use in India: Risks of risk factor—An analysis of global adult tobacco survey india 2016–2017. SAGE Open, 9(2), 215824401984244. https://doi.org/10.1177/2158244019842447
Sadath, A., Jose, K., Jiji, K., Mercy, V., Ragesh, G., & Arensman, E. (2021, January 25). 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, 9(1), 356–366. https://doi.org/10.1007/s40615-021-00964-2
Saikia, N., & Debbarma, B. (2020, March). The socioeconomic correlates of substance use among male adults in Northeast India. Clinical Epidemiology and Global Health, 8(1), 149–157. https://doi.org/10.1016/j.cegh.2019.06.004
Singh, T. B. (2007, December). India’s border trade with its neighbouring countries with special reference to Myanmar. Margin, 1(4), 359–382. https://doi.org/10.1177/097380100700100402
Singh, S. K., Kumar, S., & Kashyap, G. C. (2023). March 22). Tobacco use and cessation among a nationally representative sample of men in India, 2019–2021. Journal of Smoking Cessation, 2023, 1–15. https://doi.org/10.1155/2023/4292647
Subramanian, S. V., Smith, G. D., & Subramanyam, M. (2006, October 24). Indigenous health and socioeconomic status in India. PLoS Medicine, 3(10), e421. https://doi.org/10.1371/journal.pmed.0030421
Substance Abuse | WHO. (2023, August 3). WHO | Regional office for Africa.
Tikhute, V. (2023, October 17). Geospatial patterns of alcohol and tobacco use in India: A cluster analysis of NFHS 4. https://doi.org/10.33774/coe-2023-0wf8j
Tobacco, N. (2023, July 31). WHO report on the global tobacco epidemic, 2023: Protect people from tobacco smoke. Retrieved August 2, 2023, from https://www.who.int/publications/i/item/9789240077164
West Bengal Tribal Development Department. (n.d.). Scheduled tribes of West Bengal. Retrieved October 19, 2023, from https://adibasikalyan.gov.in/scheduled-tribes-of-west-bengal
WHO Factsheets. (2022, May 9). Alcohol. Retrieved August 3, 2023, from https://www.who.int/news-room/fact-sheets/detail/alcohol
Acknowledgements
The DHS program of the International Institute for Population Sciences (IIPS) India has been acknowledged by the authors for collecting data on alcohol and tobacco usage among men. The Indian Council of Social Science Research (ICSSR) for providing funding and the University of North Bengal’s Department of Geography and Applied Geography are also acknowledged by the authors for giving research settings, respectively.
Funding
This research work has been carried out with financial support from the Indian Council of Social Science Research (ICSSR) Funded Research Project (Major) entitled “Understanding Quality of Life (QoL) of the Tribes in the Hilly Region of Darjeeling and Kalimpong District, West Bengal: A Future Road Maps for the Sustainable Development” (F.No.Gen.-32/2021-22/ICSSR/RP, Dated: 22-03-2022), and the Scholar, namely “Dr. Indrajit Roy Chowdhury, Assistant Professor, Department of Geography & Applied Geography, University of North Bengal, West Bengal, India,” is the awardee of ICSSR Major Research Project.
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Manabindra Barman1: visualization, validation, conceptualization, data curation, formal analysis, methodology, software, created tables, figures, writing-original draft, writing-reviewing, editing. Dr. Indrajit Roy Chowdhury2: supervision, reviewing, funding acquisition, project administration.
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The study used a secondary dataset from the Demographic Health Survey of India’s National Family Health Survey (NFHS), which contains no information that may be used to identify the survey participants personally. NFHS used the usual questionnaire to get consent before and throughout the investigation. The datasets are available on the DHS site; however, access is only permitted after registering and submitting the required research interest.
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Barman, M., Chowdhury, I.R. Substance Uses and Associated Sociodemographic Factors Among Male Tribes and Non-Tribal Communities of Eastern and North Eastern States in India: An Evidence-Based Study from the National Family Health Survey-5. Glob Soc Welf (2023). https://doi.org/10.1007/s40609-023-00328-0
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DOI: https://doi.org/10.1007/s40609-023-00328-0