To assess the prevalence of hypertension in 25 to 40 years age group in a North- West Region of India Population and to study the association of these diseases with smokeless tobacco.Design and Method:
The Present study will undertaken in a Rural & Urban area in North- West Region of India in persons 25 to 40 years age group. A pre-designed and pre-tested questionnaire will used to collect information regarding the Life Style profile, past history of hypertension, Blood investigation regarding Lipid Profile, Blood pressure measurenement, history of smokeless chewing tobacco and compliance to treatment for known hypertensive's. Information regarding socio- demographic profile will questioned. The persons will also enquired about the known history of hypertension. Use of tobacco in any form such as chewing tobacco with betel quid (paan), with or without lime paste, with or without supari, or in the form of gutkha (mawa) was enquired. The duration of addiction was categorized as less than 5 years, 5 to 15 years and more than 15 years. The blood pressure of every individual was checked with a mercury column sphygmomanometer. In exclusion criteria such as 1) Family history of Diabetes and hypertension 2) Addiction other than smokeless tobacco etc.Results:
The present study showed current use of spit tobacco was associated with a significantly greater HR for mortality related to coronary heart disease (HR 1.12; 95% CI: 1.03–1.21) when confounding factor adjusted such as Age, race, education, current alcohol consumption, exercise, aspirin use, BMI, quartiles of vegetable and fruit consumption, quartiles of dietary fat consumption.Conclusions:
The finding that RR was only significantly elevated in “ever snuff users” and not current snuff users, suggests that perhaps other factors, duration or amount of ST use or other confounding factors (comorbid conditions, diet, alcohol use) were not adequately controlled for in the past snuff users.