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Title: Kharra consumption and factors associated with attempts to quit among college students in Nagpur
Authors: Sawant, Amol
Keywords: School of Health Systems Studies
Hemal Shroff
kharra consumption - College Students
Issue Date: 2017
Abstract: A form of chewing tobacco i.e kharra among youth is a major public health problem that needs to be given attention. The early age of initiation of kharra consumption not only affects the youth during adolescence but also adulthood .Literature suggests that when the individuals get addicted to tobacco at younger ages , they face many barriers in quitting. With this in the background, present study attempts to find age of initiation of kharra use among college going students in Nagpur, the factors influencing kharra consuming initiation, knowledge and awareness on health effects of consumption of kharra and future intention to quit kharra consumption. A Cross sectional study was conducted among college going youth in Nagpur .Convenience sampling was used to collect 220 students from colleges. Data was collected using a self-administered questionnaire. The variables examined included demographic and socio-economic characteristics frequency, amount and duration of kharra use and age of initiation, awareness regarding the effect of kharra on health, quitting practices and intention to quit kharra . The mean age of initiation of kharra chewing was found to be 14.11 years with (S.D=1.96) The main reason given by the participant for the initiation of kharra use is to relieve frustration and anger and also to relieve boredom .Tobacco use among family members and close friends, availability of kharra near colleges influenced kharra use. The easy availability of kharra through friends and also through stall and tapri are also the influencing factors for the kharra consumption. Few kharra users (n=157) had received advice to quit kharra. Lack of awareness of health effects due to kharra emerged as an important reason for not quitting kharra. About nearly half of the respondent did not have an intention to quit kharra because of the addictive nature of kharra and difficulties they have faced because of quitting attempts. The study hereby concludes that the age of kharra use initiation was higher than found in other studies for tobacco. The inability to quit Kharra can be attributed due to addictive nature of kharra along with inability to cope with the withdrawal symptoms of kharra use. There needs to be greater outreach to educate youth about the ill-effects of kharra consumption also community based counselling can help in creating a strong social support and helpful social environment for the youth. There is need of support, motivation and community mobilization as one step ahead for bringing the change of kharra free life.
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