{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:03:08Z","timestamp":1773100988166,"version":"3.50.1"},"reference-count":12,"publisher":"Scientific Scholar","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"\n Background & objectives:<\/jats:title>\n Despite tobacco use among college students being a major health concern, data remain sparse from India. It is in this background that this study aimed to report the prevalence of tobacco use and its psychosocial correlates among college students in the State of Kerala, India.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A total of 5784 students from 58 colleges from Ernakulam district, Kerala, selected by cluster random sampling and were provided with self-administered questionnaire. In addition to socio-demographic profile, the questionnaire incorporated alcohol, smoking, and substance involvement screening test (ASSIST, for assessing tobacco use and its severity, lifetime use of other substances); Kessler\u2019s scale (psychological distress) and Barkeley\u2019s scale (attention deficit hyperactivity disorder symptoms). Screening questions were used for assessing lifetime suicidality and sexual abuse.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The lifetime prevalence of tobacco use was 8.6 per cent (21.5% males and 1.4% female). Among users, hazardous and dependent use defined using ASSIST scores was 63.3 and 2.9 per cent, respectively. Tobacco use was associated with older age, being male, urban residence, having a part-time job, use of alcohol and illicit drugs and academic failures.<\/jats:p>\n <\/jats:sec>\n \n Interpretation & conclusions:<\/jats:title>\n Although the prevalence of tobacco use in our study was relatively low, the proportionately higher rates of hazardous use and its association with the negative correlates suggest that more needs to be done to prevent its deleterious consequences.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_1505_18","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T09:09:19Z","timestamp":1654506559000},"page":"527-532","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Tobacco use among college students in Kerala, India"],"prefix":"10.25259","volume":"154","author":[{"given":"T.S.","family":"Jaisoorya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sundarnag","family":"Ganjekar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya G.","family":"Menon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. Sivasankaran","family":"Nair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjana","family":"Rani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Thennarassu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","reference":[{"key":"R4-20-20241212","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1056\/NEJMsa0707719","article-title":"A nationally representative case-control study of smoking and death in India","volume":"358","author":"Jha","year":"2008","journal-title":"N Engl J Med"},{"key":"R6-20-20241212","doi-asserted-by":"crossref","first-page":"10033","DOI":"10.7314\/APJCP.2014.15.22.10033","article-title":"Tobacco use, beliefs and risk awareness in university students from 24 low, middle and emerging economy countries","volume":"15","author":"Peltzer","year":"2014","journal-title":"Asian Pac J Cancer Prev"},{"key":"R7-20-20241212","doi-asserted-by":"crossref","first-page":"30","DOI":"10.4103\/0019-509X.65177","article-title":"Linking India global health professions student survey data to the World Health Organization framework convention on tobacco control","volume":"47","author":"Sinha","year":"2010","journal-title":"Indian J Cancer"},{"key":"R8-20-20241212","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4314\/ejhs.v26i3.3","article-title":"Prevalence of tobacco consumption and its contributing factors among students of a private medical college in Belgaum: A cross sectional study","volume":"26","author":"Patel","year":"2016","journal-title":"Ethiop J Health Sci"},{"key":"R9-20-20241212","doi-asserted-by":"crossref","first-page":"423","DOI":"10.5005\/jp-journals-10024-2059","article-title":"Assessment of oral hygiene knowledge, practices, and concepts of tobacco usage among engineering students in Bhubaneswar, Odisha, India","volume":"18","author":"Bandyopadhyay","year":"2017","journal-title":"J Contemp Dent Pract"},{"key":"R10-20-20241212","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1192\/bjp.bp.109.065912","article-title":"Cigarette smoking and depression: Tests of causal linkages using a longitudinal birth cohort","volume":"196","author":"Boden","year":"2010","journal-title":"Br J Psychiatry"},{"key":"R11-20-20241212","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1037\/0022-006X.67.6.1004","article-title":"Suicidal ideation among college students in the United States","volume":"67","author":"Brener","year":"1999","journal-title":"J Consult Clin Psychol"},{"key":"R12-20-20241212","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1093\/ntr\/ntp199","article-title":"Smoking, parent smoking, depressed mood, and suicidal ideation in teens","volume":"12","author":"Hockenberry","year":"2010","journal-title":"Nicotine Tob Res"},{"key":"R14-20-20241212","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1177\/1010539515573075","article-title":"Child sexual abuse and its relationship with health risk behaviors among adolescents and young adults in Taipei","volume":"27","author":"Zhu","year":"2015","journal-title":"Asia Pac J Public Health"},{"key":"R16-20-20241212","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1111\/j.1467-842X.2001.tb00310.x","article-title":"Interpreting scores on the Kessler psychological distress scale (K10)","volume":"25","author":"Andrews","year":"2001","journal-title":"Aust N Z J Public Health"},{"key":"R17-20-20241212","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1016\/j.chiabu.2009.09.004","article-title":"ISPCAN Child Abuse Screening Tool Children\u2019s Version (ICAST-C): Instrument development and multi-national pilot testing","volume":"33","author":"Zolotor","year":"2009","journal-title":"Child Abuse Negl"},{"key":"R21-20-20241212","first-page":"148","article-title":"Tobacco use in Kerala: Findings from three recent studies","volume":"18","author":"Pradeepkumar","year":"2005","journal-title":"Natl Med J India"}],"container-title":["Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ijmr.IJMR_1505_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T23:04:23Z","timestamp":1751497463000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijmr.org.in\/tobacco-use-among-college-students-in-kerala-india\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijmr.ijmr_1505_18","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}