ICR headerheader photo
About ICR Programs/Topics Research/Methods News/Events Training/Resources Publications Contact Home

Smokeless Tobacco Use and Reproductive Health Practices Among Women in Mumbai, India
Research Method:
Principal Investigator: Jean J. Schensul, Ph.D.
Partners: National Institute for Research on Reproductive Health, Indian Medical Research Council
Grant: Fogarty/NCI (5R03TW008350)
Dates of Study: 2009-2012

Background
Marketing strategies for different types of smokeless tobacco vary depending on local cultural practices. In India, many forms of non-smoked tobacco have existed for some time. Paan, a combination of betel leaf, areca nut, lime paste and other ingredients, including tobacco, is widely used in all parts of the country by both men and women. Other forms of smokeless tobacco include “gutka”, a form of chewed tobacco sold in small packets, and “mishri,” a form of toasted and powdered tobacco leaf that has been used to clean the teeth. All of these forms of tobacco can be habit forming.

Project Goals and Objectives
To study the uses of smokeless tobacco in relation to pregnancy practices and self management in women of reproductive age in a low income area of Mumbai

Project Details

In 2009, ICR and researchers from the National Institute for Research on Reproductive Health, Mumbai, a center of the Indian Medical Research Council (ICMR), received three years of funding to study a "slum" in Mumbai. The location includes a mix of people from Maharashtra and from the northern states of Uttar Pradesh, and Bihar, which is typical of many areas in India. Fieldwork for the study began in February of 2010. During this early qualitative phase, the study will identify smokeless tobacco outlets and the forms of smokeless tobacco available in the study community or nearby. Researchers will conduct indepth interviews with community experts and women users about smokeless tobacco practices and reproductive health. Following this phase, researchers will survey a larger sample of 400 smokeless tobacco users in 2011 -2012.

The field team has mapped every street and bylane in the study community of 20,000, and has identified over 200 tobacco outlets in this small geographic location. They have photographed many different forms of tobacco and recorded cost per unit as well as purchasing patterns. There is some difference of opinion as to how many women are perceived to be using smokeless tobacco products. The general feedback at this early stage is that paan use is widespread, gutka is used by both women and men, and mishri is used only by women, and is also fairly widespread.

Staff Contact:
Jean J. Schensul, Ph.D.

Principal Investigator

Founding Director, Senior Scientist, ICR

National Institute for Research on Reproductive Health, Mumbai
Saritha Nair

Dr. Donta Balaiah

Sameena Bilgi

Sunitha Goveas

Kavita Amol Patil

Sunita James DMello

Vaishali Kiran Kadam

Dr. Pasi Yogitha

Consultants
Healeas Foundation

Navi Mumbai

P.C. Gupta

Mangesh Pednekar

 



 

About ICR | Programs/Topics | Research/Methods | News/Events
Training/Resources | Publications | Contact | Home