A study on prevalence and pattern of tobacco uses and nicotine dependence among migrant labourers working in Pathanamthitta, Kerala


  • Prathvimraj B. U. Department of Community Medicine, P. K. Das Institute of Medical Sciences, Vaniamkulam, Kerala, India
  • Jubina Bency A. T. Department of Community Medicine, P. K. Das Institute of Medical Sciences, Vaniamkulam, Kerala, India




Migrant worker, Tobacco, Addiction


Background: According to domestic labour migrant report about 2.35 lakh migrant workers continue to arrive every year to Kerala and they are comparatively neglected group in the society and high level of smoking and other modes of tobacco consumption is seen in this population on general observation. Tobacco use is the leading cause of preventable death in the world and linked to 90% of oral cancer in South East Asia and cigarette smokers are 8.6 times higher risk for lung cancer than non-smokers. These are attributed to nicotine and several harmful carcinogens in tobacco products. Objectives were to study the prevalence and pattern of tobacco use among migrant labourers and to assess the associated risk factors among the study participants.

Methods: A cross sectional study was done in a district, Pathanamthitta, Kerala among migrant labourers over a period of 2 months using WHO steps questionnaire for tobacco consumption and Fagerstrom test for nicotine dependence.

Results: Majority of study participants belonged to age group of less than 25 years. 20.8% of the participants smoked nicotine products but only 1 participant had high dependence. The 75% of participants consumed smokeless tobacco products with 37% of those participants showing high dependence to the products.

Conclusions: A field-based study will give an in depth understanding of problems of migrant population including their environment. It will also help in application of health planning and health education at community level.

Author Biography

Jubina Bency A. T., Department of Community Medicine, P. K. Das Institute of Medical Sciences, Vaniamkulam, Kerala, India

Associate Professor



Office of the Registrar general and census commissioner, Government of India: 2011 Census data: Migration. New Delhi; 2011. Available at: http://censusindia.gov.in/Census_And_You/migrations.aspx. Accessed on Jan 10 2020.

Joseph MP, Narayana D, Venkiteswaran CS. Domestic migrant labourers in Kerala. Gulati Institute of labour and finance submitted to Department of Labour and skills, Government of Kerala. 2013;3-41.

Park K. Epidemiology of chronic non-communicable diseases. In, Park K (ed). Park’s Textbook of Preventive and Social Medicine, 23rd edition. Jabalpur, M/s Banarsidas Bhanot Publishers, 2013;390.

Jhanjee S, Sethi M. The Fagerstrom test for nicotine dependence in an Indian sample of daily smokers with poly drug use. Nicotine tobacco Res. 2010;12(11):1162-6.

The WHO step wise approach to chronic disease risk factors surveillance. Available at: http://www.who.int/chp/steps/en/. Accessed on 20 Feb 2021.

International Organization for Migration. International Migration Law: Glossary on Migration. Geneva. Int Organization Migration. 2004.

Kumar S, Pramod SK. Psychological Problems of Migrant Labourers in Kerala: A Study in Thiruvananthapuram and Ernakulam Districts. Available at: https://kile.kerala.gov.in/wp- content/uploads/2018/09/Sunilkumar.pdf. Accessed on 20 Feb 2021.

Saikia D. Migrant workers in Kerala: A study on their socioeconomic conditions. Journal of Economic and Social Development. 2005;11(2):68462.

Wu J, Yang T, Rockett IR. Nicotine Dependence among Rural-Urban Migrants in China. BMC Public Health. 2011;11:296.

Laad P, Adsul B, Chaturvedi R, Shaikh M. Prevalence of substance abuse among construction workers. Paripex Indian J Res. 2013;2:280-3.

Akram S, Gururaj NA, Nirgude AS, Shetty S. A study on tobacco use and nicotine dependence among plywood industry workers in Mangalore City. J Evol Med Dent Sci. 2015;4:5729-35.

Parashar M, Agarwalla R, Mallik P, Dwivedi P, Patvagekar B, Pathak R. Prevalence and correlates of nicotine dependence among construction site workers: A cross-sectional study in Delhi. Lung India. 2016;33(5):496-501.

Garg A, Singh MM, Gupta VK, Garg S, Daga MK, Saha R. Prevalence and correlates of tobacco smoking, awareness of hazards, and quitting behavior among persons aged 30 years or above in a resettlement colony of Delhi, India. Lung India. 2012;29:336-40.

Amrutha AM, Karinagannanavar A, Ahmed M. Proportion of smokers and its determinants among migrant workers in Mysore, Karnataka, India. Int J Community Med Public Health. 2016;3:856-60.






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