Knowledge, attitude and practice regarding smoking in school going adolescents of Kashmir, India: a cross-sectional study


  • Walied Khawar Balwan Department of Community Medicine, GMC, Doda, Jammu and Kashmir, India
  • Uroosa Farooq Allaqband Department of Community Medicine, Sher-i- Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
  • Rauf ur Rashid Kaul Department of Community Medicine, Sher-i- Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India



Adolescents, Attitude, Knowledge, Schools, Tobacco


Background: Cigarette smoking, in the developed world, has been the major habit among children for both boys and girls. They usually take to the habit while in school before the age of 18. In India, tobacco consumption in multiple forms presents an emerging, significant and growing threat to the health of the adolescents. As per  WHO Global Youth tobacco Survey GYTS (2009) India, 14.6% of students currently use any form of tobacco, 4.4%currently smoke cigarettes, 12.5% currently use some other form of tobacco. Objective was to assess the knowledge, attitude and practice of school going adolescents regarding smoking.

Methods: A descriptive cross sectional study was taken in school going adolescents of Kashmir. The study included three districts from Kashmir valley and from each district, 2 government middle schools (1 girls and 1 boys), 2 government high schools (1 girls and 1 boys), 2 government higher secondary schools (1 girls and 1 boys) were selected. Also from the list of private schools one middle school, one high school and one higher secondary school (All  having co-education) were selected. Thus, a total of 27 schools, 9 from each selected district, were included in the study. A total of 1000 students participated in this study.

Results: The current study included 464 males (46.4%) and 536 (53.6%) females. Among the study subjects, 523 (52.30%) belonged to the 12-15 year age bracket and 477 (47.70%) were between 16-18 years of age. Maximum of study participants belonged to nuclear family (63.10%) followed by joint family (36.90%). Majority of the study subjects belonged to socio-economic class IV (lower middle) 36.10% followed by class III (middle) 23.90% as per Modified BG Prasad’s classification.

Conclusions: 75.9% opined that smoking tobacco is harmful to health in comparison to 89.1% of non-smokers, a difference found to be statistically highly significant (p value <0.001). Prevention of tobacco use in young people and the consumption of tobacco, among school students should be considered as a matter of great concern which requires holistic understanding.


Nicotiana. Oxford Dictionaries. Oxford University Press. Available at Accessed on 12 November 2020.

Gottsegen JJ. Tobacco: a study of its consumption in the United States, 1940;107.

Manohar R. Smoking and Ayurvedic Med in India, In: Gilman SL, Xun Z, editors. Smoke: A global history of smoking. Reakton Books, London; 2004;68

The health consequences of smoking-50 years of progress: A report of the Surgeon General. Atlanta: U.S. Department of health and human services, centers for disease control and prevention, national center for chronic disease prevention and health promotion, office on smoking and health, 2014. Accessed on 20 April 2017.

Park K. Park’s Textbook of preventive and social Med. 24th edition 2017. Banarsidas Bhanout, Jabalpur; 2017;872-873.

Deliana K, Ross H., Blecher E, Markowitz S. Prices and cigarette demand: Evidence from youth tobacco use in developing countries. J Health Economics. 2010;27:287-99.

Park K. Park’s Text book of preventive and ocial Med. 24th Edition 2017. Banarisdas Bhanout. Jabalpur.2017:495-496.

Mark S, Kaplan A, Robert E and Weiler A. Social patterns of smoking behavior: trends and practice Implications. J Health Social Work. 1997;22:88-97.

Non Communicable diseases: Fact Sheet. World Health Organization. Available at http://www., Accessed on 24 May 2017.

Park SH. Smoking and adolescent health. Korean J Pediatr. 2011;54(10):401-4.

WHO GYTS India 2009. Fact Sheets. Available at Accessed on 11 June 2017.

Hirani DR, Balaramanamma DV. A study on prevalence of tobacco consumption among school students studying from fifth to eighth standards and assessment of their risk behavior by studying their knowledge, attitude, and practices regarding tobacco consumption in Ahmedabad city, Gujarat, India . Int J Med Sci Public Health. 2016;5(02):191-6.

Singh V, Gupta R. Prevalence of use and awareness of risks among school children in Jaipur. JAPI. 2006;54:609-11.

Mpabulungi L, Muula AS. Tobacco use among high school students in a remote district of Arua, Uganda. Rural Remote Health. 2006;609:1-7.




How to Cite

Balwan, W. K., Allaqband, U. F., & Kaul, R. ur R. (2021). Knowledge, attitude and practice regarding smoking in school going adolescents of Kashmir, India: a cross-sectional study. International Journal of Research in Medical Sciences, 9(3), 821–827.



Original Research Articles