World No Tobacco Day Report - Mumbai, 2014

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ICICI LOMBARD SURVEY ON

TOBACCO CONSUMPTION AND HEALTH - 2014

Date: May 29, 2014

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Key ObjectivesKey Objectives

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Study Specifics

Target GroupTarget Group

Male & Female aged 21-40 years who are habitual

smokers currently smoking at least once a day /

people who consumes at least one pouch packet of

guthka /pan masala containing tobacco

Married / Single and employed

SEC A & SEC B1

Income of CWE in the family is over Rs. 25,000 per

month

Currently, staying single / Staying with family /

sharing accommodation

CITIES SAMPLE SIZE SAMPLE ACHIEVED

Mumbai 250 256

Kolkata 250 253

Hyderabad 200 200

Lucknow 200 201

Ahmedabad 200 200

Total 1100 1111

Sample CoverageSample Coverage

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Findings

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Tobacco – Awareness and Consumption Trends All Figs in %

Base All : 1111

Total Awareness

Initially Start Ever TriedCurrently

Consumed Stopped

Consumption

Cigarette

Pan Masala with tobacco

Gutkha

Pan with tobacco

Cigar

Zarda

Mawa

Beedi

Khaini

Hukka

Top response

• 7 in 10 respondents started tobacco consumption with cigarettes• 17 % of respondents have stopped consumption of gutkha over the past 2-3 years

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Average frequency of consumption of various tobacco products – City wise

Cigarette Cigar Gutkha Khaini ZardaPan Masala

with TobaccoPan with Tobacco

All6 to 7 times a

dayOccasional /Not

everyday2 to 3 times a

day2 to 3 times a

day3 to 4 times a

day6 to 7 times a

dayOnce or Twice a

day

Mumbai4 to 6 times a

dayOnce or Twice a

dayOnce or Twice a

dayOnce a day Once a day

Kolkata7 to 8 times a

day3 to 5 times a

day3 to 5 times a

day

Hyderabad5 to 6 times a

day

Lucknow7 to 8 times a

day7 to 8 times a

dayOnce or Twice a

day

Ahmedabad6 to 7 times a

day6 to 7 times a

day

• In Mumbai, consumption of cigarettes is higher than any other tobacco product• Average frequency of tobacco products in Mumbai is lower than other cities

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Weekly spends over smoking and tobacco productsAll Figs in %

Smoking

Tobacco

• Average weekly spends on cigarettes at Rs. 383• In Mumbai, weekly spend on cigarette is lower than other cities

Base All : 1111 256 253 200 202 200

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Tobacco product currently consumed – centre wiseAll Figs in %

All

Cigarette

Pan Masala with tobacco

Gutkha

Pan with tobacco

Cigar

Zarda

Mawa

Beedi

Khaini

Hukka

Mumbai Kolkata Hyderabad Lucknow Ahmedabad

Base All : 1111 256 253 200 202 200

Top response

SEC

A=80

B1= 71 SEC

A=73

B1= 87

•Overall, cigarette consumption is higher among SEC A with 4/5 th of the respondents consuming• Cigarette is the most consumed tobacco product in Mumbai

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Cigarette & Tobacco related aspects

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Trend in Cigarette consumption in the last 2-3 yrs.All Figs in %

All

Base All : 194 Base All : 211 Base All : 196 Base All : 81 Base All : 169


Base All : 851

• Consumption pattern has remained unchanged among half of the respondents • In Mumbai, trend has remained unchanged for 45% respondents

Top response

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Reasons for increase / decrease in cigarette consumptionAll Figs in %

All

Base All : 851

• Increase – perceived as stress reliever during work pressure and problems in personal life• Decrease- expensive and rising health concerns

Base All : 338

Reasons for Increase in smokingReasons for Increase in smoking

It is a good stress reliever

Work pressure

Problem in personal life

Increasing stamina / concentration / capacity to work

Social life has increased – more number of parties / gatherings / meetings, etc

Improves my confidence while facing people

Expensive (49%) and Health Concerns (46%) are the major

reasons for decrease in cigarette consumption

Expensive (49%) and Health Concerns (46%) are the major

reasons for decrease in cigarette consumption

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Trend in Tobacco consumption in the last 2-3 yrs.All Figs in %

All

Base All : 119 Base All : 63 Low Base Base All : 143 Base All : 66


Base All : 406

• Among 2/3rd respondents tobacco consumption has remained unchanged • In Mumbai, consumption has decreased for 32%, higher than the other cities

Top response

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Tobacco Consumption at workplaceAll Figs in %

• Offices in metros providing separate enclosure for smoking

There is a separate enclosure for smokers in my office

I can smoke/chew tobacco in my office premises

Most of my colleagues with whom I physically interact regularly consumes tobacco or smokes inside or outside office

My workplace offers help to quit smoking/chewing tobacco

Base All : 1111 256 253 200 202 200

ALLALL MumbaiMumbai KolkataKolkata AhmedabadAhmedabadHyderabadHyderabad LucknowLucknow

Top response

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Ranking intoxication habitsAll Figs in %

All Mumbai Kolkata Hyderabad Lucknow Ahmedabad

Base: All 1111 256 253 200 202 200

Rank 1

(most unhealthy

habit)

Alcohol consumption (32%)

Chewing tobacco products (48%)





Rank 2Chewing tobacco products (28%)

Smoking cigarettes / cigars (22%)



Smoking bidis (38%)Smoking cigarettes /

cigars (39%)

Rank 3Smoking cigarettes /

cigars (22%)Smoking bidis (18%)





Rank 4 Smoking bidis (17%)Alcohol consumption

(10%)Smoking bidis (14%) Smoking bidis (13%)


Smoking bidis (1%)

Scores in bracket are % of people given rank 1

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Health Related Aspects

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Health issue/symptomAll Figs in %

Base All : 1111 256 253 200 202 200


Loss of Appetite

Mouth ulcers

Migraine/ headache

Dental Problems

Morning cough/ Asthma

None of these

Top response

• Overall including Mumbai, 2/3rd of the respondents claim to have not suffered any health issue

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Measures taken after smoking/tobacco consumptionAll Figs in %

Base All : 1111 256 253 200 202 200


Consume mouth freshener/ chewing gum / mint

Gargle my mouth with adequate water

Consume tea/coffee

Apply a Deodorant/perfume to reduce the smell of tobacco from body

Top response

• Overall and in Mumbai, consuming mouth freshener/ chewing gum and mint are the most common practices• Respondents in Mumbai also consume tea/coffee after smoking/tobacco consumption

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Awareness about the Ill effects of smoking/chewing tobacco

All Figs in %

Base All : 1111 256 253 200 202 200


Lung cancer, mouth cancer , throat cancer etc

Heart strokes, narrowing of blood vessels, blood pressure

Reduced life expectancy, reduced immunity

Kidney related disease

Headache

Impotence and fertility related ailments

Top response

• In Mumbai as well as overall, more than 8 in 10 respondents are aware that smoking/chewing tobacco causes Lung/Mouth/Throat Cancer

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Affect of smoking / tobacco consumption on professional or personal life

All Figs in %

Base All : 564 171 74 174 119 Low Base


The relation with my immediate family/parents has

become strained/tensed

Some of my friends/ colleagues have started

ignoring me

My boss has taken a note of my habit

My physical exercise / sports activities has reduced

significantly

My overall stress level has gone up

Top response

• Overall, 1 in 2 respondents mentioned that relation with family/parents has become strained/tensed • In Mumbai, 1/3rd respondents feel that friends/ colleagues have started ignoring them

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Ever quit the habit of smoking/chewing tobacco and started again

All Figs in %

All

Base All : 256 Base All : 253 Base All : 202 Base All : 200


Base All : 1111

Base All : 200

• In Mumbai as well as overall, 9 in 10 respondents never tried to quit the habit•9% tried to quit but failed and started again

Top response

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Motivators to quit smoking/chewing tobaccoAll Figs in %

Base All : 1111

Ever quit the Habit of smoking/chewing tobacco & started again

Own will power

Friends / Peers / Colleagues

Support of family members / Relatives

Partner / Spouse

Doctor / Counselor

Health issues

Advertisements / Posters showing ill effects of tobacco consumption

Base : Those who had quit smoking & then re started : 97

Top response

• Own will power biggest motivation to quit smoking followed by Friends/Peers/Colleagues

Motivators for quitting

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Hindrances to quit smoking/chewing tobaccoAll Figs in %

All

I am too addicted to tobacco to quit

I believe that it won’t affect my health as I have been

tobacco user for a long time without any ill effects

Peer pressure

Inferiority complex / reduced social status/feel isolated

post quitting

Fear of weight gain


Base All : 1111 256 253 200 202 200

Top response

• Overall, strong addiction to tobacco major hindrance to quit smoking/chewing tobacco • In Mumbai, 56% respondents believe that smoking/tobacco consumption won’t affect their health

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Health Insurance Habits – Owners

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Ownership of Health Insurance All Figs in %

All



Base All : 1111

• Overall, less than half of the respondents own a health insurance policy• 2/3rd of the respondents at Mumbai have health insurance policy

Top response

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Type of Health Insurance Policy OwnedAll Figs in %

Base : 498 166 90 126 23* 93

Base Those who own a Health insurance policy

All


Low Base

• Overall, 4/5th of the respondents own a health insurance policy which covers normal hospitalisation costs• Respondents with policy covering critical illness is higher in Mumbai than other cities.

Top response

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Disclosure of smoking / Chewing Tobacco in declarationAll Figs in %

All

Base : 166 Base : 90 Base: 126 Base : 23* Base : 93


Base Owners of health insurance policy: 498

Low Base

• Overall, almost ½ of the respondents have not disclosed their smoking / chewing tobacco habits in declaration• ½ of the respondents in Mumbai disclosed their smoking / chewing tobacco habit

Top response

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Fear of rejection while applying for Health Insurance (Amongst Owners or Intenders)

All Figs in %

All



Base Amongst owners or Intenders: 640

• Overall, almost 1 in 3 owners / intenders fear rejection of health insurance policy due to smoking habits• Fear higher in Mumbai as compared to other cities

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Health Insurance – Non-Owners

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Willingness of Non Owners of Health Insurance policy to buy one in next 6 months

All Figs in %

All

Base : 90 Base : 163 Base All : 179 Base All : 107


Base Those who do not own a Health insurance policy : 613

Base : 74

• Overall, only 1 in 4 respondents are willing to buy a health insurance policy• Lower purchase intention observed across cities

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Perception about Health InsuranceAll Figs in %

Base All : 1111 256 253 200 202 200

• 8 in 10 respondents feel health insurance is a necessity • 3/4 th of respondents consider health insurance as a tax saving investment

Top response

Base All : 1111 256 253 200 202 200


Health insurance is not required for me

Smokers/ tobacco users may have difficulty in claim settlement

I don’t mind paying high premium if covers tobacco related ailments

Health insurance purchase is a tax saving investment

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Claim Insights (In-house Claims Data)All Figs in %

Cancer has a direct co-relation to use of Tobacco.

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Claim Insights (In-house Claims Data)All Figs in %

Male vs. Female claims

Male Female

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To Summarize…

Average weekly spent on cigarettes is @ Rs 380 at an overall level with Mumbai spending @ Rs 320 weekly which is lower than other city spends

8 in 10 respondents are aware of the fact that Smoking/Chewing tobacco causes Lung/Mouth/Throat Cancer.

In Mumbai, 1/3rd of the respondents feel that their friends and colleagues have started ignoring them owing to the habit

Overall, less than half of the respondents own a health insurance policy. 2/3rd of the respondents at Mumbai have health insurance policy.

In Mumbai, respondents with a critical illness cover is higher compared to other cities

Amongst non owners of health insurance policy, only 1 in 4 respondents are willing to buy a health insurance policy.

5% claims are tobacco related cancer claims

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Thank You

Healthcare

World No Tobacco Day Report - Mumbai, 2014