Abstract
Background: Beedi rolling is a prevalent small-scale industry in rural Telangana, providing employment for lakhs of women. Unlike previous studies relying on epidemiological methods, we employ a comprehensive approach, integrating demographic data analysis and quantification of nicotine metabolites through Liquid Chromatography Coupled with Mass Spectrometry (LCMS).
Methods: A cohort of 320 women employed as beedi rollers and 280 women with no occupational exposure to chemicals were included in the study. Participants, aged 15 to 50 years, were selected from various villages of Jagityal and Nizamabad Districts of Telangana. The research centered on diverse health issues, encompassing hematological parameters and outcomes related to reproduction. The quantification of nicotine metabolites and other toxic components in beedi rollers was conducted using LCMS.
Top of Form
Results: Demographic data analysis revealed significant distinctions in literacy rates and income between women engaged in beedi rolling and those not involved in the occupation. The hematological investigations disclosed, statistically significant decline in all haematological parameters among beedi rollers. The results also indicated an elevated incidence of tuberculosis, asthma and shoulder pain among individuals involved in beedi rolling. The findings also indicated elevated rates of infertility, miscarriage, and stillbirths in women beedi rollers. Statistical analysis confirmed a statistically significant increase in nicotine metabolites among beedi rollers.
Conclusion: The research highlights the influence of nicotine metabolites on overall health of women engaged in beedi rolling. There is a necessity to raise awareness among these women regarding the occupational risks they encounter.
References
- Ghosh PC, Iqbal R, Bairwa BL, Roy IK, Chandra S. Occupational health profile of the beedi workers and ergonomic intervention. Indosh News 2005:10(2):1-7.
- Olsson Gisleskog PO, Perez Ruixo JJ, Westin Å, Hansson AC, Soons PA. Nicotine Population Pharmacokinetics in Healthy Smokers After Intravenous, Oral, Buccal and Transdermal Administration. Clin Pharmacokinet 2021:60(4):541-561. doi: 10.1007/s40262-020-00960-5.
- Sharon E. Murphy. Biochemistry of nicotine metabolism and its relevance to lung cancer. J. Biol. Chem 2021: 296100722.
- Wichitnithad W, Nantaphol S, Noppakhunsomboon K, Rojsitthisak P. An update on the current status and prospects of nitrosation pathways and possible root causes of nitrosamine formation in various pharmaceuticals. Saudi Pharm J 2023:31(2):295-311. doi: 10.1016/j.jsps.2022.12.010.
- Xiao C, Zhou Cy, Jiang Jh et al. Neural circuits and nicotinic acetylcholine receptors mediate the cholinergic regulation of midbrain dopaminergic neurons and nicotine dependence. Acta Pharmacol Sin 2020:41:1–9. doi:10.1038/s41401-019-0299-4.
- Price LR, Martinez J. Cardiovascular, carcinogenic and reproductive effects of nicotine exposure: A narrative review of the scientific literature. F1000Res 2019: 4: 8:1586. doi: 10.12688/f1000research.20062.2.
- Windham GC, Mitchell P, Anderson M, Lasley BL. Cigarette smoking and effects on hormone function in premenopausal women. Environ Health Perspect 2005 :113(10):1285-90. doi: 10.1289/ehp.7899.
- Mishra A, Chaturvedi P, Datta S, Sinukumar S, Joshi P, Garg A. Harmful effects of nicotine. Indian J Med Paediatr Oncol 2015:36(1):24-31. doi: 10.4103/0971-5851.151771.
- Shahla Yasmin, Basri Afroz, Bushra Hyat, Doris D’Souza. Occupational Health Hazards in Women Beedi Rollers in Bihar, India. Bull Environ Contam Toxicol 2010:85:87–91. doi:10.1007/s00128-010-0037-6.
- Nanjesh Kumar S, Sanjeev Badiger, Avin B. R. Alva, Pavan Kumar, Rahul Hedge. Study of Morbidity Pattern among Women Beedi Rollers Residing in Urban Area of Mangalore. Indian Journal of Public Health Research & Development 2019:10:1. doi: 10.5958/0976-5506.2019.00047.0
- Surya Prabha, Shantha Kumari. Morbidity Profile among Women Beedi Workers in the Urban Slum of Kurnool Town, Andhra Pradesh. JMSCR 2018:06:01. doi.org/10.18535/jmscr/v6i1.105.
- L. Lakshman Rao, Desham Chelimela, Rakesh Kakkar, Rajeev Aravindakshan. Occupational Morbidity of Women Beedi Workers in Telangana. Indian J Occup Environ Med 2020:24(2): 78–83. doi: 10.4103/ijoem.IJOEM_235_19.
- Baluka V, Prashanth C, Reddy P.P. Assesment on Reproductive Performance and Hormonal Studies in Rural Women Beedi Rollers in Jagitial District of Telangana. Can J biotech 2017:1:165. https://doi.org/10.24870/cjb.2017-a151.Top of Form
- N., Veena A. Effect of nicotine exposure during pregnancy on birth weight among beedi rolling women. Int J Res Med Sci 2019:7(3). doi:10.18203/2320-6012.ijrms20190513.
Corresponding Author
Prof. Penagaluru Pardhanandana Reddy
Research Director, Bhagwan Mahavir Hospital and Research Centre, AC Guards, Hyderabad, Telangana, India