Tobacco Promotion and Availability in School Neighborhoods in India: a Cross-sectional Study of their Impact on Adolescent Tobacco Use

Patel, Deepa; Kassim, Saba; Croucher, Ray

doi:10.7314/apjcp.2012.13.8.4173

Cited by 15 publications

(14 citation statements)

References 15 publications

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“…Collectively, the children within the selected studies ranged from 6 to 17 years and were in grades from 1st to 12th. Apart from one study [20] which included only boys, remaining studies included both boys and girls. Based on the quality assessment of the selected studies, 18 were categorized as having weak methodological quality, six with moderate quality and three with strong methodological quality (Table 2; Additional file 2).…”

Section: Resultsmentioning

confidence: 99%

Impact of school policies on non-communicable disease risk factors – a systematic review

et al. 2017

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BackgroundGlobally, non-communicable diseases (NCDs) are identified as one of the leading causes of mortality. NCDs have several modifiable risk factors including unhealthy diet, physical inactivity, tobacco use and alcohol abuse. Schools provide ideal settings for health promotion, but the effectiveness of school policies in the reduction of risk factors for NCD is not clear. This study reviewed the literature on the impact of school policies on major NCD risk factors.MethodsA systematic review was conducted to identify, collate and synthesize evidence on the effectiveness of school policies on reduction of NCD risk factors. A search strategy was developed to identify the relevant studies on effectiveness of NCD policies in schools for children between the age of 6 to 18 years in Ovid Medline, EMBASE, and Web of Science. Data extraction was conducted using pre-piloted forms. Studies included in the review were assessed for methodological quality using the Effective Public Health Practice Project (EPHPP) quality assessment tool. A narrative synthesis according to the types of outcomes was conducted to present the evidence on the effectiveness of school policies.ResultsOverall, 27 out of 2633 identified studies were included in the review. School policies were comparatively more effective in reducing unhealthy diet, tobacco use, physical inactivity and inflammatory biomarkers as opposed to anthropometric measures, overweight/obesity, and alcohol use. In total, for 103 outcomes independently evaluated within these studies, 48 outcomes (46%) had significant desirable changes when exposed to the school policies. Based on the quality assessment, 18 studies were categorized as weak, six as moderate and three as having strong methodological quality.ConclusionMixed findings were observed concerning effectiveness of school policies in reducing NCD risk factors. The findings demonstrate that schools can be a good setting for initiating positive changes in reducing NCD risk factors, but more research is required with long-term follow up to study the sustainability of such changes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4201-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Impact of school policies on non-communicable disease risk factors – a systematic review

et al. 2017

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“…Similarly, few studies from Indian sub-continent (Binu et al, 2010;Patel et al, 2012) also established that the tobacco advertising is one of the key factor for early initiation and increased consumption among adolescents.…”

Section: Introductionmentioning

confidence: 99%

How Compliant are Tobacco Vendors to India's Tobacco Control Legislation on Ban of Advertisments at Point of Sale? A Three Jurisdictions Review

Goel

Kumar²,

Lal³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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The most common mode of advertisement of tobacco products was product showcasing (51.1%), followed by dangles (49.6%), stickers (33.8%) and boards (27.1%). More than one fourth of POS were found violating legal provisions for displaying advertisement boards in one or other forms (oversized, extended to full body lenth of POS, displayed brandname/ packshot and promotional messages). Advertisement boards (16.3%) without health warnings were also found and wherever found, more than 90% health warning were not as per the specification in respect to size, font and background color. Conclusions: Point of sale advertising is aggressively used by the tobacco industry to promote their products. There is an urgent need of effective implementation of a comprehensive ban on tobacco product advertisement, promotion and sponsorship at point of sale.

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“…Disparity also exists between rural (26%) and urban areas (15%). Increasing use of smokeless tobacco has been reported not only among men, but also among vulnerable groups such as children, adolescents, and women of reproductive age (GATS India, 2009-10;Patel, …”

Section: Introductionmentioning

confidence: 99%

Perception and Practices of Physicians in Addressing the Smokeless Tobacco Epidemic: Findings from Two States in India

Panda

Persai²,

Mathur³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Smokeless tobacco use in South Asia is believed to be a significant contributor to morbidity and mortality. In India, only a few studies involving health educational intervention by health care providers have demonstrated reduction in smokeless tobacco usage. In the present study we assessed the cessation efforts towards smokeless tobacco by physicians in two high tobacco prevalence states of India. The study also identified opportunities and barriers for integration of tobacco cessation services in routine practices of physicians. Materials and Methods: This mixed method study involved qualitative (phase I) and quantitative research study (phase II). In phase I, 59 in-depth interviews with physicians were conducted. In phase II, a quantitative study conducted among 238 physicians. An inductive approach was followed to analyze qualitative data using ATLAS. Ti software. The Chi-square test was employed to test the association between different variables of interest using SPSS version 17. Results: The majority of physicians related only respiratory problems and cancer with smokeless tobacco. Other major health effects like cardio-vascular problems, oral diseases, and effects on reproductive and neonatal health were recognized only by a few physicians. The age-group of 10-19 years was identified as most vulnerable to smokeless tobacco use. Less than one-third of physicians reported recording smokeless tobacco history of all patients. Findings indicated that less than half of physicians provided information on harmful health effects of smokeless tobacco with regard to specific diseases. Conclusions: The study revealed a low level of knowledge of physicians about harmful effects of tobacco and their suboptimal engagement in tobacco control practices. The study indicates the need of capacity building initiatives to equip physicians with skills in tobacco cessation.

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Tobacco Promotion and Availability in School Neighborhoods in India: a Cross-sectional Study of their Impact on Adolescent Tobacco Use

Cited by 15 publications

References 15 publications

Impact of school policies on non-communicable disease risk factors – a systematic review

Impact of school policies on non-communicable disease risk factors – a systematic review

How Compliant are Tobacco Vendors to India's Tobacco Control Legislation on Ban of Advertisments at Point of Sale? A Three Jurisdictions Review

Perception and Practices of Physicians in Addressing the Smokeless Tobacco Epidemic: Findings from Two States in India

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