Teacher tobacco use and tobacco use prevention in two regions in India: qualitative research findings

Sorensen, Glorian; Gupta, Prakash C.; Sinha, Dhirendra N; Shastri, Surendranath Srinivas; Kamat, M. N.; Pednekar, Mangesh S.; Ramakrishnan, Sreevidya

doi:10.1016/j.ypmed.2004.09.047

Cited by 24 publications

(22 citation statements)

References 9 publications

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“…In conclusion, this study contributes to our growing understanding of the social context of tobacco use in LMICs and provides further evidence of how tobacco use is intimately woven into the social fabric of India (Sorensen et al, 2005a). Recognizing that teachers are a highly educated group with much social capital and influence in Indian society, we can leverage this knowledge to inform future interventions that engage teachers to become champions of change within their own social networks.…”

Section: Discussionmentioning

confidence: 62%

“…Given limited awareness of the harmful effects of smokeless tobacco and little social pressure against use, coworker consumption could have an even stronger influence (Raute et al, 2011; Sinha et al, 2004). In focus groups our research team conducted with teachers in Maharashtra and Bihar, we found teachers were more knowledgeable about the health hazards of smoking than they were about the hazards of smokeless tobacco (Sorensen et al, 2005a). Another study found some patients with tuberculosis in Karnataka switched from smoking to smokeless as a form of harm reduction (Deepak et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the acceptance of smoking in the home has been shown to be closely related to tobacco behavior of family members (Paul et al, 2010). Relationships with co-workers are also pivotal, which can influence tobacco use patterns in both positive and negative ways (Rosenthal et al, 2012; Sorensen et al, 2004; Sorensen et al, 2005a; Sorensen et al, 2009), (Surani et al, 2013). …”

Section: Introductionmentioning

confidence: 99%

“…Teachers represent a priority population for tobacco control efforts in many LMICs because they are role models for students and influential members of society, capable of influencing both policies and social norms related to tobacco control (Gajalakshmi et al, 2012; Nagler et al, 2013; Pischke et al, 2012; Sorensen et al, 2005a; Sorensen et al, 2005b) However, tobacco use among teachers is high in some parts of India. According to the 2000 Global School Personnel Survey (GSPS), 78% of Bihar teachers used some form of tobacco (Sinha et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teachers' Study

Nagler

Sinha

Pednekar

et al. 2015

Preventive Medicine

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Tobacco use within India has significant effects on the global burden of tobacco-related disease. As role models and opinion leaders, teachers are at the forefront of tobacco control efforts, yet little is known about their own tobacco use. This study examines the association between factors in the social environment and tobacco use among teachers in Bihar, India. The study was based on the Bihar School Teachers’ Study baseline survey. Seventy-two Bihar government schools (grades 8–10) were randomly selected for the study and all school personnel were invited to complete the survey in June/July in 2009 and 2010. We assessed the relation between social contextual factors and current smoking/smokeless tobacco use by fitting a series of logistic regression models. After controlling for clustering of teachers in schools and other covariates, our results showed teachers with one or more coworkers who used tobacco were twice as likely to be smokeless tobacco users as teachers with no co-workers who used tobacco. Teachers who reported rules prohibiting smoking at home were significantly less likely to smoke than teachers without such rules. Older male teachers also had significantly greater odds of smoking/using smokeless tobacco. These findings provide direction for future interventions targeting the social context.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teachers' Study

Nagler

Sinha

Pednekar

et al. 2015

Preventive Medicine

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“…24 Teachers represent an important vanguard population for tobacco control efforts in India; they are role models for community norms generally and can be instrumental in school-based tobacco control efforts, which are often a community’s first step toward a broad-based control program. 25–27 …”

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confidence: 99%

Effects of a Tobacco Control Intervention for Teachers in India: Results of the Bihar School Teachers Study

et al. 2013

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Objectives We assessed a school-based intervention designed to promote tobacco control among teachers in the Indian state of Bihar. Methods We used a cluster-randomized design to test the intervention, which comprised educational efforts, tobacco control policies, and cessation support and was tailored to the local social context. In 2009 to 2011, we randomly selected 72 schools from participating school districts and randomly assigned them in blocks (rural or urban) to intervention or delayed-intervention control conditions. Results Immediately after the intervention, the 30-day quit rate was 50% in the intervention and 15% in the control group (P = .001). At the 9-month postintervention survey, the adjusted 6-month quit rate was 19% in the intervention and 7% in the control group (P = .06). Among teachers employed for the entire academic year of the intervention, the adjusted 6-month abstinence rates were 20% and 5%, respectively, for the intervention and control groups (P = .04). Conclusions These findings demonstrate the potent impact of an intervention that took advantage of social resources among teachers, who can serve as role models for tobacco control in their communities.

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Role of knowledge, behavior, norms, and e-guidelines in controlling the spread of COVID-19: evidence from Pakistan

Raza

Ali

Hussain

2020

Environ Sci Pollut Res

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The COVID-19 pandemic is straining public health systems and the global economy, triggering unprecedented measures by governments around the globe. The adoption of a preventive measure is required to control the spread. This research explores the impact of influencing factors like COVID-19 knowledge, behavioral control, moral and subject norms, preventive e-guidelines by the government, and environmental factors on the intention to prevent COVID-19 and risk aversion. A cross-sectional study was performed of 310 respondents about different COVID-19 related influencing factors in Pakistan. The partial least squarestructural equation modeling was applied to estimate the path coefficient. Moral and subject norms (0.359) had a comparatively higher path coefficient. Other influencing factors/drivers were preventive e-guideline by the government (0.215) followed by COVID-19 knowledge (0.197), and behavioral control (0.121). The intention to prevent COVID-19 showed a positive and significant impact (0.705) on risk aversion. The indirect analysis also confirmed that the positive influence of moral and subject norms, COVID-19 knowledge, preventive e-guideline by the government, and behavioral control on risk aversion. However, the path coefficient of environmental factors was negative but insignificant, which implies than environmental factors do not influence the intention to prevent COVID-19. It is suggested to provide clear guidelines using print, social, electronic media. It is also suggested to provide e-guidelines in local languages. The COVID-19 knowledge about its transmission, symptoms, and precautions is also useful. It is suggested to include the causes, symptoms, and precaution of viral diseases in the educational syllabus. The government should ensure the availability of preventive medical items like surgical masks and sanitizers to meet the demand of the public.

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Teacher tobacco use and tobacco use prevention in two regions in India: qualitative research findings

Cited by 24 publications

References 9 publications

Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teachers' Study

Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teachers' Study

Effects of a Tobacco Control Intervention for Teachers in India: Results of the Bihar School Teachers Study

Role of knowledge, behavior, norms, and e-guidelines in controlling the spread of COVID-19: evidence from Pakistan

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