Eve M Nagler1, Dhirendra N Sinha2, Mangesh S Pednekar3, Anne M Stoddard4, Prakash C Gupta3, Neha Mathur3, Harry Lando5, Mira Aghi6, Laura Shulman Cordeira7, K Viswanath8, Glorian Sorensen8. 1. Dana-Farber Cancer Institute, Center for Community Based Research, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, 677 Huntington Avenue-7th Floor, Boston, MA 02115, USA. Electronic address: eve_nagler@dfci.harvard.edu. 2. WHO Regional Office for South-East Asia, Indraprastha Estate, Mahatma Gandhi Marg, New Delhi 110002, India. 3. Healis Sekhsaria Institute For Public Health, 501, Technocity, Plot-X-4/5, TTC Industrial Area, Mahape, Navi Mumbai, Pin code-400701, Maharashtra, India. 4. New England Research Institutes, 480 Pleasant Street, Watertown, MA 02472, USA. 5. University of Minnesota School of Public Health, Division of Epidemiology & Community Health, 1300S. 2nd Street, Suite 300, Minneapolis, MN 55454, USA. 6. Freelance Behavioral Scientist, New Delhi 110016, India. 7. Dana-Farber Cancer Institute, Center for Community Based Research, 450 Brookline Ave, Boston, MA 02215, USA. 8. Dana-Farber Cancer Institute, Center for Community Based Research, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, 677 Huntington Avenue-7th Floor, Boston, MA 02115, USA.
Abstract
OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: These findings provide direction for future interventions targeting the social context.
OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: These findings provide direction for future interventions targeting the social context.
Authors: Prabhat Jha; Binu Jacob; Vendhan Gajalakshmi; Prakash C Gupta; Neeraj Dhingra; Rajesh Kumar; Dhirendra N Sinha; Rajesh P Dikshit; Dillip K Parida; Rajeev Kamadod; Jillian Boreham; Richard Peto Journal: N Engl J Med Date: 2008-02-13 Impact factor: 91.245
Authors: K G Deepak; M Daivadanam; A S Pradeepkumar; G K Mini; K R Thankappan; M Nichter Journal: Natl Med J India Date: 2012 May-Jun Impact factor: 0.537
Authors: E M Nagler; M Aghi; A Rathore; H Lando; M S Pednekar; P C Gupta; A M Stoddard; C Kenwood; B Penningroth; D N Sinha; G Sorensen Journal: Health Educ Res Date: 2020-02-01
Authors: M S Pednekar; E M Nagler; P C Gupta; P S Pawar; N Mathur; K Adhikari; L S Codeira; A M Stoddard; G Sorensen Journal: Health Educ Res Date: 2018-06-01
Authors: Akash Deep Sharma; Suneela Garg; Meghachandra M Singh; Chetana Prakash Deshmukh; Pragya Sharma; Amod L Borle Journal: Asian Pac J Cancer Prev Date: 2021-08-01