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A Review of Behavioural Intervention Studies of Tobacco Use in India

  • R. Sankaranarayanan

Abstract

Although tobacco is a major health hazard in the region, tobacco control measures by the governmental agencies have been mostly nominal, perhaps due to strong conflicts of interest. On the contrary, research workers, particularly in the field of cancer, have contributed considerably, using the little resources available to them, by evaluating behavioural intervention with different forms of health education. The 10-year results from studies by the Tata Institute of Fundamental Research in different parts of India indicate that 16% of the intervention group (n=24,000) reported stopping tobacco habits, compared to 5% in the control group (n=11,000). A study from Karnataka, reported that 32% of rural subjects with tobacco habits reportedly stopped the habit after 4 years of intervention using health workers, compared to 2% in the control group. A significant reduction in the prevalence of habits 3 years after intervention using social and welfare workers, teachers, and students was reported from Goa: 16% of men and 21% of women reportedly quit their habits. On the other hand, intervention studies using health workers in Trivandrum district, Kerala and Mainpuri district in North India did not take off, due to the non co-operation of health workers. A study using voluntary workers in Mainpuri district reported encouraging results. Overall these studies have established that behavioural interventions with health education strategies are successful to an extent in encouraging those with tobacco habits to quit and discourage others from initiating these habits. Considering the variety of ways that tobacco habits are practised in the background of vast ethnic, cultural, linguistic and socio-economic differences, research findings in different settings are valuable for formulation and implementation of public health policies to control tobacco in the sub-continent.

Keywords

Health Worker Tobacco Control Tobacco User Tobacco Control Policy Betel Quid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Peto, R., Lopez, A., Boreham, J., Thun, M., and Health, Jr, C., 1994, Mortality from smoking in developed countries 1950–2000. Oxford: Oxford University Press.Google Scholar
  2. 2.
    Parkin, D.M., Pisani, P., Lopez, A.D., and Masuyer, E., 1994, At least one in seven cases of cancer is caused by smoking: global estimates for 1985, Int. J. Cancer 59:494–504.PubMedCrossRefGoogle Scholar
  3. 3.
    ICMR, 1992, National Cancer Registry Programme, Biennial Report 1988–1989, New Delhi: Indian Council of Medical Research.Google Scholar
  4. 4.
    Notani, P.N., 1989, Studies in coronary heart disease in relation to smoking, In: Sanghvi, L.D., and Notani, P.N. (Eds), Tobacco and Health: The Indian Scene, Bombay: Tata Memorial Centre, pp. 22–29.Google Scholar
  5. 5.
    Jayant, K., and Mahashur, A.A., 1989, Chronic obstructive lung disease in India - morbidity and mortality due to smoking, In: Sanghvi, L.D., and Notani, P.N. (Eds), Tobacco and Health: The Indian Scene, Bombay: Tata Memorial Centre, pp. 37–47.Google Scholar
  6. 6.
    Gupta, P.C., Mehta, F.S., Pindborg, J.J., Bhonsle, R.B., Murti, P.R., Daftary, D.K., and Aghi, M.B., 1992, Primary prevention trial of oral cancer in India: a 10-year follow-up study, J. Oral Pathol. Med. 21:433–439.PubMedCrossRefGoogle Scholar
  7. 7.
    Gupta, P.C., 1993, A behavioural intervention study for primary prevention of oral cancer among reverse smokers. Madras: Proceedings of the 3rd International Oral Cancer Congress, p. 8.Google Scholar
  8. 8.
    Gupta, P.C., Mehta, F.S., Pindborg, J.J., Aghi, M.B., Bhonsle, R.B., Daftary, D.K., Murti, P.R., and Shah, H.T., 1986, Intervention study for primary prevention of oral cancer among 36,000 Indian tobacco users, Lancet i:1235–1239. CrossRefGoogle Scholar
  9. 9.
    KMIO, 1992, Assessment of the efficacy of anti-tobacco community education programme: Final Report, Bangalore: Kidwai Memorial Institute of Oncology.Google Scholar
  10. 10.
    Vaidya, S.G., 1992, Assessment of the efficacy of anti tobacco community education programme, Goa: Goa Cancer Society.Google Scholar
  11. 11.
    Mathew, B.,Sankaranarayanan, R., Wesley, R., Joseph, A., and Krishnan Nair, M., Evaluation of utilisation of health workers for secondary prevention of oral cancer in Kerala, India (submitted for publication).Google Scholar
  12. 12.
    Lahiri, V.V., 1993, Assessment of the efficacy of an anti-tobacco community education programme through volunteers, Agra: SN Medical College.Google Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • R. Sankaranarayanan
    • 1
  1. 1.International Agency for Research on CancerUnit of Descriptive EpidemiologyLyon cedex 08France

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