Social, Cultural and Economic Determinants of Smokeless Tobacco use: Adolescents and Youth
|
|
- Christian Black
- 5 years ago
- Views:
Transcription
1 Social, Cultural and Economic Determinants of Smokeless Tobacco use: Adolescents and Youth Dr. Gaurang P. Nazar Research Scientist Public Health Foundation of India November 28, 2017
2 Myriad varieties of tobacco products used in India Provide opportunities for adolescents to experiment and continue use
3 Prevalence of SLT use among adolescents: GYTS India ; 2006; 2009 Global Youth Tobacco Survey India Prevalence Cessation Knowledge and attitudes Exposure to SHS Access and availability Exposure to pro- and antitobacco media advertising Exposure to tobacco related school curriculum (MoHFW, 2017) Percentage National trends in prevalence of SLT use among year school going adolescents (GYTS India) Prevalence of SLT use declined sharply between and 2006, particularly among boys. Prevalence of SLT use didn t change much between 2006 and Total Boys Girls
4 Gender differences in prevalence of SLT use among adolescents: GYTS India ; 2006; 2009 Across years, prevalence of tobacco use (both smoking and SLT) higher among boys vs. girls. Among boys, SLT use was higher than smoking but difference in prevalence has declined over time similar prevalence in Among girls, SLT use has been higher than smoking throughout with little change in difference. Decline in SLT use among boys over the years but not among girls. (MoHFW, 2017) Percentage National trends in prevalence of SLT use among year adolescents by gender (GYTS India) Boys Girls Boys Girls Boys Girls Smoking Smokeless Tobacco
5 Ever tobacco use trends by gender, grade, socioeconomic status and age (Project MYTRI) Sixth grade (n=6165) Eighth grade (n=5477) Ratio* P value City Chennai Delhi School Private Government Sex Girls Boys Age (years) % ( ) 25.4% ( ) 10.8% (5-16.6) 28.7% ( ) 20.1% ( ) 29.2% ( ) 16.6% ( ) 25.3% ( ) 30.3% ( ) 32.1% ( ) 8.9% ( ) 9% ( ) 8.9% (6-11.8) 11% (9-13) 6.9% ( ) 12.1% ( ) 8.3% ( ) 6.3% ( ) 9.1% ( ) 12.1% ( ) 2.6:1 2.8:1 1.2:1 2.6:1 2.9:1 2.4:1 2.0:1 4.0:1 3.3:1 2.7:1 Data in parenthesis are 95% CI. Estimates generated from mixed-effects models adjusted for (when not stratified by) city, school type, sex, age and grade* age. Compares prevalence of tobacco in sixth grade with that in eigth grade Higher tobacco use prevalence in 6 th vs. 8 th grade, govt. (low SES) vs. private (high SES) schools, boys vs. girls and in older age groups vs. younger (in each grade) < < < < < < < < (Reddy et al., 2006, Lancet)
6 (Reddy & Gupta, 2004, Shimkhada & Peabody, 2003; Beaglehole & Yach, 2003; CDC, 2009; Sinha et al., 2002; Sinha et al., 2003; Gupta et al. 2002; Patel, 1999, Arora et al, 2010) Why focus on youth? Tobacco industry sees them as attractive new markets Largely non-users Influential age Impressionable age Experimentation Lack of skills to resist Other factors contributing to youth tobacco use in developing countries Low levels of awareness about health effects of tobacco and misconceptions High levels of poverty Weak enforcement of tobacco control legislation Tobacco industry has shifted focus from developed towards developing countries High level of exposure to tobacco advertisements through media Easy access, availability and affordability of tobacco products Social acceptability of tobacco use Poor enforcement of tobacco control policies in schools (especially in government schools)
7 Influence of peers and family members on tobacco use Tobacco use by friends and family members is significantly and positively associated with tobacco use among adolescents. A cross-sectional study with 550 adolescents (14-19 years) from Delhi: Having seen brother/sister using tobacco was associated with 5 times the risk of ever tobacco use (p<0.01). Having seen a best friend using tobacco was associated with nearly 3 times the risk of ever tobacco use (p<0.01). A cross-sectional study with 1626 (10-12 years) adolescents in Patna: Ever tobacco use associated with tobacco use among friends (OR 5.4, 95%CI ). Current tobacco use associated with: tobacco use among friends (OR 4, 95%CI ). (Chaddha & Sengupta, 2002) (Sharma et al., 2010) Parents and teachers sending them to buy tobacco for them (OR 2.1, 95%CI ). (Singh et al., 2005)
8 Influence of school environment The Central Board of Secondary Education (CBSE) requires: A Tobacco Free Institution board be prominently placed on the outer boundary wall No sale of tobacco products inside the premises or within a radius of 100 yards around the educational institution. No smoking by students/teachers/other staff/visitors Display board at prominent places inside the campus No smoking area smoking here is an offence as mandated by law. Not uncommon to find schools across India where such guidelines do not exist or are not followed. Sinha et al (2004) conducted a study in 50 State Govt and 50 Central Govt (NVs and KVs) schools with 6587 students in grades 8-10 in Bihar. (Sinha et al., 2004)
9 Influence of exposure to tobacco advertising and promotion Despite a ban on tobacco advertising and promotion, exposure is common in: Electronic Media Print Media On buses/other public transport/bus stops Billboards/hoardings Point-of-sale Percentage Exposure to tobacco advertising and promotion (GYTS India) Saw anti-tobacco messages in past 30 days Saw pro-tobacco ads in past 30 days Were offered free cigarettes by company representatives Movies Indirect advertising and sponsorship common even for SLT
10 Tobacco advertisements influence tobacco use among Indian adolescents Project MYTRI Being receptive to tobacco marketing and exposure to tobacco advertising are significantly associated with tobacco use among Indian adolescents (Arora et al., 2008)
11 Exposure to tobacco use in movies is associated with adolescent tobacco use Association of ever tobacco use with exposure to tobacco use in movies and receptivity to tobacco promotions among Indian adolescents (n=3956) OR (95% CI) Exposure variable Adjusted Crude Model I* Model II Model III Movie tobacco use First quartile Second quartile Third quartile Fourth quartile Reference 0.8 ( ) 1.3 ( ) 1.9 ( ) Reference 1.0 ( ) 1.5 ( ) 2.3 ( ) Reference 1.0 ( ) 1.5 ( ) 2.1 ( ) Reference 1.1 ( ) 1.6 ( ) 2.3 ( ) Receptive to tobacco promotions No Yes Reference 3.0 ( ) Reference 2.8 ( ) Reference 2.0 ( ) Reference 2.0 ( ) *Adjusted for age, gender, school type and class. Adjusted for demographic profiles and receptive to tobacco advertisements, family members using tobacco and friends using tobacco. Adjusted for demographic profiles, social influences, academic performance, sensation seeking and authoritative parenting. (Arora et al., 2011) Between , half of topgrossing youth rated (U and U/ A) Bollywood movies contained tobacco imagery billion tobacco impressions were delivered by 38 youth rated movies in Indian cinema halls. (Nazar et al., 2013)
12 Influence of disposable income on use of tobacco products A strong positive association has been observed between disposable income and SLT use among youth. Oswal (2012) conducted secondary analyses using GYTS data from 25 states across 4 regions in India. A strong positive association between pocket money and current SLT use was observed in 18 out of 25 states studied after adjustment for close friend being a smoker, close friend being a smokeless tobacco user, parental influence, age, and gender. Strongest associations were observed in: Sikkim (AOR 10.75; 95% CI ) Uttaranchal (AOR 9.53; 95% CI ) (Oswal, 2012)
13 Poor academic performance, disposable income and adolescent tobacco use 1323 boys (12-19 years) from 14 schools in Trivandrum city (Kerala) were studied to assess prevalence and correlates of tobacco use Current tobacco use was: 3 times higher among boys securing poor (<40% marks) grade compared to those securing excellent (>80% marks) grade (OR 3.0, CI ) 4 times higher among those who received pocket money compared to those who did not (OR 4.0, CI ) (Mohan et al., 2005)
14 Poverty and tobacco use Tobacco use is higher among the low socioeconomic groups even among the children and adolescents. A qualitative study conducted by Shelter Don Bosco (funded by Path Canada) with 400 street children (6-18 years) in Mumbai showed that Average income was 29 Rs per day (80% earned less than 100 Rs per day) 47% chewed gutka, 39% smoked bidi and 28% smoked cigarette Expenditure on gutka was 6 Rs per day (~185 Rs per month) 21% of average daily income was spent on tobacco (sometimes as high as 43%) Expenses on other food products, clothes, etc. were lower as compared to tobacco Tobacco was used as an alternative to food, as it curbs hunger pangs and is inexpensive They started with these cheap products at young ages and moved on to other drugs, partying, prostitution etc as incomes increased Illness levels were high Tobacco use was a key contributor to poor SES of these children (John and Vaite, 2003)
15 Influence of easy access and availability SLT products are easily available and accessible to children and adolescents even around educational institutions. Several youth compelled to sell these products due their poor financial situation. Enforcement is a big challenge. (Source: GYTS India 2009 shows: 47% of adolescent smokers bought the product from a store 56% were not refused the tobacco product because of their age (Source: Measures for licensing of tobacco vendors announced by MoHFW in Sept Percentage Availability and access to tobacco products among year old current smokers (GYTS India) Buy tobacco products in a store Were not refused tobacco product because of their age
16 Influence of knowledge and attitudes towards tobacco use Lack of knowledge about harmful consequences of tobacco use, myths/ misconceptions about tobacco use, and positive attitudes towards tobacco use are still prevalent among Indian adolescents. There has been some decline in these indicators between 2006 to 2009 GYTS but they continue to prevail. Percentage Knowledge and attitudes towards tobacco use among year olds (GYTS India) Boys who smoke or chew have more friends Girls who smoke or chew have more friends Boys who smoke or chew are more attractive Girls who smoke or chew are more attractive Imparting knowledge about tobacco through schools among year olds (GYTS India) There has only been slight improvement in imparting tobacco related knowledge through its inclusion in school curriculum but still there is a long way to go. (Source: Percentage Have been taught about the effects of tobacco use in past year Have been taught about the dangers of tobacco smoke in past year Have discussed reasons for tobacco smoking among people of their age in past year
17 Knowledge and attitudes of adolescents (ages 13 15) towards tobacco use (GYTS conducted in 8 North-East Indian states) (percent)
18 (Reddy et al., 2006, Lancet) Psychosocial risk factors and tobacco use among adolescents Project MYTRI Baseline findings 11,642 students in grades 6 and 8 in 32 schools (private and Government) of Delhi and Chennai were surveyed using a self-administered questionnaire to assess tobacco use and it correlates including psychosocial factors. Intentions to use tobacco (chew and smoke), susceptibility to use tobacco, reasons to use tobacco and normative expectations about tobacco use were all positively associated with tobacco use. 6 th graders had higher psychosocial risk factors compared with 8 th graders.
19 Reasons for areca nut use Social acceptability - used in social gatherings and ceremonies Religious beliefs - auspicious in Hinduism and used to honour guests with betel leaf Perceived health benefits - traditional ayurvedic medicine Addiction - increases alertness, supress hunger, avoid boredom Mouth freshner, taste, snack, to overcome boredom Lack of knowledge about its potential to cause OSMF and oral cancer Peer pressure and parental use Easy availability
20 Recommendations/Research Gaps A standard protocol needed for studying tobacco use in children: out of school, illiterates/less educated, employed and those living in rural settings. The 2006 and 2009 GYTS provide regional estimates. Periodic state level information should also be collected. Include some economic indicators in GYTS questionnaire on the lines of GATS. Research to understand the relative importance of risk factors of SLT use among youth so that targeted interventions could be implemented where required. School component under NTCP could strengthened and its scope be widened to engage family members and community outreach efforts should be incorporated to reach out of school students. Immediate enforcement of Tobacco Free Educational Institution guidelines across all such institutions across India in accordance with COTPA sections and stringent compliance monitoring mechanisms put in place.
21 Research on alternative livelihood for small vendors, youth and poor workers involved in the SLT business. Recommendations/Research Gaps Stringent compliance monitoring with regard to Section 5 (advertisement and promotion) of COTPA particularly around places frequented by children and adolescents. Research on the impact of indirect advertising and promotion of SLT products on tobacco use behaviour. Develop, adapt, and implement context specific interventions/programmes for children belonging to low SES groups addressing SLT use. Stringent monitoring of ban on sale to/by minors and proposed licensing of tobacco vendors, and education programmes for tobacco vendors. How would licensing work for small make-shift type tobacco vendors or mobile vendors?
Tobacco Use & Chewing among Youth in Palau
M A R C H 2 0 1 2 Tobacco Use & Chewing among Youth in Palau Results from the Palau Youth Tobacco Survey 2009 Youth tobacco use is rising. Since 2001, among youth aged 13-15 years in Palau: Current smoking
More informationREPORT ON GLOBAL YOUTH TOBACCO SURVEY SWAZILAND
REPORT ON GLOBAL YOUTH TOBACCO SURVEY 2009 - SWAZILAND Introduction The tobacco epidemic Tobacco use is considered to be the chief preventable cause of death in the world. The World Health Organization
More informationMYANMAR 2011 COUNTRY REPORT GLOBAL YOUTH TOBACCO SURVEY (GYTS)
MYANMAR 2011 COUNTRY REPORT GLOBAL YOUTH TOBACCO SURVEY (GYTS) 1 2 CONTENTS 1. Foreword 2. Acknowledgements 3. Summary 4. Introduction a. Country Demographics b. WHO Framework Convention on Tobacco Control
More informationSMOKING BEHAVIOUR OF CZECH ADOLESCENTS: RESULTS OF THE GLOBAL YOUTH TOBACCO SURVEY IN THE CZECH REPUBLIC, 2002
Cent Eur J Publ Health 2004; 12 (1): 26-31 SMOKING BEHAVIOUR OF CZECH ADOLESCENTS: RESULTS OF THE GLOBAL YOUTH TOBACCO SURVEY IN THE CZECH REPUBLIC, 2002 Sovinová H. 1, Csémy L. 2 1 National Institute
More informationMinisterial Round Table: Accelerating implementation of WHO FCTC in SEAR
REGIONAL COMMITTEE Provisional Agenda item 14.3 Sixty-eighth Session SEA/RC68/28 Dili, Timor-Leste 7 11 September 2015 20 July 2015 Ministerial Round Table: Accelerating implementation of WHO FCTC in SEAR
More informationCurrently use other tobacco products
1 I. Introduction Despite widespread knowledge of the harm caused by tobacco, only modest success has been achieved in global tobacco control initiatives. The World Health Organization (WHO) has estimated
More informationGLOBAL YOUTH TOBACCO SURVEY REPORT - Antigua & Barbuda
GLOBAL YOUTH TOBACCO SURVEY REPORT - Antigua & Barbuda Opening Statement: Global Youth Tobacco Survey (GYTS) Generally, the use of cigarettes and other tobacco products among youths is increasing, and
More informationTobacco Use among Year Old Students in the Philippines, Authors. Nathan R. Jones CDC Office on Smoking and Health
Tobacco Use among 13-15 Year Old Students in the Philippines, 2000-2003 Authors Nathan R. Jones CDC Office on Smoking and Health Marina Miguel-Baquilod Ministry of Health - Philippines Burke Fishburn WHO
More informationNebraska Youth Tobacco Survey 2015/2017
Nebraska Youth Tobacco Survey 2015/2017 TABLE OF CONTENTS Introduction... 1 Background... 1 Method... 1 Sampling Frame and Response Rates... 1 Weighting Data... 2 Terms and Definitions... 3 Executive Summary...
More informationINTER-COUNTRY MEETING ON SMOKELESS TOBACCO POLICY
INTER-COUNTRY MEETING ON SMOKELESS TOBACCO POLICY 16-18 August 2017 New Delhi, India Badri Bahadur Khadka Director, NHEICC/MoH, Nepal & Tobacco Control and WHO FCTC Technical Focal Point Nepal Percentage
More informationMore than 2,200 Indians die every day due to tobacco use...
National Tobacco Control Programme Health Worker Guide More than 2,200 Indians die every day due to tobacco use... Health workers can help people quit tobacco. Helping tobacco users quit is the single
More informationThe Global Youth Tobacco Survey Project Preliminary findings from data collected in Costa Rica in 1999
The Global Youth Tobacco Survey Project Preliminary findings from data collected in Costa Rica in 1999 Julio Bejarano Introduction This paper contains the main findings from the WHO/CDC Global Youth Tobacco
More informationGLOBAL YOUTH TOBACCO SURVEY
REPORT GLOBAL YOUTH TOBACCO SURVEY Prepared by: Environmental Health Unit P/ Bag 00269 Gaborone TEL: 3975351 FAX: 3974354 E-mail: tmaule@gov.bw TABLE OF CONTENTS 1 Introduction Background Objectives Rationale
More informationCompliance with the Cigarette and Other Tobacco Products Act (COTPA) Results from 2012 and 2013: Bihar
Compliance with the Cigarette and Other Tobacco Products Act (COTPA) Results from 2012 and 2013: Bihar www.globaltobaccocontrol.org Institute for Global Tobacco Control COTPA Overview The Cigarettes and
More informationEvaluating Interventions to Curb ENDS Use Among Utah Youth
Evaluating Interventions to Curb ENDS Use Among Utah Youth CDC CC Grant 2016-2017 Braden Ainsworth, MPH, Utah Department of Health Claudia Bohner, MPH, Utah Department of Health Erik Crankshaw, PhD, RTI
More informationTobacco use among school personnel in Rajasthan, India
Original Article Tobacco use among school personnel in Rajasthan, India Sharma Rameshwar, Pednekar Mangesh S*, Rehman AU, Gupta Rakesh** Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, *Healis,
More informationCzech Republic 2016 COUNTRY REPORT GLOBAL YOUTH TOBACCO SURVEY (GYTS)
Czech Republic 2016 COUNTRY REPORT GLOBAL YOUTH TOBACCO SURVEY (GYTS) 1 Contents Acknowledgements Executive Summary 1. Introduction 1.1 Country Demographics 1.2 WHO Framework Convention on Tobacco Control
More informationEXECUTIVE SUMMARY. 1 P age
EXECUTIVE SUMMARY The Global Adult Tobacco Survey (GATS) is the global standard for systematically monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators. GATS
More informationWorld Heart Federation Roadmap on Tobacco Control: A situation analysis in India
World Heart Federation Roadmap on Tobacco Control: A situation analysis in India Dr. Monika Arora Director: Health Promotion and Associate Professor Public Health Foundation of India CVD Roadmap: Aim and
More informationMessage From the Minister
May 2002 Message From the Minister A basic principle of the health and social services system is that people have a responsibility to maintain their own health. The Department of Health and Social Services
More informationCompliance with the Cigarette and Other Tobacco Products Act (COTPA) Results from 2012 and 2013: Maharashtra
Compliance with the Cigarette and Other Tobacco Products Act (COTPA) Results from 2012 and 2013: Maharashtra www.globaltobaccocontrol.org Institute for Global Tobacco Control COTPA Overview The Cigarettes
More informationEvaluation of the In-School Tobacco Use Prevention Education Program,
Evaluation of the In-School Tobacco Use Prevention Education Program, 2003-2004 California Tobacco Control Program Evaluation of the In-School Tobacco Use Prevention Education Program, 2003-2004 September
More informationBurkina Faso. Report card on the WHO Framework Convention on Tobacco Control. 29 October Contents. Introduction
Report card on the WHO Framework Convention on Tobacco Control Burkina Faso Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than
More informationRegional Strategy for Tobacco Control
Regional Strategy for Tobacco Control Regional Strategy for Tobacco Control SEA-Tobacco-45 Distribution: General World Health Organization 2012 All rights reserved. Requests for publications, or for permission
More informationWHO FCTC Global Knowledge Hub on Smokeless Tobacco
ICMR- National Institute of Cancer Prevention & Research WHO FCTC Global Knowledge Hub on Smokeless Tobacco INTER-COUNTRY MEETING ON SMOKELESS TOBACCO POLICY 16 th -18 th AUG 2017 www.untobaccocontrol.org/kh/smokeless-tobacco/
More informationGATS Highlights. GATS Objectives. GATS Methodology
GATS Objectives GATS Highlights The Global Adult Tobacco Survey (GATS) is a global standard for systematically monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators.
More informationWhy do Youth Use Tobacco?
Teens and Tobacco Why do Youth Use Tobacco? Compare your answers how close did you get to the following list? -Social influences Friends Peer pressure / fit in -Parents access to cigarettes attitude toward
More informationEvaluation of Tobacco Free Film and Television Policy in India
Evaluation of Tobacco Free Film and Television Policy in India HIGHLIGHTS Background Tobacco use is the single most preventable cause of premature death and disease, currently leading to over five million
More informationTHE DIVERSITY OF SMOKELESS TOBACCO PRODUCTS WORLDWIDE
THE DIVERSITY OF SMOKELESS TOBACCO PRODUCTS WORLDWIDE Prakash C Gupta Director Healis Sekhsaria Institute for Public Health, Navi Mumbai 14 WCToH, Cape Town, South Africa Healis Sekhsaria Institute for
More informationCompliance of Health Warning Labels on Smokeless Tobacco Products in India
Compliance of Health Warning Labels on Smokeless Tobacco Products in India Sejal Saraf, BDS, MPH Kevin Welding, PhD Katherine Clegg Smith, PhD Joanna Cohen, PhD Disclosures Funding Source: The work was
More informationPattern of Tobacco Use Among School Children in National Capital Territory (NCT)
Original Article Pattern of Tobacco Use Among School Children in National Capital Territory (NCT) Vinita Singh, Hem Raj Pal, Manju Mehta 1, S.N. Dwivedi 2 and Umesh Kapil Departments of Human Nutrition,
More informationMali. Report card on the WHO Framework Convention on Tobacco Control. 17 January Contents. Introduction. Mali entry into force of the WHO FCTC
Report card on the WHO Framework Convention on Tobacco Control Mali Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than five million
More informationArizona Youth Tobacco Survey 2005 Report
Arizona Department of Health Services Arizona Department of Health Services Arizona Youth Tobacco Survey 25 Report November 26 Office of Tobacco Education and Prevention Program Prepared by: Evaluation,
More informationREPORT OF THE BOARD OF TRUSTEES. Subject: Annual Update on Activities and Progress in Tobacco Control: March 2017 through February 2018
REPORT OF THE BOARD OF TRUSTEES B of T Report -A- Subject: Annual Update on Activities and Progress in Tobacco Control: March 0 through February 0 Presented by: Gerald E. Harmon, MD, Chair 0 0 0 This report
More informationUganda. Report card on the WHO Framework Convention on Tobacco Control. 18 September Contents. Introduction
Report card on the WHO Framework Convention on Tobacco Control Uganda Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than five
More information2001 Lebanon Global Youth Tobacco Survey
I. INTRODUCTION The increase in tobacco consumption foreseen in the developing countries is very likely to have a huge health impact with the observed demographic transition. This is reflected by field
More informationKnowledge regarding hazards and legislation of tobacco consumption among undergraduate students in Rajkot & Morbi Districts, Gujarat, India, 2016
International Journal of Community Medicine and Public Health Matariya ZR et al. Int J Community Med Public Health. 2017 Apr;4(4):1113-1118 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original
More informationBrief Profile of Tobacco Control in Bhutan
2010 Brief Profile of Tobacco Control in Bhutan Royal Government of Bhutan 2010 Copyright reserved with Royal Government of Bhutan Brief Profile of Tobacco Control in Bhutan iii Contents Foreword v General
More informationLocal Laws to Raise the Minimum Legal Sale Age for all Tobacco Products 21 Years of Age in the North Country Frequently Asked Questions
Local Laws to Raise the Minimum Legal Sale Age for all Tobacco Products 21 Years of Age in the North Country Frequently Asked Questions It s Time to Clear the Air in the North Country Tobacco use remains
More informationRequest for Applications Bangladesh Tobacco Control Policy Research Grant Program 2018
Request for Applications Bangladesh Tobacco Control Policy Research Grant Program 2018 I. Background: Bangladesh bears a high burden of tobacco caused illnesses and it also produces tobacco. However, focus
More informationNational Global Youth Tobacco Survey (GYTS) and National Global School Personnel Survey (GSPS) in Nepal 2007
National Global Youth Tobacco Survey (GYTS) and National Global School Personnel Survey (GSPS) in Nepal 2007 By M. R. Pandey, R.P. Pathak, S. Shrestha, S. Saud Mrigendra-Samjhana Medical Trust Executive
More informationGlobal Adult Tobacco Survey TURKEY. Dr. Peyman ALTAN MoH Tobacco Control Dep. Ankara November 2018
Global Adult Tobacco Survey TURKEY Dr. Peyman ALTAN MoH Tobacco Control Dep. Ankara November 2018 GATS Objectives GATS was launched as part of the Global Tobacco Surveillance System (GTSS) and it was first
More informationDr. Nang Naing Naing Shein Deputy Director (NCDs) Ministry of Health and Sports Myanmar
Dr. Nang Naing Naing Shein Deputy Director (NCDs) Ministry of Health and Sports Myanmar SLT use is highly prevalent in Myanmar among both men and women. Culturally accepted product, making a big challenge
More informationSouth Africa. Report card on the WHO Framework Convention on Tobacco Control. 18 July Contents. Introduction
Report card on the WHO Framework Convention on Tobacco Control South Africa Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than
More informationEstonia. GYTS Country Report. I. Introduction. Discussion, Conclusions, and Recommendations. I. Introduction
Estonia GYTS Country Report I. Introduction II. Methods III. Results IV. Discussion, Conclusions, and Recommendations I. Introduction Tobacco use is one of the chief preventable causes of death in the
More informationKey Elements of this Presentation. Smoking Still Main Cause of Premature Death 31/10/2013. The Case for Plain Packaging
The Case for Plain Packaging Gerry McElwee Head of Cancer Prevention Key Elements of this Presentation Why smoking is still a priority for public health Why we need plain packaging Tobacco industry myths
More informationData Highlights from the 2015 Hawai'i Youth Tobacco Survey
APRIL 15, 2016 Data Highlights from the 2015 Hawai'i Youth Tobacco Survey Tobacco Prevention & Control Program Chronic Disease Management & Control Branch Tobacco Settlement Project Hawai'i State Department
More informationTobacco Use in Adolescents
Tobacco Use in Adolescents Joycelyn Lawrence, MD Leonard Miller School of Medicine at the University of Miami Department of Family Medicine 1 Overview Description: This section will introduce you to the
More informationThe Latest on Vaping Among U.S. Teens
The Latest on Vaping Among U.S. Teens Jon Macy, PhD, MPH Indiana University School of Public Health Bloomington Presentation Outline Overview of Electronic Nicotine Delivery Systems (ENDS) New Prevalence
More informationCDC and Bridging the Gap: Introducing New State Appropriation, Grants, and Expenditure Data in the STATE System
CDC and Bridging the Gap: Introducing New State Appropriation, Grants, and Expenditure Data in the STATE System Frank Chaloupka, PhD (University of Illinois-Chicago) Jidong Huang, PhD (University of Illinois-Chicago)
More informationGlobal Youth Tobacco Survey Results from the Finnish national report
Global Youth Tobacco Survey 12 Results from the Finnish national report 8.1.15 www.thl.fi/gyts 1 GYTS Finland sampling Two-stage cluster sampling according to the GYTS study protocol: 1. School selection
More informationSocial and Behavioral Sciences for Tobacco Use
Social and Behavioral Sciences for Tobacco Use Bonnie L. Halpern-Felsher, Ph.D., FSAHM Professor Division of Adolescent Medicine Department of Pediatrics Tobacco Decision-Making Theoretical Framework Demographic
More informationZimbabwe. Zimbabwe has not signed and has not ratified the WHO FCTC. Report card on the WHO Framework Convention on Tobacco Control.
Report card on the WHO Framework Convention on Tobacco Control Zimbabwe Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than five
More informationTobacco Surveillance and Evaluation: An Update
Tobacco Surveillance and Evaluation: An Update Gary A. Giovino, PhD, MS University at Buffalo School of Public Health and Health Professions Overview! Conceptual models of surveillance/evaluation! Relevant
More informationA REPORT ON THE INCIDENCE AND PREVALENCE OF YOUTH TOBACCO USE IN DELAWARE
A REPORT ON THE INCIDENCE AND PREVALENCE OF YOUTH TOBACCO USE IN DELAWARE RESULTS FROM THE ADMINISTRATION OF THE DELAWARE YOUTH TOBACCO SURVEY IN SPRING 00 Delaware Health and Social Services Division
More informationSmokeless Tobacco Use and Tobacco control In Bangladesh
Smokeless Tobacco Use and Tobacco control In Bangladesh MD. Rezaul Alam Deputy Secretary Health Service Division Ministry of Health and Family Welfare Tobacco usage in Bangladesh According to Global Adult
More informationDocument Number: HR Title: Tobacco-Free Campus Approved: 07/03/2014 Effective Date: 08/01/2014 Revised Dated:
Document Number: HR 6.024 Title: Tobacco-Free Campus Approved: 07/03/2014 Effective Date: 08/01/2014 Revised Dated: Tobacco-Free Campus Policy Policy Statement Pursuant to Act 211 (also known as Senate
More informationGlobal Tobacco Surveillance System
Global Tobacco Surveillance System Samira Asma On behalf of GTSS Collaborative Group April 13, 2009 Institute of Medicine Committee on Preventing the Global Epidemic of Cardiovascular Disease: Meeting
More informationAdolescents and Tobacco Cessation
Adolescents and Tobacco Cessation Jonathan D. Klein, MD, MPH American Academy of Pediatrics Julius B. Richmond Center and the University of Rochester Rochester, NY Goal To review current evidence and perspectives
More informationGLOBAL YOUTH TOBACCO SURVEY (GYTS) 2009 Albania. National Report (Final Draft)
GLOBAL YOUTH TOBACCO SURVEY (GYTS) 2009 Albania National Report (Final Draft) 1 Executive summary This study aims at providing national representative data on smoking prevalence among Albanian schoolchildren.
More informationData Highlights from the 2013 Hawai'i Youth Tobacco Survey (YTS) and Comparisons with Prior Years
Data Highlights from the Hawai'i Youth Tobacco Survey (YTS) and Comparisons with Prior Years Tobacco Prevention and Control Program Chronic Disease Management and Control Branch Tobacco Settlement Project
More informationCOMMISSION OF THE EUROPEAN COMMUNITIES COMMISSION STAFF WORKING DOCUMENT
COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 23.11.2009 SEC(2009) 1621 final COMMISSION STAFF WORKING DOCUMENT Report on the implementation of the Council Recommendation of 2 December 2002 on the prevention
More informationFirst Annual Tobacco Study
Maryland Department of Health & Mental Hygiene First Annual Tobacco Study Cigarette Restitution Fund Program Tobacco Use Prevention and Cessation Program September, 2002 Table of Contents Page Executive
More informationWorld no tobacco day. Narayana Medical Journal Vol 1: Issue 2. Review: Gowrinath K. Published online: Oct 2012
Narayana Medical Journal Vol 1: Issue 2 Review: World no tobacco day Gowrinath K Published online: Oct 2012 Tobacco smoking is the single most important preventable cause of sickness and premature death.
More informationAreca nut epidemic among school children in Mumbai, India. Nishi Arora
Areca nut epidemic among school children in Mumbai, India Nishi Arora Context Oral cancer accounts for over 30% of cancers in India ranking first among all cancer cases in males, and is the third most
More informationBig Tobacco, Tiny Targets
Big Tobacco, Tiny Targets Tobacco Advertisement, Sales, Product Displays,and Purchase Incentives Around Kindergartens, Primary, and Secondary Schools Technically reviewed by Campaign for Tobacco Free Kids
More informationWord Count: 247 Type of presentation: Oral
ABSTRACT Background In India, at least 1 million deaths every year are related to tobacco use, yet the people including tobacco users have little awareness about the possible consequences of tobacco use.
More informationReport card on the WHO Framework Convention on Tobacco Control
Report card on the WHO Framework Convention on Tobacco Control Niger Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than five million
More informationREPORT ON THE RESULTS OF THE GLOBAL YOUTH TOBACCO SURVEY IN KENYA (GYTS KENYA 2001)
REPORT ON THE RESULTS OF THE GLOBAL YOUTH TOBACCO SURVEY IN KENYA (GYTS KENYA 2001) REPORTED BY Dr. Joyce N. Nato, MBChB, MMed. DIVISION OF NON-COMMUNICABLE DISEASES MINISTRY OF HEALTH-KENYA EXECUTIVE
More informationGATS Philippines Global Adult Tobacco Survey: Executive Summary 2015
GATS Philippines Global Adult Tobacco Survey: Executive Summary 2015 Introduction Tobacco use is a major preventable cause of premature death and disease worldwide. 1 Globally, approximately 6 million
More informationTOBACCO TAXATION, TOBACCO CONTROL POLICY, AND TOBACCO USE
TOBACCO TAXATION, TOBACCO CONTROL POLICY, AND TOBACCO USE Frank J. Chaloupka Director, ImpacTeen, University of Illinois at Chicago www.uic.edu/~fjc www.impacteen.org The Fact is, Raising Tobacco Prices
More informationAddressing Tobacco Use in Baltimore City
Addressing Tobacco Use in Baltimore City January 21, 2016 Emilie Gilde, MPP Director Tobacco Use/CVD/Diabetes/Cancer Prevention Baltimore City Health Department How many years can a newborn baby expect
More informationSeptember 5, 2014 Sonoma County Independence Campaign Evaluation Report
September 5, 2014 Sonoma County Independence Campaign Evaluation Report EVALUATION SURVEY METHODOLOGY Sonoma County Department of Health Services and BWA utilized an intercept survey to measure the reach
More informationMDQuit Best Practices Conference January 26, Presented by William C. Tilburg Deputy Director
MDQuit Best Practices Conference January 26, 2017 Presented by William C. Tilburg Deputy Director Founded in 2001 Partnership between UM School of Law, DHMH, and Maryland Office of the Attorney General
More informationTQS Analysis and Reporting. Workshop on TQS August 2017 Ankara, Turkey
TQS Analysis and Reporting Workshop on TQS 16-17 August 2017 Ankara, Turkey Overview Analysis: Calculating indicators Reporting: Preparing tables Further analysis & research Questions/Discussion Calculating
More informationThe Global Network Aiming to deliver safe quality care in relation to tobacco for every service user, every time and everywhere
The Global Network Aiming to deliver safe quality care in relation to tobacco for every service user, every time and everywhere STRATEGIC PLAN 2015 2018 Use of Terms For the purpose of Global Network the
More informationCigarette Packaging in Ireland: The Plain Future.
http://www.cit.ie Cigarette Packaging in Ireland: The Plain Future. Wesley Connolly Tong and Maurice Murphy New Laws in Ireland Ireland has become the first country in Europe and the second in the world
More informationSmoking stops declining and shows signs of increasing among younger teens
Dec. 14, 21 Contacts: Laura Lessnau, (734) 647-1851, llessnau@umich.edu Patti Meyer, (734) 647-183, mtfinfo@isr.umich.edu Study Web site: www.monitoringthefuture.org EMBARGOED FOR RELEASE AFTER 1 A.M.
More informationTobacco 21 in Oregon 7,000. Leading Causes of Preventable Death in Oregon. Most addiction to tobacco starts in adolescence.
Tobacco 21 in Oregon Luci Longoria, MPH Health Promotion Manager Health Promotion and Chronic Disease Prevention Oregon Health Authority www.nwcphp.org/hot-topics Leading Causes of Preventable Death in
More informationEnd the Epidemic. Miami-Dade County COMPREHENSIVE COMMUNITY PREVENTION ACTION PLAN
End the Epidemic Miami-Dade County COMPREHENSIVE COMMUNITY PREVENTION ACTION PLAN 2018 2021 Miami-Dade County along with the State of Florida and the Nation are dramatically impacted by an Opioid Epidemic
More informationTobacco OR Health. Tara Singh Bam, PhD, MPH
Tobacco OR Health Tara Singh Bam, PhD, MPH tsbam@theunion.org More than 7000 chemicals have been identified in tobacco smoke, 250 toxins or known carcinogens Health Impact: Smoking and Second-Hand Smoke
More informationPREVALENCE OF TOBACCO USE AMONG YEAR OLD SCHOOL STUDENTS IN DASPUR-II BLOCK, PASCHIM MEDINIPUR DISTRICT, WEST BENGAL, INDIA
IJCRR Vol 05 issue 09 Section: Healthcare Category: Research Received on: 14/02/13 Revised on: 09/03/13 Accepted on: 28/04/13 PREVALENCE OF TOBACCO USE AMONG 15-18 YEAR OLD SCHOOL STUDENTS IN DASPUR-II
More informationProposal to address Teenage Smoking Social Environment
Proposal to address Teenage Smoking Social Environment ASSESSMENT Definition of the Public Health Problem/Issue (Why is it an issue/problem?) Teenagers are often referred to as the future of our tomorrow.
More informationHealthy People, Healthy Communities
Healthy People, Healthy Communities Public Health Policy Statements on Public Health Issues The provincial government plays an important role in shaping policies that impact both individual and community
More informationBARBADOS, 2002 DATA ANALYSIS
BARBADOS, 2002 DATA ANALYSIS Prepared for The National Council on Substance Abuse (NCSA) by Caribbean Development Research Services (CADRES) with the assistance of the and the Centers for Disease Control
More informationThe Economics of Tobacco and Tobacco Taxation in Bangladesh: Abul Barkat et.al
EXECUTIVE SUMMARY 01. Increase price of cigarette and Bidi by 33% (include this in the upcoming FY 2008-09 National Budget). This will decrease use rate by 14% and 9% in short and long-run respectively;
More informationRADM Patrick O Carroll, MD, MPH Senior Advisor, Assistant Secretary for Health, US DHSS
Ending the Tobacco Epidemic RADM Patrick O Carroll, MD, MPH Senior Advisor, Assistant Secretary for Health, US DHSS Tim McAfee, MD, MPH Senior Medical Officer, Office on Smoking and Health, CDC www.nwcphp.org/hot-topics
More informationSmoking cessation in mental health & addiction settings. Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013
Smoking cessation in mental health & addiction settings Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013 OVERVIEW Tobacco is the single most preventable cause of death in the
More informationArticle 13: Tobacco Advertising, Promotion and Sponsorship.
Article 13: Tobacco Advertising, Promotion and Sponsorship www.untobaccocontrol.org/kh/smokeless-tobacco/ Background Article 13 of WHO FCTC provides guidelines for introducing and enforcing a comprehensive
More informationTobacco Questions for Surveys (TQS): A Subset of Key Questions from the Global Adult Tobacco Survey (GATS)
Tobacco Questions for Surveys (TQS): A Subset of Key Questions from the Global Adult Tobacco Survey (GATS) Workshop on TQS 16-17 August 2017 Ankara, Turkey Overview Introduction to TQS TQS Guide Booklet
More informationRISK AND PROTECTIVE FACTORS ANALYSIS
RISK AND PROTECTIVE FACTORS ANALYSIS 2013 Prevention Needs Assessment Berkshire County Prepared by: Berkshire Benchmarks A program of the Berkshire Regional Planning Commission Prepared for: Berkshire
More informationEpidemiological Profile of Tobacco Users at Tobacco Cessation Centre: An Indian Experience
2016;Vol.58 The Indian Journal of Chest Diseases & Allied Sciences 93 Original Article Epidemiological Profile of Tobacco Users at Tobacco Cessation Centre: An Indian Experience Raj Kumar 1, Nitin Goel
More informationTobacco Use of BSN Nursing Students in Arkansas: Global Health Professional Students Survey
Tobacco Use of BSN Nursing Students in Arkansas: Global Health Professional Students Survey Pamela V. degravelles, PhD, MSN, MEd, RN College of Nursing Faculty Disclosure Faculty Name Conflicts of Interest
More informationCigarette Consumption in China ( ) Cigarette Consumption in Poland ( )
Section C Global Burden Global Smoking Prevalence Source: adapted by CTLT from The Tobacco Atlas. (2006). 2 1 Cigarette Consumption in China (1952 1996) Average Number of Manufactured Cigarettes Smoked
More informationThe study was cross-sectional, conducted during the academic year 2004/05.
Tobacco use is one of the chief preventable risk factors of some 25 noncommunicable diseases, many of which are eventually fatal. The World Health Organization (WHO) attributes some 4 million deaths annually
More informationCreating a Tobacco-Free Scotland: Addressing the Inequalities Challenge
Creating a Tobacco-Free Scotland: Addressing the Inequalities Challenge Amanda Amos Centre for Population Health Sciences University of Edinburgh Outline What are the issues and challenges- patterns and
More informationTobacco Smoking in India: Prevalence, Quit-rates and Respiratory Morbidity
Original Article Tobacco Smoking in India: Prevalence, Quit-rates and Respiratory Morbidity S.K. Jindal 1, A.N. Aggarwal 1, K. Chaudhry 2, S.K. Chhabra 3, G.A. D Souza 4, D. Gupta 1, S.K. Katiyar 5, R.
More informationTable 1.3. Surveys on the prevalence of areca nut use across the world
Children and Youths Chaturvedi et al. (2002) 986 rural students (boys and girls) in Madhya Pradesh aged 10-15 years in 2001 Current 46 (after intervention with cancer education and ban on sale near schools)
More informationSubstance Abuse Prevention Strategic Plan, Republic of Palau
Substance Abuse Prevention Strategic Plan, 27-211 Republic of Palau Prepared by the President s Council on Substance Abuse Prevention (COSAP) October 26 Table of Contents I. Statement from the Council
More information