Workplace tobacco cessation program in India: A success story.
Workplace tobacco cessation program in India: A success story.
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DOI：
10.4103/0019-5278.58919
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发表时间：
2009-12-01
影响因子：
0.9
通讯作者：
Shastri, Surendra S
中科院分区：
文献类型：
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作者：
Mishra, Gauravi A;Majmudar, Parishi V;Shastri, Surendra S
背景：本文描述了工作场所戒烟研究的后续干预措施和结果。目的：通过自我报告史评估员工的戒烟率，并用快速尿可替宁试验进行验证；将干预后的烟草消费KAP与干预前的反应进行比较，评估合同工的烟草消费模式，并为鼓励戒烟提供帮助。集合和设计：这是一项在印度马哈拉施特拉邦农村化学工业实施的队列研究。材料和方法：对所有员工(104人)进行了口腔肿瘤的访谈和筛查。以认识讲座、焦点小组讨论和必要时提供药物治疗等形式的积极干预。来自工业医疗单位和当地转诊医院的医务人员接受了培训。为家庭成员和合同制员工安排了宣传活动。使用统计分析：非参数统计技术和kappa.结果：48%的员工吸烟。戒烟率随干预时间的延长而增加，一年后戒烟率达40%。自我报告的吸烟史与快速尿可替宁试验结果有96%的符合率。干预后的KAP较干预前有较大提高。56%的合同工使用烟草，其中55%有口腔癌前病变。结论：在整个工业园区，积极的戒烟氛围和积极的同龄人压力相互帮助戒烟显著。已经建立了一个全面的工作场所戒烟示范计划，可以在其他地方复制。
CONTEXT: This paper describes the follow-up interventions and results of the work place tobacco cessation study.AIMS: To assess the tobacco quit rates among employees, through self report history, and validate it with rapid urine cotinine test; compare post-intervention KAP regarding tobacco consumption with the pre-intervention responses and assess the tobacco consumption pattern among contract employees and provide assistance to encourage quitting.SETTINGS AND DESIGN: This is a cohort study implemented in a chemical industry in rural Maharashtra, India.MATERIALS AND METHODS: All employees (104) were interviewed and screened for oral neoplasia. Active intervention in the form of awareness lectures, focus group discussions and if needed, pharmacotherapy was offered. Medical staff from the industrial medical unit and from a local referral hospital was trained. Awareness programs were arranged for the family members and contract employees.STATISTICAL ANALYSIS USED: Non-parametric statistical techniques and kappa.RESULTS: Forty eight per cent employees consumed tobacco. The tobacco quit rates increased with each follow-up intervention session and reached 40% at the end of one year. There was 96% agreement between self report tobacco history and results of rapid urine cotinine test. The post-intervention KAP showed considerable improvement over the pre-intervention KAP. 56% of contract employees used tobacco and 55% among them had oral pre-cancerous lesions.CONCLUSIONS: A positive atmosphere towards tobacco quitting and positive peer pressure assisting each other in tobacco cessation was remarkably noted on the entire industrial campus. A comprehensive model workplace tobacco cessation program has been established, which can be replicated elsewhere.