Exposure to tobacco imagery in popular films and the risk of ever smoking among children in southern India.
Exposure to tobacco imagery in popular films and the risk of ever smoking among children in southern India.
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DOI：
10.1136/tobaccocontrol-2019-055353
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发表时间：
2021-09
期刊：
影响因子：
5.2
通讯作者：
Britton J
中科院分区：
文献类型：
--
作者：
Kulkarni MM;Kamath VG;Kamath A;Lewis S;Bogdanovica I;Bains M;Cranwell J;Fogarty A;Arora M;Nazar GP;Ballal K;Bhagwath R;Britton J
在电影中接触吸烟是儿童吸烟的公认原因。在印度，为了保护儿童，要求含有吸烟内容的电影包含烟草控制信息，包括视听声明、在显示烟草图像时的屏幕健康警告以及在电影之前和期间的反烟草“健康点”。我们报告了一项关于印度南部卡纳塔克邦乌杜皮区儿童吸烟与接触当地流行电影中烟草图像之间关系的研究。对乌杜皮区学校6-8年级的所有学生进行了一项横断面问卷调查，以确定吸烟状况和吸烟的潜在混杂因素，以及儿童是否看过我们编码的27部当地流行电影中的任何一部，并发现这些电影包含实际或暗示的烟草使用图像。持续吸烟状态定义为目前或过去任何时间报告的吸烟、吸烟或其他烟草制品。使用多元逻辑回归估计对曾经吸烟状态的独立影响。在914所参与学校的46 706名6-8年级学生中，39 282名（84.1%）提供了足够完整的问卷回答以供分析。914名（2.3%）参与者报告了曾经吸烟，在相互调整的模型中，与年龄，男性性别，居住在允许吸烟的家中，父母或兄弟姐妹吸烟，父亲教育程度低，家庭财富水平低，自尊心低，焦虑和学习成绩差显着相关。考虑到这些影响后，当作为二进制暴露（OR 0.9，95%CI 0.4至2.0）纳入分析时，曾看过任何包含烟草图像的电影的学生吸烟的几率没有增加，并且与暴露水平相关的风险降低。在这项横断面研究中，印度南部看过含有烟草图像的电影的儿童吸烟的可能性并不比那些没有吸烟的儿童高，这表明印度法律规定的烟草控制信息可能会削弱电影中烟草图像对吸烟的影响。
Exposure to smoking in films is a recognised cause of smoking uptake among children. In India, in an attempt to protect children, films containing smoking are required to include tobacco control messaging including audiovisual disclaimers, on-screen health warnings when tobacco imagery is displayed and antitobacco ‘health spots’ before and during the film. We report a study of the association between ever smoking and exposure to tobacco imagery in locally popular films among children in Udupi district of Karnataka state in southern India. A cross-sectional questionnaire survey of all students in grades 6–8 in schools in the Udupi district ascertained smoking status and potential confounders of smoking uptake, and whether children had seen any of 27 locally popular films we had coded and found to contain imagery of actual or implied tobacco use. Ever-smoking status was defined as any reported smoking of cigarettes, beedis or other tobacco products currently or at any time in the past. Independent effects on ever-smoking status were estimated using multiple logistic regression. Of 46 706 students enrolled in grades 6–8 in 914 participating schools, 39 282 (84.1%) provided questionnaire responses sufficiently complete for analysis. Ever smoking was reported by 914 (2.3%) participants and in a mutually adjusted model was significantly related to age, male sex, living in a home where smoking is allowed, having parents or siblings who smoke, low paternal education, low levels of family wealth, low self-esteem, rebelliousness and poor school performance. After allowing for these effects, the odds of ever smoking were not increased among students who had seen any of the listed films containing tobacco imagery when included in the analysis as a binary exposure (OR 0.9, 95% CI 0.4 to 2.0), and decreased in relation to level of exposure graded into tertiles of tobacco intervals seen. In this cross-sectional study, children in southern India who had seen films containing tobacco imagery are no more likely to smoke than those who had not, indicating that the tobacco control messaging mandated by Indian law may be attenuating the effect of tobacco imagery in films on smoking uptake.
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影响因子：
3.7
作者：
Singh, Akansha;Ladusingh, Laishram
通讯作者：
Ladusingh, Laishram
影响因子：
5.2
作者：
Kulkarni, Muralidhar M.;Kamath, Veena Ganesh;Kamath, Asha
通讯作者：
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影响因子：
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作者：
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通讯作者：
Bhawna, Gupta
影响因子：
6
作者：
Bogdanovica, Ilze;Szatkowski, Lisa;Britton, John
通讯作者：
Britton, John
影响因子：
168.9
作者：
Reddy, KS;Perry, CL;Arora, M
通讯作者：
Arora, M