Awareness, attitude and perceived barriers regarding implementation of the Cigarettes and Other Tobacco Products Act in Assam, India.
Awareness, attitude and perceived barriers regarding implementation of the Cigarettes and Other Tobacco Products Act in Assam, India.
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DOI：
10.4103/0019-509x.63874
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发表时间：
2010-07-01
影响因子：
1
通讯作者：
Thankappan, K R
中科院分区：
文献类型：
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作者：
Sharma, I;Sarma, P S;Thankappan, K R
背景：烟草使用是印度的一个主要公共卫生问题。《香烟和其他烟草产品法》(COTPA)就是为了遏制这种流行病而制定的。材料与方法：采用整群抽样的方法，对古瓦哈提市政公司300名成年人(平均年龄41岁，男性占52%)进行了横断面调查。使用预先测试的结构化面谈时间表收集了有关意识、态度及其实施的预测因素和障碍的信息。结果：50岁以上人群对COTPA知晓率为3倍(OR值为3.02，95%CI为1.44~6.31)，10年以上人群对COTPA知晓率为4倍(OR3.60，95%CI为1.70~7.70)。社会经济状况中等者比同龄人高3倍(OR 3.36，95%CI 1.13~10.01)，报告二手烟危害者高3倍(OR 3.32，95%CI 1.45~7.62)，文化程度10年以上者对COTPA持积极态度的可能性高3倍(OR 2.92，95%CI 1.01~8.45)。缺乏完整的信息和对该法案的认识、公众反对、对烟草使用的文化接受度、缺乏政治支持以及烟草控制的优先事项较少是COTPA实施的障碍。结论：应努力提高对COTPA的认识，重点是年轻人口、受教育程度较低的人群和低社会经济地位者。
BACKGROUND: Tobacco use is a major public health problem in India. The Cigarettes and Other Tobacco Products Act (COTPA) was developed to curb this epidemic. Because no study has been conducted on the awareness, attitude and perceived barriers regarding the implementation of COTPA, this study was undertaken.MATERIALS AND METHODS: A community-based cross-sectional survey was conducted among 300 adults (mean age 41 years, 52% men) selected by cluster sampling method from Guwahati Municipal Corporation. Information on awareness, attitude and their predictors and barriers for implementation was collected using a pretested, structured interview schedule. Multivariate analysis was done using SPSS.RESULTS: Adults older than 50 years were 3 times (odds ratio [OR] 3.02, 95% CI 1.44-6.31) and those with more than 10 years of schooling were 4 times (OR 3.60, 95% CI 1.70-7.70) more likely to have good awareness of COTPA compared with their counter parts. Those belonging to the middle socioeconomic status (SES) were 3 times (OR 3.36, 95% CI 1.13-10.01), those who reported secondhand smoking harmful were 3 times (OR 3.32, 95% CI 1.45-7.62), and those with more than 10 years of schooling were 3 times (OR 2.92, 95% CI 1.01-8.45) more likely to have positive attitude toward COTPA compared with their counterparts. Lack of complete information and awareness of the Act, public opposition, cultural acceptance of tobacco use, lack of political support, and less priority for tobacco control were reported as barriers for COTPA implementation.CONCLUSION: Efforts should be made to increase the awareness of COTPA focusing on younger population, less educated, and those belonging to the low SES.