Sorensen Glorian, Gupta Prakash C, Sinha Dhirendra N, Shastri Surendra, Kamat Monique, Pednekar Mangesh S, Ramakrishnan Sreevidya
Dana-Farber Cancer Institute, Center for Community-Based Research, Boston, MA 02115, USA.
Prev Med. 2005 Aug;41(2):417-23. doi: 10.1016/j.ypmed.2004.09.048.
This paper compares tobacco use patterns and tobacco use prevention efforts among teachers in two Indian states with high versus low prevalence of tobacco use.
Data from the Global School Personnel Survey compared tobacco use patterns and tobacco use prevention activities among teachers from the Indian states of Maharashtra (N = 954) and Bihar (N = 524).
78% of teachers in Bihar and 31% from Maharashtra were current tobacco users. Tobacco control policies were virtually non-existent in schools in Bihar, while in Maharashtra, over one-fourth of teachers reported that tobacco use was prohibited among both students and teachers. Few teachers in Bihar taught their students about tobacco use prevention, while such teaching was more common in Maharashtra. In Maharashtra, teaching about tobacco use prevention was significantly associated with not currently using tobacco (P < 0.0001), having a policy specifically prohibiting tobacco use among students (P < 0.0001), and having a policy specifically prohibiting tobacco use among school personnel (P < 0.0001).
This study has clear implications for implementation of tobacco control policies in Indian schools and further underscores the need for infrastructure support for tobacco use prevention in developing countries such as India, where tobacco use threatens to contribute to a growing proportion of the burden of disease worldwide.
本文比较了印度两个邦教师的烟草使用模式及烟草使用预防措施，这两个邦的烟草使用率一高（邦）一低（邦）。
全球学校工作人员调查数据比较了来自印度马哈拉施特拉邦（N = 954）和比哈尔邦（N = 524）教师的烟草使用模式及烟草使用预防活动。
比哈尔邦78%的教师及马哈拉施特拉邦31%的教师为当前烟草使用者。比哈尔邦学校几乎不存在烟草控制政策，而在马哈拉施特拉邦，超过四分之一的教师报告称学生和教师中均禁止吸烟。比哈尔邦很少有教师向学生传授烟草使用预防知识，而在马哈拉施特拉邦这种教学更为普遍。在马哈拉施特拉邦，传授烟草使用预防知识与当前不吸烟（P < 0.0001）、有专门禁止学生吸烟的政策（P < 0.0001）以及有专门禁止学校工作人员吸烟的政策（P < 0.0001）显著相关。
本研究对印度学校实施烟草控制政策具有明确的启示意义，并进一步强调了在印度等发展中国家为烟草使用预防提供基础设施支持的必要性，在这些国家，烟草使用可能会导致全球疾病负担中所占比例不断增加。
