Ahuja N, Kathiresan J, Anand T, Isaakidis P, Bajaj D
Department of Public Health Dentistry, Vaidik Dental College and Research Centre, Daman, India.
Department of Community Medicine, Velammal Medical College Hospital and Research Institute, Madurai, India.
Public Health Action. 2018 Dec 21;8(4):194-201. doi: 10.5588/pha.18.0064.
Police personnel, alongside other key stakeholders, are responsible for implementing the Cigarettes and Other Tobacco Products Act (COTPA) in India. This study aimed to assess knowledge and attitudes about COTPA among police personnel and explore enablers and barriers in implementing it. This convergent parallel mixed-methods study used a self-administered questionnaire (quantitative) and key informant interviews (qualitative). Of 300 police personnel across all eight police stations in Daman, 155 participated. Quantitative data were analysed using descriptive statistics and the χ test. Qualitative data from in-depth interviews of six key informants from all coordinating departments were analysed thematically. Overall, 63.2% of responders were aware of any tobacco control law in India, and only 12.9% were trained in its implementation. One person had conducted inspections for COTPA compliance in the last 12 months. The majority (78.1%) of the police personnel, and significantly more tobacco non-users than users (81.2% vs. 52.9%, = 0.016), felt that enforcing anti-tobacco regulations is one of their most important functions. Perceived benefits of the act and formal authority to act were the two main enablers of COTPA implementation. Lack of awareness and coordination, competing priorities, concentration of authority with higher-ranking officials and evasion of the law by retailers and the public hampered effective implementation of the law. Knowledge about the COTPA was average and implementation poor. Sensitisation and training of implementers, systematic transparent reporting and creating awareness among public are recommended for effective implementation.
在印度,警察与其他主要利益相关者共同负责执行《香烟及其他烟草制品法案》(COTPA)。本研究旨在评估警察对COTPA的了解和态度,并探讨实施该法案的促进因素和障碍。这项 convergent parallel 混合方法研究使用了自填式问卷(定量)和关键信息访谈(定性)。在达曼所有八个警察局的300名警察中,有155人参与。定量数据采用描述性统计和χ检验进行分析。对来自所有协调部门的六名关键信息提供者进行深入访谈的定性数据进行了主题分析。总体而言,63.2%的受访者知晓印度的任何烟草控制法律,只有12.9%的人接受过实施该法律的培训。在过去12个月里,有一人对COTPA的合规情况进行了检查。大多数警察(78.1%),以及非烟草使用者比使用者显著更多(81.2%对52.9%,P = 0.016)认为执行反烟草法规是他们最重要的职能之一。该法案的感知益处和采取行动的正式权力是COTPA实施的两个主要促进因素。缺乏认识和协调、相互竞争的优先事项、权力集中在高级官员手中以及零售商和公众规避法律阻碍了该法律的有效实施。对COTPA的了解处于中等水平,实施情况较差。建议对实施者进行宣传和培训、进行系统透明的报告并提高公众意识,以实现有效实施。