Pahari Shubhajit, Sivanantham Parthibane, Kar Sitanshu S
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2024 Feb 10;16(2):e53984. doi: 10.7759/cureus.53984. eCollection 2024 Feb.
The objective of this study was to estimate the level of compliance and the factors associated with high adherence to the Tobacco-Free Educational Institutions (ToFEI) guidelines of the Government of India among schools in the district of Puducherry, India.
This cross-sectional study was conducted among schools (N=50) in the Puducherry district in 2021-2022 using a "Self-Evaluation Scorecard" of the ToFEI guidelines. The assessment was done through in-person interviews with the schools' heads/representatives. The level of compliance to indicators was presented as proportions, and factors associated with high compliance were assessed using the chi-square test.
No school met all the ToFEI indicators. The majority (88%) showed no evidence of the use of tobacco products inside the premises. More than half of the schools (58%) adhered to the criteria of not having tobacco shops within 100 yards and 56% reported the inclusion of the "No Use of Tobacco" norm in their guidelines. Schools located in rural areas (p-value <0.01) and those with teachers who attended any tobacco-related workshop were more likely to comply with the ToFEI indicators (p-value 0.05). After relaxing the criteria for 'High Adherence' to at least four indicators, we found that 20% of schools showed high adherence to the ToFEI indicators.
Overall compliance of schools to the ToFEI guidelines is low in Puducherry. Sensitizing the relevant stakeholders in the district for implementing ToFEI guidelines and institutionalizing tobacco control activities in the school are the needs of the hour.
本研究的目的是评估印度本地治里地区各学校对印度政府无烟教育机构（ToFEI）指南的遵守程度以及与高依从性相关的因素。
2021 - 2022年，在本地治里地区的学校（N = 50）中开展了这项横断面研究，采用ToFEI指南的“自我评估计分卡”。通过与学校校长/代表进行面对面访谈来进行评估。指标的遵守程度以比例呈现，使用卡方检验评估与高遵守率相关的因素。
没有一所学校符合ToFEI的所有指标。大多数学校（88%）没有在校园内使用烟草制品的迹象。超过一半的学校（58%）遵守了在100码内没有烟草店的标准，56%的学校报告其指南中纳入了“禁止使用烟草”规范。位于农村地区的学校（p值<0.01）以及教师参加过任何与烟草相关研讨会的学校更有可能遵守ToFEI指标（p值0.05）。在将“高依从性”标准放宽至至少四个指标后，我们发现20%的学校对ToFEI指标表现出高依从性。
在本地治里，学校对ToFEI指南的总体遵守程度较低。当下需要提高该地区相关利益攸关方对实施ToFEI指南的认识，并将学校的烟草控制活动制度化。
