Influence of anti-tobacco advertisements on the attitude of slum dwellers about use of tobacco: a cross-sectional study from Mandya city

Harish B. Rudresh, Sudhir Gowda


Background: As per the Cigarette and Other Tobacco Products Act (COTPA) rules, the anti-tobacco health spots and disclaimers are being provided by the Ministry of Health and Family Welfare, India. These advertisements are aimed at creating awareness about the ill effects of tobacco use. Mass media anti-tobacco advertising campaigns play an important role as part of a comprehensive tobacco control program and are associated with increase in smoking cessation and declines in adult tobacco use prevalence.

Methods: This cross-sectional study was conducted to assess the influence of anti-tobacco advertisements among slum dwellers of Mandya city. A self-structured, close-ended questionnaire was used to interview 700 slum dwellers. The questionnaire consisted of sociodemographic data, tobacco usage status, questions related to awareness about anti-tobacco advertisements, and influence of anti-tobacco advertisements on attitude toward tobacco use. Frequency distributions and percentages were examined for each item and Chi-square test was used.

Results: Out of 700 participants 54.5% were males and 45.5% were females. Nearly 87.7% of males and 70.2% of females had noticed the statutory warning which is shown during tobacco products’ usage on television/movies. Almost 66.4% of males and 68.0% of females had a positive change in attitude toward tobacco use due to influence of anti-tobacco advertisements.

Conclusions: There is awareness against use of tobacco and this awareness should be used to motivate them to quit tobacco as well as to stop them from initiating tobacco use.


Anti-tobacco advertisements, Attitude, Awareness, Slums

Full Text:



UNDP. Poverty reduction and livelihoods promotion, UNDP in India. Available at: Accessed on 15 March 2019.

GATS. Global Adult Tobacco Survey: fact sheet, India 2016-17; 2017. Available at: gats/GATS_India_2016-17_FactSheet.pdf. Accessed on March 15, 2019.

MoHFW; WHO. Economic burden of tobacco related diseases in India: executive summary; 2014. Available at: tobacco/economic_burden_of_tobacco_related_diseases_in_india_executive_summary.pdf. Accessed on 15 March 2019.

John RM. Tobacco consumption patterns and its health implications in India. Health Policy. 2005;71(2):213–22.

MOHFW. National health policy; 2017. Available at: Accessed on 15 March 2019.

Subramanian SV, Ackerson LK, Subramanyam MA. Health inequalities in India: the axes of stratification. Brow J World Aff. 2008;14:127–38.

US NCI and WHO. The economics of tobacco and tobacco control. National Cancer Institute (Tobacco Control Monograph 21, NIH Publication No.16- CA-8029). Bethesda, MD; 2016. Available at: Accessed on 15 March 2019.

IIPS. Global Adult Tobacco Survey India, 2009-2010. New Delhi, India: Ministry of Health and Family Welfare, Government of India; 2010.

Karibasappa GN, Nagesh L, Usha GV, Prakash S. Assessment of awareness about pictorial warnings on tobacco products among 15 years and above age in Davangere city, Karnataka, India– a cross sectional study. Indian J Stomatol. 2011;2:227–32.

McVey D, Stapleton J. Can anti-smoking television advertising affect smoking behaviour? Controlled trial of the health education authority for England's antismoking TV campaign. Tob Control. 2000;9:273–82.

Kaur J, Kishore J, Kumar M. Effect of anti-tobacco audiovisual messages on knowledge and attitude towards tobacco use in North India. Indian J Community Med. 2012;37:227–31.

Bhattacharyya H, Pala S, Medhi GK, Sarkar A, Roy D. Tobacco: Consumption pattern and risk factors in selected areas of Shillong, Megalaya. Journal of family medicine and primary care. 2018;7(6):1406-10.

Gadiyar A, Ankola A, Rajpurohit L. Awareness of anti-tobacco advertisements and its influence on attitude towards tobacco use among 16-18 year old students in Belgaum city: a cross sectional study. J Edu Health Promotion. 2018;7:85.

Jayant K, Notani PN, Gulati SS, Gadre VV. Tobacco use in school children in Bombay, India. A study of knowledge, attitude and practice. Indian J Cancer. 1991;28:139–47.

Zawahir S, Omar M, Awang R, Yong HH, Borland R, Sirirassamee B, et al. Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: Findings from the international tobacco control Southeast Asia project. Nicotine Tob Res. 2013;15:482–91.

Karibasappa GN, Nagesh L, Usha GV, Prakash S. Assessment of awareness about pictorial warnings on tobacco products among 15 years and above age in Davangere city, Karnataka, India- a cross sectional study. Indian J Stomatol. 2011;2:227–32.