Knowledge, attitude and practice regarding various tobacco products and their effects on health and COTPA act among ≥15 years age group persons in urban field practice area of a medical college in Telangana
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20202468Keywords:
Awareness, COTPA, Nalgonda, TobaccoAbstract
Background: Tobacco use is a major public health problem. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act 2003”, which came into effect since 1st May 2004. Information on knowledge, attitudes, and practices of population regarding COTPA is necessary to effectively implement the legislation. Hence the present study was undertaken.
Methods: The present study was a cross-sectional community-based survey carried out in urban slums of Nalgonda town. Data was collected using a structured schedule by interviewing 300 participants, aged above 15 years.
Results: The current use of any tobacco was reported by 45.7% of the participants. Overall awareness of COTPA was 58.2%. Marital status, type of family, unemployment, Illiterates, lower SES, and age had a significant influence on tobacco use. Television (77.05%) was the major source of awareness regarding COTPA. The majority of smokers were aware of various sections of COTPA (>50%). About 34.8% of the participants had a favorable attitude towards COTPA. The positive attitude was more (53.7%) towards the display of health warnings on tobacco products among smokers. 11.2% had paid penalty for violation of the act and 32.4% have noticed a reduction in their habit to some extent.
Conclusions: A concerted effort has to be made to increase the awareness of the act amongst the vulnerable population.
References
Resource centre for tobacco free India; an initiative of Voluntary Health Association of India. Available at http://rctfi.org/goi_initiatives1.htm. Accessed on 22 February 2018.
Tobacco control foundation of India, Tobacco facts. Available at http://tobaccoindia. org/ Tobacco-Facts.html. Accessed on 24 September 2017.
Walton J, Barondess JA, Lock S. The Oxford Medical Companion. 1st edition. USA. Oxford University Press. 1994.
WHO Framework Convention on Tobacco Control, WHO, Geneva, Switzerland. Available at http://www.who.int/tobacco/framework/WHO_FCT C_english.pdf. Accessed on 2 December 2017.
The cigarettes and other tobacco products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act, 2003. New Delhi, India: Government of India. 2003.
The cigarettes and other tobacco products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act, Amendment Bill, 2007. New Delhi, India: Government of India, 2007.
Annadurai K, Mani G, Dhanasekaran R. Tobacco usage among males in Rural Tamil Nadu, India: a cross-sectional study. Int J Med Stud. 2014;2(1):18-21.
Harris M, Buerhaus P, Needleman J. Prevalence of smoking in China in 2010. N Engl J Med. 2011:364(25):2469-70.
Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L. Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross-sectional household survey. Tob Control. 2003;12(4):1-8.
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06. India, 2007
Narayan KM, Chadha RL, Hanson R, Tandon S, Shekhawat R, Fernandes J, et al. Prevalence and patterns of smoking in Delhi: cross sectional study. BMJ. 1996;312(7046):1576-9.
Rao AR, Dudala SR, Bolla CR, Kumar BPR. Knowledge attitude and practices regarding the cigarettes and other tobacco products act (COTPA) in Khammam, Andhra Pradesh. Int J Res Health Sci. 2013;1(2):96-102.
Sharma I, Sarma PS, Thankappan KR. Awareness, attitude and perceived barriers regarding implementation of the cigarettes and other tobacco products act in Assam, India. Ind J Cancer. 2010;47(5):63-8.
Hammond D, Fong GT, Borland R. Text and graphic warnings on cigarette packages: findings from the international tobacco control four country study. Am J Prev Med. 2007;32:202-9.
Danishevski K, Gilmore A, McKee M. Public attitudes towards smoking and tobacco control policy in Russia. Tob Control. 2008;17(4):276-83.
Schumann A, John U, Thyrian JR, Ulbricht S, Hapke U, Meyer C. Attitudes towards smoking policies and tobacco control measures in relation to smoking status and smoking behaviour. Eur J Public Health. 2006;16(5):513-9.
Kumar R, Salve H, Misra P. Determinants of tobacco use and perception, attitude about an antitobacco act in rural Haryana, North India. Int J Med Public Health. 2014;4:367-70.