Neighbourhood tobacco retail access and tobacco use susceptibility in young adolescents in urban India

2021 ◽  
pp. tobaccocontrol-2021-056915
Author(s):  
Ritesh Mistry ◽  
Michael J Kleinsasser ◽  
Namrata Puntambekar ◽  
Prakash C Gupta ◽  
William J McCarthy ◽  
...  

BackgroundNeighbourhood tobacco retail access may influence adolescent tobacco use. In India, we examined the association between neighbourhood tobacco retail access and cognitive risks for tobacco use during early adolescence.MethodsIn 2019–2020, a population-based sample (n=1759) of adolescents aged 13–15 years was surveyed from 52 neighbourhoods in Mumbai and Kolkata. Neighbourhood tobacco retail access was measured as the frequency of visits to tobacco retailers, mapped tobacco retailer density and perceived tobacco retailer density. We estimated associations between neighbourhood tobacco retail access and cognitive risks for tobacco use (perceived ease of access to tobacco, perceived peer tobacco use and intention to use tobacco).ResultsThere was high neighbourhood tobacco retail access. Tobacco retailer density was higher in lower income neighbourhoods (p<0.001). Adolescent frequency of tobacco retailer visits was positively associated with cognitive tobacco use risks. Mapped tobacco retailer density was associated with perceived ease of access in Kolkata but not in Mumbai, and it was not associated with perceived peer tobacco use nor intention. Perceived tobacco retailer density was associated with perceived ease of access and perceived peer use, but not with intention. In Kolkata, higher perceived retailer density and frequency of tobacco retailer visits were negatively associated with perceived ease of access.ConclusionsEfforts to reduce neighbourhood tobacco retail access in India may reduce cognitive tobacco use risk factors in young adolescents. The frequency of tobacco retailer visits and perceived tobacco retailer density increased cognitive risks, though there were some exceptions in Kolkata that further research may explain.

2018 ◽  
Vol 28 (2) ◽  
pp. 220-226 ◽  
Author(s):  
Ritesh Mistry ◽  
Mangesh S Pednekar ◽  
William J McCarthy ◽  
Ken Resnicow ◽  
Sharmila A Pimple ◽  
...  

BackgroundWe measured how student tobacco use and psychological risk factors (intention to use and perceived ease of access to tobacco products) were associated with tobacco vendor compliance with India’s Cigarettes and Other Tobacco Products Act provisions regulating the point-of-sale (POS) environment.MethodsWe conducted a population-based cross-sectional survey of high school students (n=1373) and tobacco vendors (n=436) in school-adjacent communities (n=26) in Mumbai, India. We used in-class self-administered questionnaires of high school students, face-to-face interviews with tobacco vendors and compliance checks of tobacco POS environments. Logistic regression models with adjustments for clustering were used to measure associations between student tobacco use, psychological risk factors and tobacco POS compliance.ResultsCompliance with POS laws was low overall and was associated with lower risk of student current tobacco use (OR 0.48, 95% CI 0.26 to 0.91) and current smokeless tobacco use (OR 0.40, 95% CI 0.21 to 0.77), when controlling for student-level and community-level tobacco use risk factors. Compliance was not associated with student intention to use tobacco (OR 0.50; 95% CI 0.21 to 1.18) and perceived ease of access to tobacco (OR 0.73; 95% CI 0.53 to 1.00).ConclusionsImproving vendor compliance with tobacco POS laws may reduce student tobacco use. Future studies should test strategies to improve compliance with tobacco POS laws, particularly in low-income and middle-income country settings like urban India.


1993 ◽  
Author(s):  
J. N. Melby ◽  
◽  
R. D. Conger ◽  
K. J. Conger ◽  
F. O. Lorenz

2010 ◽  
Vol 22 (3_suppl) ◽  
pp. 175S-180S ◽  
Author(s):  
Nabilla Al-Sadat ◽  
A.Y. Misau ◽  
Z. Zarihah ◽  
Dahlui Maznah ◽  
Tin Tin Su

1992 ◽  
Vol 21 (4) ◽  
pp. 449-472 ◽  
Author(s):  
David M. Murray ◽  
Cheryl L. Perry ◽  
Gretchen Griffin ◽  
Kathleen C. Harty ◽  
David R. Jacobs ◽  
...  

2009 ◽  
Vol 30 (3) ◽  
pp. 432-443 ◽  
Author(s):  
Andrea E. Waylen ◽  
Andrew Ness ◽  
Phil McGovern ◽  
Dieter Wolke ◽  
Nicola Low

2020 ◽  
Vol 10 (3) ◽  
pp. 1091 ◽  
Author(s):  
Llanos Tobarra ◽  
Antonio Robles-Gómez ◽  
Rafael Pastor ◽  
Roberto Hernández ◽  
Andrés Duque ◽  
...  

Presently, the ever-increasing use of new technologies helps people to acquire additional skills for developing an applied critical thinking in many contexts of our society. When it comes to education, and more particularly in any Engineering subject, practical learning scenarios are key to achieve a set of competencies and applied skills. In our particular case, the cybersecurity topic with a distance education methodology is considered and a new remote virtual laboratory based on containers will be presented and evaluated in this work. The laboratory is based on the Linux Docker virtualization technology, which allows us to create consistent realistic scenarios with lower configuration requirements for the students. The laboratory is comparatively evaluated with our previous environment, LoT@UNED, from both the points of view of the students’ acceptance with a set of UTAUT models, and their behavior regarding evaluation items, time distribution, and content resources. All data was obtained from students’ surveys and platform registers. The main conclusion of this work is that the proposed laboratory obtains a very high acceptance from the students, in terms of several different indicators (perceived usefulness, estimated effort, social influence, attitude, ease of access, and intention of use). Neither the use of the virtual platform nor the distance methodology employed affect the intention to use the technology proposed in this work.


2019 ◽  
pp. tobaccocontrol-2018-054719 ◽  
Author(s):  
Yongda Socrates Wu ◽  
Man Ping Wang ◽  
Sai Yin Ho ◽  
Ho Cheung William LI ◽  
Yee Tak Derek Cheung ◽  
...  

IntroductionWe investigated heated tobacco products (HTPs) use and associated factors in Chinese adults in Hong Kong where HTPs are not formally marketed yet, and cigarette smoking prevalence was the lowest in the developed world.MethodsA population-based landline telephone survey in 2017 interviewed 5131 (45.2% male; 26.7% aged ≥60) adults to collect information on awareness, intention to use, ever use of HTPs, cigarette smoking status and sociodemographic characteristics. Descriptive statistics were weighted by the age, sex and smoking status of the Hong Kong adult population. Sociodemographics were mutually adjusted in logistic regression to yield adjusted ORs (AORs) for awareness of HTPs, controlling for smoking status.ResultsOverall, 11.3% (95% CI 10.0% to 12.7%) were aware of HTPs and 1.0 % (0.8%–1.2%) had ever used it. Awareness was associated with aged 40–49 years (AOR 1.37, 95% CI 1.01 to 1.87) or 30–39 years (2.03, 1.41–2.91) (vs ≥60 years), born in Hong Kong (1.37, 1.11–1.68) and higher monthly household income (p for trend 0.001). Ever HTP users had higher educational attainment and monthly household income, and more were aged 30–39 and economically active (all p<0.003). In never HTP users, intention to use HTPs (7.3%, 4.9%–10.8%) were more prevalent in respondents with similar characteristics (all p<0.008). More current (vs never) smokers were aware of HTPs, intent to use HTPs and had ever used HTPs (all p<0.001).ConclusionHigher socioeconomic status was associated with HTP use and intention to use. Public health education on HTPs is needed especially for this high-risk group.


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