Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teachers' Study

Abstract Objective Tobacco use within India has significant effects on the global burden of tobacco-related disease. As role models and opinion leaders, teachers are at the forefront of tobacco control efforts, yet little is known about their own tobacco use. This study examines the association betw...

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Bibliographic Details
Published in:Preventive medicine 2015-05, Vol.74, p.24-30
Main Authors: Nagler, Eve M, Sinha, Dhirendra N, Pednekar, Mangesh S, Stoddard, Anne M, Gupta, Prakash C, Mathur, Neha, Lando, Harry, Aghi, Mira, Shulman Cordeira, Laura, Viswanath, K, Sorensen, Glorian
Format: Article
Language:English
Subjects:
Adult
Co-workers
Faculty - statistics & numerical data
Family influence
Family Relations
Female
Humans
India
India - epidemiology
Internal Medicine
Logistic Models
Male
Middle Aged
Schools
Smoking - epidemiology
Social context
Social Environment
Social Norms
Sociological Factors
Surveys and Questionnaires
Teachers
Tobacco use
Tobacco, Smokeless - statistics & numerical data
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Summary:Abstract Objective Tobacco use within India has significant effects on the global burden of tobacco-related disease. As role models and opinion leaders, teachers are at the forefront of tobacco control efforts, yet little is known about their own tobacco use. This study examines the association between factors in the social environment and tobacco use among teachers in Bihar, India. Methods The study was based on the Bihar School Teachers’ Study baseline survey. Seventy-two Bihar government schools (grades 8-10) were randomly selected for the study and all school personnel were invited to complete the survey in June/July in 2009 and 2010. We assessed the relation between social contextual factors and current smoking/smokeless tobacco use by fitting a series of logistic regression models. Results After controlling for clustering of teachers in schools and other covariates, our results showed teachers with one or more coworkers who used tobacco were twice as likely to be smokeless tobacco users as teachers with no co-workers who used tobacco. Teachers who reported rules prohibiting smoking at home were significantly less likely to smoke than teachers without such rules. Older male teachers also had significantly greater odds of smoking/using smokeless tobacco. Conclusion These findings provide direction for future interventions targeting the social context.
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2015.01.021