Kalaivani, A (2010) A study on the prevalence of smoking among rural men aged 18 years and above and their Knowledge and Attitudes on Anti-tobacco measures imposed under ‘The Cigarettes and other Tobacco Products Act 2003’ in Vadagarai Subcenter Area. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION : Tobacco is the most important preventable cause of death and disease among adults. According to estimates made by the WHO, currently about 5 million people die prematurely every year in the world due to the use of tobacco, mostly cigarette smoking. More important is the fact that this epidemic of disease and death caused by tobacco is increasing very rapidly. By 2030 it is expected to kill more than 9 million people per year; half aged 35-69. The epidemic is increasingly affecting developing countries, where most of the world’s smokers (84% or 1 billion) live. Close to half of all men in low-income countries smoke daily and this has been increasing. Many deaths and much disease could be prevented by reducing smoking prevalence. Tobacco kills a third to a half of all those who use it. On an average, every user of tobacco loses 15 years of life. Total tobacco attributable deaths from Ischaemic Heart Disease, Cerebrovascular Disease (Stroke), Chronic Obstructive Pulmonary Disease and other diseases are projected to rise from 5.4 million in 2004 to 8.3 million in 2030, almost 10% of all deaths worldwide. More than 80% of these deaths will occur in developing countries. On an average Tobacco causes one death every 6 seconds and it accounts for 1 in ten adult deaths world wide. In India, Tobacco consumption continues to grow at 2-3% per annum. The influences on tobacco smoking in India may be different from those in the West. India is the second most important tobacco consumer in the world in which smoking of conventional cigarettes accounts for only 25 percent. Most people consume tobacco in the form of non-cigarette items such as hand-rolled bidis, chewing etc. India's antitobacco legislation, first passed at the national level in 1975, was largely limited to health warnings and proved to be inefficient. In 2003, The Central Government passed the Cigarettes and Other Tobacco Products Act (COTPA) applicable to all tobacco products. OBJECTIVE : 1. To study the prevalence of smoking among rural men aged 18 years and above in Vadagarai Subcenter of Naravarikuppam Block Primary Health Center. 2. To study the socio demographic factors of tobacco use among the study group. 3. To assess the knowledge and attitude of men towards anti tobacco measures imposed under cigarette and other tobacco products act 2003. JUSTIFICATION : 1. Tobacco use is a major public health problem. Tobacco is a risk factor for six out of the eight leading causes of deaths in the world. 2. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. 3. The tobacco consumption is more in rural than in urban areas. 4. “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.Smoke free rules came into effect, prohibiting smoking in all public and work places from October 2, 2008. Lack of studies on awareness regarding COTPA 2003. 5. Maximum number of violations were recorded in Tamilnadu which ranks first among the states. A total of 9,648 people have been fined and a whopping Rs.11,42,950 collected as fine from the state for violating the ban on smoking in public places since October 2nd 2008. Delhi stands a distant 2nd with 3,671 people being fined for smoking in public places. Public awareness of the ban on smoking in public places was very low and as a result, there were widespread violations. CONCLUSION : The study concludes that the prevalence of smoking was higher than the national average ,more common in illerates than literates. Majority of them knew and favouring the act. Among smokers, most of them felt that the act didn’t had any impact on their smoking habit. Therefore, preventive steps like behavioural change communication, fiscal measures and further more strong enforcement of the act will be needed to decrease the prevalence further.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Prevalence Smoking ; Among Rural Men ; Aged 18 Years and Above; Their Knowledge ; Attitudes on Anti-Tobacco Measures; Imposed Under ; The Cigarettes Other Tobacco ; Products Act 2003; Vadagarai Subcenter Area. |
| Subjects: | MEDICAL > Community Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Jul 2017 15:46 |
| Last Modified: | 10 Jul 2017 15:46 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1130 |
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