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Social contextual factors and tobacco use among Indian teachers: Insights from the Bihar School Teacher’s Study

机译：印度教师中的社会背景因素和烟草使用：比哈尔学校教师研究的见解

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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. 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. 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. These findings provide direction for future interventions targeting the social context.
机译：印度境内的烟草使用对全球与烟草有关的疾病负担具有重大影响。作为榜样和舆论领导者，老师们在控烟工作中处于最前沿，但对他们自己的烟草使用知之甚少。这项研究调查了印度比哈尔邦的社会环境因素与烟草使用之间的关联。这项研究基于比哈尔学校教师的研究基线调查。随机选择了72所比哈尔邦的公立学校（8-10年级）进行研究，并邀请所有学校人员在2009年和2010年6月/ 7月完成调查。我们评估了社会背景因素与当前吸烟/无烟之间的关系。通过拟合一系列逻辑回归模型来进行烟草使用。在控制了学校和其他协变量中教师的聚类之后，我们的结果显示，拥有一个或多个同事吸烟的教师是无烟烟草使用者的可能性是没有同事吸烟的教师的两倍。报告了禁止在家吸烟的规定的教师比没有此类规定的教师吸烟的可能性要低得多。年龄较大的男教师吸烟/使用无烟烟草的几率也明显更高。这些发现为将来针对社会背景的干预措施提供了指导。

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