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Tobacco and areca nut cessation programme for adolescent school students in Mumbai, India

机译:印度孟买青少年烟草和槟榔停止活动计划

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Background: The prevalence of tobacco use among children aged 13-15 years is 14.6% and 15.5% of non-users intended to start smoking in the next year. School going children also consume areca nut (“supari”), which is an easily available carcinogenic, psychoactive substance, acting as a gateway product to tobacco use. This current and intended use will exacerbate the burden of tobacco related morbidity and mortality. LifeFirst program was implemented in 15 schools catering to lower socioeconomic population in slum areas of Mumbai in the academic year 2016-17 for helping students quit their tobacco and supari use. Methods: Orientation sessions about harmful effects of tobacco and areca nut were conducted using audio-visual aids for 2379 students of the 7th, 8th and 9th grades. Students were informed about the availability of a cessation service within the school and encouraged to register voluntarily. The registered students were divided into groups of 10-15 students each and six group-sessions involving videos, games, role plays and activities were conducted over six months. The sessions were theme based; covering topics like rapport building, ill-effects of tobacco, coping mechanisms, refusal skills etc. The self-reported status of tobacco use was recorded individually during each session. Extended 4-month post-program follow-up was conducted. Results: Of the 492 students (84% boys) registered for the program, 88% were only supari users, 10% used supari and tobacco, 2% only smokeless and less than 1% only smoked. 67% were daily users. The mean age of initiation was 11.7 years and 79% were introduced to the product by their peers. 71% reported as not using tobacco and supari at the end of the programme with 12% relapse recorded during extended follow up. Conclusions: Providing structured cessation services with positive peer influence facilitated by trained counselors encourages and aides tobacco and areca nut users to stop their habit.
机译:背景:13-15岁的儿童中吸烟的流行率为14.6%,而打算在明年开始吸烟的非使用者中则有15.5%。上学的孩子也食用槟榔(“ supari”),槟榔是一种容易获得的致癌,精神活性物质,是烟草使用的入门产品。当前和预期的用途将加剧与烟草相关的发病率和死亡率的负担。 LifeFirst计划在2016-17学年在孟买贫民窟的15所学校中实施,以适应较低的社会经济人口,以帮助学生戒烟和戒除烟草。方法:使用视听辅助工具对7、8、9年级的2379名学生进行了烟草和槟榔有害影响的情况介绍会。学生被告知学校内提供戒烟服务,并鼓励他们自愿注册。注册的学生分为10-15名学生,每组六个月,涉及视频,游戏,角色扮演和活动,为期六个月。这些会议是基于主题的;涵盖诸如建立融洽关系,烟草不良,应对机制,拒绝技巧等主题。在每次会议期间,都分别记录了烟草使用的自我报告状态。延长了4个月的程序后随访。结果:在该计划注册的492名学生(男生中占84%)中,只有88%的人使用supari吸烟,有10%的人使用supari和烟草,仅2%的人无烟,不到1%的人吸烟。 67%是每日用户。起始平均年龄为11.7岁,其同龄人介绍了该产品的79%。在该计划结束时,有71%的人报告不使用烟草和苏巴利,而在延长的随访期间有12%的复发。结论:由受过训练的辅导员提供具有积极同伴影响力的结构化戒烟服务,可以鼓励和帮助烟草和槟榔使用者戒除其习惯。

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