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

机译：印度孟买青少年学校学生的烟草和Areca坚果戒烟计划

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BackgroundThe prevalence of tobacco use among children aged 13-15years is 14.6% and 15.5% of non-usersintended to start smoking in the next year.School going children also consume areca nut(“supari”), which is an easily available carcinogenic, psychoactive substance, actingas a gateway product to tobacco use. This current andintended use will exacerbate the burden of tobacco related morbidity and mortality. LifeFirstprogram was implemented in 15 schools catering to lower socioeconomicpopulation in slum areas of Mumbai in the academic year 2016-17 for helpingstudents quit their tobacco and supari use.MethodsOrientation sessions about harmful effects oftobacco and areca nut were conducted using audio-visual aids for 2379 studentsof the 7th, 8th and 9th grades. Students were informed about the availabilityof a cessation service within the school and encouraged to register voluntarily. The registered students were divided intogroups of 10-15 students each and six group-sessions involving videos, games,role plays and activities were conducted over six months. The sessions weretheme based; covering topics like rapport building, ill-effects of tobacco,coping mechanisms, refusal skills etc. The self-reported status of tobacco usewas recorded individually during each session. Extended 4-month post-programfollow-up was conducted.ResultsOf the 492 students (84% boys) registered for the program,88% were only supari users, 10% used supari and tobacco, 2% only smokeless andless than 1% only smoked. 67% were daily users. The mean age of initiation was11.7 years and 79% were introduced to the product by their peers. 71% reported asnot using tobacco and supari at the end of the programme with 12% relapserecorded during extended follow up.ConclusionsProviding structured cessation services withpositive peer influence facilitated by trained counselors encourages and aidestobacco and areca nut users to stop their habit.
机译：儿童年龄13-15years的烟草使用的背景：患病率是14.6％和15.5％的非usersintended开始吸烟，在未来year.School回事儿也消耗槟榔（“苏帕里”），这是一种容易获得的致癌物质，精神物质，actingas网关产品的烟草使用。该电流andintended使用会加剧烟草相关的发病率和死亡率的负担。 LifeFirstprogram在15所学校餐饮服务以降低在孟买的贫民区socioeconomicpopulation学年2016-17为helpingstudents戒烟有关的有害影响他们的烟草和苏帕里use.MethodsOrientation会议oftobacco实施和槟榔使用视听器材进行了2379 studentsof第7，第8和第9的成绩。学生们availabilityof学校内的戒烟服务有关的通知，并鼓励自愿登记。已注册的学生被划分的每个学生10-15和六个涉及视频，游戏，角色扮演和活动超过六个月进行了组会议intogroups。会议weretheme为主;涵盖的主题一样建立融洽，烟草的不良影响，应对机制，拒绝技巧等，每届会议期间单独记录烟草usewas的自我报告的状态。延伸的4个月后programfollow时间为conducted.ResultsOf 492个学生（84％男孩）用于程序注册，88％只有苏帕莉用户，10％使用苏帕莉和烟草，只有无烟2％安德利斯超过1％仅抽。 67％的人每天的用户。开始was11.7年79％的平均年龄分别介绍他们的同龄产品。 71％的人使用asnot烟草和苏帕莉在程序与在延长后续up.ConclusionsProviding结构戒烟服务由受过培训的辅导员促进withpositive同伴影响鼓励和aidestobacco和槟榔用户relapserecorded 12％月底停止他们的习惯。

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