Intersection of social behavior and legislative measures in reducing indoor tobacco smoke exposure in India

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-06-14 DOI:10.1016/j.cegh.2025.102105

Mamta Verma , Arpita Basak , Bhupendra Kumar Verma , Mousumi Nath Mazumder , Vivek Verma

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引用次数: 0

Abstract

Background

Indoor exposure to tobacco smoke in India is a significant social concern, primarily because it poses severe health risks not only to smokers but also to non-smokers who are exposed to secondhand smoke. The objective of the present study is to investigate the efficacy of current state and central tobacco as an intervention to control policies and laws in reducing indoor exposure to tobacco smoke and to assess the magnitude of such exposure in states implementing either only central regulations or integrated both state and central tobacco control measure.

Method

ology: The study considered cross-sectional survey data of National Family and Health Survey (NFHS-4, 2015–16). Binary logistic regression with multiple covariates has shown an inclination of indoor smoking in states having single (Central) comparing with multiple (Central and State legislation) anti-smoking laws, particularly in rural areas, among economically weaker sections; among BPL households and within lower educational attainment populations, and also revealed influence of these factors in interaction with other.

Results

Obtained results have shown that Indian States implemented only single anti-smoking laws reported significantly higher prevalence (31.0 %) i.e., twice of indoor exposure to tobacco smoke among children than States implemented multiple laws(15.4 %). The same inequality observed at every socio-demographical and economical levels such as based on residence(in rural[ORsingle-1.86(1.83–1.90); ORmultiple-1.75(1.72–1.79)]), caste levels(among tribe[ORsingle-1.80(1.77–1.83); ORmultiple-1.57(1.52–1.61)] except unreserved, economical status (among poorer [ORsingle-1.25(1.23–1.28); ORmultiple-1.23(1.20–1.27)].

Conclusion

Indoor tobacco smoke exposure is not just a public health concern but also a social issue, which requires urgent state and central tobacco control legislative reform and effective enforcement to safeguard the health and well-being of India's population.

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印度减少室内烟草烟雾暴露的社会行为和立法措施的交集

在印度，接触烟草烟雾是一个重大的社会问题，主要是因为它不仅对吸烟者造成严重的健康风险，而且对接触二手烟的非吸烟者也造成严重的健康风险。本研究的目的是调查当前州和中央烟草作为控制政策和法律在减少室内烟草烟雾暴露方面的干预措施的有效性，并评估仅实施中央法规或州和中央烟草控制综合措施的州的这种暴露程度。方法：本研究采用全国家庭与健康调查（NFHS-4, 2015-16）的横断面调查数据。多协变量二元logistic回归显示，在有单一（中央）反吸烟法的州，室内吸烟倾向于有多个（中央和州立法）反吸烟法的州，特别是在农村地区，在经济较弱的地区；在低收入家庭和低学历人群中，并揭示了这些因素与其他因素相互作用的影响。结果已获得的结果表明，仅实施单一反吸烟法律的印度各邦报告的患病率（31.0%）显著高于实施多项法律的各邦（15.4%），即儿童室内接触烟草烟雾的比例为其两倍。在每个社会人口和经济水平上都观察到同样的不平等，例如基于居住地(农村地区1.86(1.83-1.90)；（ORmultiple-1.75(1.72-1.79)]），种姓等级(在部落中[ORsingle-1.80(1.77-1.83)]；ORmultiple-1.57(1.52-1.61)]，除了没有保留的经济地位(在穷人中[ORsingle-1.25(1.23-1.28)]；ormultiple - 1.23(1.20 - -1.27)]。结论室内烟草烟雾暴露不仅是一个公共卫生问题，也是一个社会问题，迫切需要国家和中央烟草控制立法改革和有效执法，以保障印度人口的健康和福祉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.