Strategies for tobacco control in India: a systematic review
Tobacco control needs in India are large and complex. Evaluation of outcomes to date has been limited. To review the extent of tobacco control measures, and the outcomes of associated trialled interventions, in India. Information was identified via database searches, journal hand-searches, reference...
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| description | Tobacco control needs in India are large and complex. Evaluation of outcomes to date has been limited.
To review the extent of tobacco control measures, and the outcomes of associated trialled interventions, in India.
Information was identified via database searches, journal hand-searches, reference and citation searching, and contact with experts. Studies of any population resident in India were included. Studies where outcomes were not yet available, not directly related to tobacco use, or not specific to India, were excluded. Pre-tested proformas were used for data extraction and quality assessment. Studies with reliability concerns were excluded from some aspects of analysis. The Framework Convention on Tobacco Control (FCTC) was use as a framework for synthesis. Heterogeneity limited meta-analysis options. Synthesis was therefore predominantly narrative.
Additional to the Global Tobacco Surveillance System data, 80 studies were identified, 45 without reliability concerns. Most related to education (FCTC Article 12) and tobacco-use cessation (Article 14). They indicated widespread understanding of tobacco-related harm, but less knowledge about specific consequences of use. Healthcare professionals reported low confidence in cessation assistance, in keeping with low levels of training. Training for schoolteachers also appeared suboptimal. Educational and cessation assistance interventions demonstrated positive impact on tobacco use. Studies relating to smoke-free policies (Article 8), tobacco advertisements and availability (Articles 13 and 16) indicated increasingly widespread smoke-free policies, but persistence of high levels of SHS exposure, tobacco promotions and availability-including to minors. Data relating to taxation/pricing and packaging (Articles 6 and 11) were limited. We did not identify any studies of product regulation, alternative employment strategies, or illicit trade (Articles 9, 10, 15 and 17).
Tobacco-use outcomes could be improved by school/community-based and adult education interventions, and cessation assistance, facilitated by training for health professionals and schoolteachers. Additional tobacco control measures should be assessed. |
| doi_str_mv | 10.1371/journal.pone.0122610 |
| format | Article |
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To review the extent of tobacco control measures, and the outcomes of associated trialled interventions, in India.
Information was identified via database searches, journal hand-searches, reference and citation searching, and contact with experts. Studies of any population resident in India were included. Studies where outcomes were not yet available, not directly related to tobacco use, or not specific to India, were excluded. Pre-tested proformas were used for data extraction and quality assessment. Studies with reliability concerns were excluded from some aspects of analysis. The Framework Convention on Tobacco Control (FCTC) was use as a framework for synthesis. Heterogeneity limited meta-analysis options. Synthesis was therefore predominantly narrative.
Additional to the Global Tobacco Surveillance System data, 80 studies were identified, 45 without reliability concerns. Most related to education (FCTC Article 12) and tobacco-use cessation (Article 14). They indicated widespread understanding of tobacco-related harm, but less knowledge about specific consequences of use. Healthcare professionals reported low confidence in cessation assistance, in keeping with low levels of training. Training for schoolteachers also appeared suboptimal. Educational and cessation assistance interventions demonstrated positive impact on tobacco use. Studies relating to smoke-free policies (Article 8), tobacco advertisements and availability (Articles 13 and 16) indicated increasingly widespread smoke-free policies, but persistence of high levels of SHS exposure, tobacco promotions and availability-including to minors. Data relating to taxation/pricing and packaging (Articles 6 and 11) were limited. We did not identify any studies of product regulation, alternative employment strategies, or illicit trade (Articles 9, 10, 15 and 17).
Tobacco-use outcomes could be improved by school/community-based and adult education interventions, and cessation assistance, facilitated by training for health professionals and schoolteachers. Additional tobacco control measures should be assessed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0122610</identifier><identifier>PMID: 25856462</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Adult education ; Advertisements ; Advertising ; Analysis ; Child ; Data quality ; Education ; Employment ; Faculty ; Female ; Five year plans ; Health aspects ; Health care ; Health Knowledge, Attitudes, Practice ; Health Personnel - psychology ; Heterogeneity ; Humans ; India ; Intervention ; Legislation ; Lung Neoplasms - etiology ; Lung Neoplasms - prevention & control ; Male ; Medical personnel ; Middle Aged ; No-smoking policies ; Packaging ; Population studies ; Prevention programs ; Primary care ; Product testing ; Professionals ; Public health ; Quality assessment ; Quality control ; Reliability ; Reliability analysis ; Reliability aspects ; Searching ; Self-propagating synthesis ; Smoke ; Smoke-Free Policy - legislation & jurisprudence ; Smoking bans ; Smoking cessation ; Surveillance ; Systematic review ; Taxation ; Tobacco ; Tobacco industry ; Tobacco Smoke Pollution - adverse effects ; Tobacco Use - adverse effects ; Tobacco Use Cessation - statistics & numerical data ; Training ; Youth smoking</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0122610</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 McKay et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 McKay et al 2015 McKay et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-106bfdd71a3015f1bd8520ec1d544cafe5e41b048aa541164f13948bc687f3d3</citedby><cites>FETCH-LOGICAL-c692t-106bfdd71a3015f1bd8520ec1d544cafe5e41b048aa541164f13948bc687f3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391913/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391913/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25856462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shahab, Lion</contributor><creatorcontrib>McKay, Ailsa J</creatorcontrib><creatorcontrib>Patel, Raju K K</creatorcontrib><creatorcontrib>Majeed, Azeem</creatorcontrib><title>Strategies for tobacco control in India: a systematic review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Tobacco control needs in India are large and complex. Evaluation of outcomes to date has been limited.
To review the extent of tobacco control measures, and the outcomes of associated trialled interventions, in India.
Information was identified via database searches, journal hand-searches, reference and citation searching, and contact with experts. Studies of any population resident in India were included. Studies where outcomes were not yet available, not directly related to tobacco use, or not specific to India, were excluded. Pre-tested proformas were used for data extraction and quality assessment. Studies with reliability concerns were excluded from some aspects of analysis. The Framework Convention on Tobacco Control (FCTC) was use as a framework for synthesis. Heterogeneity limited meta-analysis options. Synthesis was therefore predominantly narrative.
Additional to the Global Tobacco Surveillance System data, 80 studies were identified, 45 without reliability concerns. Most related to education (FCTC Article 12) and tobacco-use cessation (Article 14). They indicated widespread understanding of tobacco-related harm, but less knowledge about specific consequences of use. Healthcare professionals reported low confidence in cessation assistance, in keeping with low levels of training. Training for schoolteachers also appeared suboptimal. Educational and cessation assistance interventions demonstrated positive impact on tobacco use. Studies relating to smoke-free policies (Article 8), tobacco advertisements and availability (Articles 13 and 16) indicated increasingly widespread smoke-free policies, but persistence of high levels of SHS exposure, tobacco promotions and availability-including to minors. Data relating to taxation/pricing and packaging (Articles 6 and 11) were limited. We did not identify any studies of product regulation, alternative employment strategies, or illicit trade (Articles 9, 10, 15 and 17).
Tobacco-use outcomes could be improved by school/community-based and adult education interventions, and cessation assistance, facilitated by training for health professionals and schoolteachers. Additional tobacco control measures should be assessed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult education</subject><subject>Advertisements</subject><subject>Advertising</subject><subject>Analysis</subject><subject>Child</subject><subject>Data quality</subject><subject>Education</subject><subject>Employment</subject><subject>Faculty</subject><subject>Female</subject><subject>Five year plans</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel - psychology</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>India</subject><subject>Intervention</subject><subject>Legislation</subject><subject>Lung Neoplasms - etiology</subject><subject>Lung Neoplasms - prevention & control</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>No-smoking policies</subject><subject>Packaging</subject><subject>Population studies</subject><subject>Prevention programs</subject><subject>Primary care</subject><subject>Product testing</subject><subject>Professionals</subject><subject>Public health</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Reliability</subject><subject>Reliability analysis</subject><subject>Reliability aspects</subject><subject>Searching</subject><subject>Self-propagating synthesis</subject><subject>Smoke</subject><subject>Smoke-Free Policy - legislation & jurisprudence</subject><subject>Smoking bans</subject><subject>Smoking cessation</subject><subject>Surveillance</subject><subject>Systematic review</subject><subject>Taxation</subject><subject>Tobacco</subject><subject>Tobacco industry</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><subject>Tobacco Use - adverse effects</subject><subject>Tobacco Use Cessation - statistics & numerical data</subject><subject>Training</subject><subject>Youth smoking</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkltrFDEUxwdRbK1-A9EBQfRh15wkk5kREUrxslAo2OJryHU3y-xkm2Sq_fZm3WnZkT5IHhJOfud_rkXxEtAcSA0f1n4IvejmW9-bOQKMGaBHxTG0BM8YRuTxwfuoeBbjGqGKNIw9LY5w1VSMMnxcfLpMQSSzdCaW1ocyeSmU8qXyfQq-K11fLnrtxMdSlPE2JrMRyakymBtnfj0vnljRRfNivE-Kq69frs6-z84vvi3OTs9nirU4zQAxabWuQRAElQWpmwojo0BXlCphTWUoSEQbISoKwKgF0tJGKtbUlmhyUrzey247H_lYd-TAaoxaylibicWe0F6s-Ta4jQi33AvH_xp8WHIRct6d4YAlkzW1tFWSSqCyxlpSITQjJoess9bnMdogN0Yrkxshuono9Kd3K770N5ySFlogWeDdKBD89WBi4hsXlek60Rs_7PNmAEB3sd78gz5c3UgtRS7A9dbnuGonyk8pzjNucIUyNX-AykebjcvjNNZl-8Th_cRhN3LzOy3FECNfXP74f_bi55R9e8CujOjSKvpuSM73cQrSPaiCjzEYe99kQHy343fd4Lsd5-OOZ7dXhwO6d7pbavIHHGz1ZQ</recordid><startdate>20150409</startdate><enddate>20150409</enddate><creator>McKay, Ailsa J</creator><creator>Patel, Raju K K</creator><creator>Majeed, Azeem</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7TQ</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DHY</scope><scope>DON</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150409</creationdate><title>Strategies for tobacco control in India: a systematic review</title><author>McKay, Ailsa J ; Patel, Raju K K ; Majeed, Azeem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-106bfdd71a3015f1bd8520ec1d544cafe5e41b048aa541164f13948bc687f3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult education</topic><topic>Advertisements</topic><topic>Advertising</topic><topic>Analysis</topic><topic>Child</topic><topic>Data quality</topic><topic>Education</topic><topic>Employment</topic><topic>Faculty</topic><topic>Female</topic><topic>Five year plans</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Personnel - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McKay, Ailsa J</au><au>Patel, Raju K K</au><au>Majeed, Azeem</au><au>Shahab, Lion</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strategies for tobacco control in India: a systematic review</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-04-09</date><risdate>2015</risdate><volume>10</volume><issue>4</issue><spage>e0122610</spage><pages>e0122610-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Tobacco control needs in India are large and complex. Evaluation of outcomes to date has been limited.
To review the extent of tobacco control measures, and the outcomes of associated trialled interventions, in India.
Information was identified via database searches, journal hand-searches, reference and citation searching, and contact with experts. Studies of any population resident in India were included. Studies where outcomes were not yet available, not directly related to tobacco use, or not specific to India, were excluded. Pre-tested proformas were used for data extraction and quality assessment. Studies with reliability concerns were excluded from some aspects of analysis. The Framework Convention on Tobacco Control (FCTC) was use as a framework for synthesis. Heterogeneity limited meta-analysis options. Synthesis was therefore predominantly narrative.
Additional to the Global Tobacco Surveillance System data, 80 studies were identified, 45 without reliability concerns. Most related to education (FCTC Article 12) and tobacco-use cessation (Article 14). They indicated widespread understanding of tobacco-related harm, but less knowledge about specific consequences of use. Healthcare professionals reported low confidence in cessation assistance, in keeping with low levels of training. Training for schoolteachers also appeared suboptimal. Educational and cessation assistance interventions demonstrated positive impact on tobacco use. Studies relating to smoke-free policies (Article 8), tobacco advertisements and availability (Articles 13 and 16) indicated increasingly widespread smoke-free policies, but persistence of high levels of SHS exposure, tobacco promotions and availability-including to minors. Data relating to taxation/pricing and packaging (Articles 6 and 11) were limited. We did not identify any studies of product regulation, alternative employment strategies, or illicit trade (Articles 9, 10, 15 and 17).
Tobacco-use outcomes could be improved by school/community-based and adult education interventions, and cessation assistance, facilitated by training for health professionals and schoolteachers. Additional tobacco control measures should be assessed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25856462</pmid><doi>10.1371/journal.pone.0122610</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-04, Vol.10 (4), p.e0122610 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1672094669 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; PAIS Index; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Adult education Advertisements Advertising Analysis Child Data quality Education Employment Faculty Female Five year plans Health aspects Health care Health Knowledge, Attitudes, Practice Health Personnel - psychology Heterogeneity Humans India Intervention Legislation Lung Neoplasms - etiology Lung Neoplasms - prevention & control Male Medical personnel Middle Aged No-smoking policies Packaging Population studies Prevention programs Primary care Product testing Professionals Public health Quality assessment Quality control Reliability Reliability analysis Reliability aspects Searching Self-propagating synthesis Smoke Smoke-Free Policy - legislation & jurisprudence Smoking bans Smoking cessation Surveillance Systematic review Taxation Tobacco Tobacco industry Tobacco Smoke Pollution - adverse effects Tobacco Use - adverse effects Tobacco Use Cessation - statistics & numerical data Training Youth smoking |
| title | Strategies for tobacco control in India: a systematic review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T19%3A18%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Strategies%20for%20tobacco%20control%20in%20India:%20a%20systematic%20review&rft.jtitle=PloS%20one&rft.au=McKay,%20Ailsa%20J&rft.date=2015-04-09&rft.volume=10&rft.issue=4&rft.spage=e0122610&rft.pages=e0122610-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0122610&rft_dat=%3Cgale_plos_%3EA429328250%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1672094669&rft_id=info:pmid/25856462&rft_galeid=A429328250&rft_doaj_id=oai_doaj_org_article_12b6b74f49cb4b14b72db4aad63e8bc7&rfr_iscdi=true |