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SMOKING
Sinha DN,
Gupta PC, Warren CW, Asma S. School policy and tobacco use by students in Bihar,
India. Indian J Public Health. 48(3),118-22, 2004.
The
association between school tobacco policies and tobacco use prevalence among
students were examined. A two stage cluster sample design with probability
proportional to the enrolment in grades VIII-X was used. Comparison was made
between schools with a tobacco policy (Federal schools) and schools without a
policy (State schools). Stratified probability samples of 50 schools each were
selected. SUDAAN and the C-sample procedure in Epi-Info was used for statistical
analysis. Students from State schools (without tobacco policy) reported
significantly higher ever and current any tobacco use, current smokeless tobacco
use and current smoking compared to Federal schools (with tobacco policy) both
in rural and urban areas. Classroom teaching on the harmful effects of tobacco
was significantly higher (17-24 times) in Federal schools than State schools
both in rural and urban areas. Parental tobacco use was similar for students in
Federal and State schools. Students attending state schools were more likely
than students attending Federal schools to have friends who smoke or chew
tobacco. These findings suggest that the wider introduction of comprehensive
school policies may help to reduce adolescent tobacco use.
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