Adoption and implementation of tobacco control policies in schools in India: Results of the Bihar school teachers study

N. Mathur, M. S. Pednekar, G. S. Sorensen, E. M. Nagler, A. M. Stoddard, H. A. Lando, M. B. Aghi, D. N. Sinha, P. C. Gupta

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Implementation of no tobacco policies in schools is associated with lower tobacco use among teachers and students. In this study we assessed the extent that a school-based intervention for teachers resulted in adoption and implementation of tobacco control policies. From a random sample of government schools (8th-10th), 72 were randomized into intervention and control conditions. Intervention included health education programs for teachers and support for tobacco control policy implementation. Adoption and implementation of policies were assessed at baseline and immediately after intervention. All 36 intervention and one control school adopted a tobacco-control policy. Higher enforcement of tobacco-control policy was at post intervention (OR=3.26; CI: 2.35, 4.54) compared to baseline in intervention schools. Some 64% of intervention and 28% control schools showed "improvement" in policy implementation. Adoption and implementation of no tobacco policies was positively impacted by intervention. This study provides support for scaling up of school-based tobacco control interventions to promote school tobacco control policies.

Original languageEnglish (US)
Pages (from-to)2821-2826
Number of pages6
JournalAsian Pacific Journal of Cancer Prevention
Volume17
Issue number6
StatePublished - 2016

Keywords

  • Adoption
  • Implementation
  • India
  • Intervention
  • Schools
  • Tobacco policy

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