Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Dec;13(3):146-53.
doi: 10.4103/0019-5278.58919.

Workplace tobacco cessation program in India: A success story

Gauravi A Mishra  1 , Parishi V Majmudar, Subhadra D Gupta, Pallavi S Rane, Pallavi A Uplap, Surendra S Shastri
Affiliations

Workplace tobacco cessation program in India: A success story

Gauravi A Mishra et al. Indian J Occup Environ Med. 2009 Dec.

Abstract

Context: This paper describes the follow-up interventions and results of the work place tobacco cessation study.

Aims: To assess the tobacco quit rates among employees, through self report history, and validate it with rapid urine cotinine test; compare post-intervention KAP regarding tobacco consumption with the pre-intervention responses and assess the tobacco consumption pattern among contract employees and provide assistance to encourage quitting.

Settings and design: This is a cohort study implemented in a chemical industry in rural Maharashtra, India.

Materials and methods: All employees (104) were interviewed and screened for oral neoplasia. Active intervention in the form of awareness lectures, focus group discussions and if needed, pharmacotherapy was offered. Medical staff from the industrial medical unit and from a local referral hospital was trained. Awareness programs were arranged for the family members and contract employees.

Statistical analysis used: Non-parametric statistical techniques and kappa.

Results: Forty eight per cent employees consumed tobacco. The tobacco quit rates increased with each follow-up intervention session and reached 40% at the end of one year. There was 96% agreement between self report tobacco history and results of rapid urine cotinine test. The post-intervention KAP showed considerable improvement over the pre-intervention KAP. 56% of contract employees used tobacco and 55% among them had oral pre-cancerous lesions.

Conclusions: A positive atmosphere towards tobacco quitting and positive peer pressure assisting each other in tobacco cessation was remarkably noted on the entire industrial campus. A comprehensive model workplace tobacco cessation program has been established, which can be replicated elsewhere.

Keywords: Contract employees; focus group discussions; tobacco cessation; urine cotinine; workplace.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Awareness lectures for contract employees
Figure 2
Figure 2
Comparison of pre-intervention and the post-intervention knowledge, attitude and practices among employees
Figure 3
Figure 3
The different forms of tobacco usage among contract employees
Figure 4
Figure 4
Pre-intervention knowledge, attitude and practices among the contract employees
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Bhonsle RB, Murti PR, Gupta PC. Tobacco habits in India. In: Gupta PC, Hamner JE, Murty PR, editors. Control of tobacco-related cancers and other diseases. Proceedings of an International Symposium, 15-19 January 1990. Mumbai: TIFR, Oxford University Press; 1992. pp. 25–46.
    1. Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L. Tobacco use in India: Prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tob Control. 2003;12:e4. - PMC - PubMed
    1. Kishore J. National Health Programs of India. 5th ed. 2005. National Cancer Control Program; p. 239.
    1. Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG, Gritz FR. Treating tobacco use and dependence: Clinical practice guideline. Rockville, MD: US Department of Health and Human Services, Public Health Service; 2000.
    1. Hughes JR, Gulliver SB, Fenwick JW, Valliere WA, Cruser K, Pepper S, et al. Smoking cessation among self-quitters. Health Psychol. 1992;11:331–4. - PubMed