RT Journal Article
SR Electronic
T1 Compliance with point-of-sale tobacco control policies and student tobacco use in Mumbai, India
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP tobaccocontrol-2018-054290
DO 10.1136/tobaccocontrol-2018-054290
A1 Ritesh Mistry
A1 Mangesh S Pednekar
A1 William J McCarthy
A1 Ken Resnicow
A1 Sharmila A Pimple
A1 Hsing-Fang Hsieh
A1 Gauravi A Mishra
A1 Prakash C Gupta
YR 2018
UL http://tobaccocontrol.bmj.com/content/early/2018/05/09/tobaccocontrol-2018-054290.abstract
AB Background We measured how student tobacco use and psychological risk factors (intention to use and perceived ease of access to tobacco products) were associated with tobacco vendor compliance with India’s Cigarettes and Other Tobacco Products Act provisions regulating the point-of-sale (POS) environment.Methods We conducted a population-based cross-sectional survey of high school students (n=1373) and tobacco vendors (n=436) in school-adjacent communities (n=26) in Mumbai, India. We used in-class self-administered questionnaires of high school students, face-to-face interviews with tobacco vendors and compliance checks of tobacco POS environments. Logistic regression models with adjustments for clustering were used to measure associations between student tobacco use, psychological risk factors and tobacco POS compliance.Results Compliance with POS laws was low overall and was associated with lower risk of student current tobacco use (OR 0.48, 95% CI 0.26 to 0.91) and current smokeless tobacco use (OR 0.40, 95% CI 0.21 to 0.77), when controlling for student-level and community-level tobacco use risk factors. Compliance was not associated with student intention to use tobacco (OR 0.50; 95% CI 0.21 to 1.18) and perceived ease of access to tobacco (OR 0.73; 95% CI 0.53 to 1.00).Conclusions Improving vendor compliance with tobacco POS laws may reduce student tobacco use. Future studies should test strategies to improve compliance with tobacco POS laws, particularly in low-income and middle-income country settings like urban India.