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Abstract
Objectives: To explore the potential role of the work context associated with tobacco use patterns among manufacturing workers in India Methods: We used cross-sectional survey data from the Mumbai Worksite Tobacco Control Study. Workers from manufacturing worksites in the greater Mumbai region were surveyed from 20 worksites that were recruited between July 2012 and July 2013 on rolling basis for a randomized controlled trial. Results: A total of 6880 workers out of 7633 that employed in 20 manufacturing worksites were surveyed. Current tobacco use was higher among production (23.5%) than non-production (19.2%) workers. In contrast, past tobacco use was somewhat lower among production (6.2%) than non-production (8.4%) workers. Production workers who used smokeless tobacco were twice as likely to report their workplaces did not have a policy or rule prohibiting tobacco use as compared to smokers or non-tobacco users. The prevalence of past tobacco use - compared to current use - was associated with workers’ education, economic index and number of co-workers using tobacco. Conclusions: The current study underscores the important role of co-workers and worksite tobacco control policies (that cover both smoking and smokeless forms) to support reductions in tobacco use among manufacturing workers.
Highlights
Tobacco use is one of the most important preventable causes of death and disease globally
The current study underscores the important role of co-workers and worksite tobacco control policies to support reductions in tobacco use among manufacturing workers
This paper describes the patterns of tobacco use among these workers, and examines factors that may be associated with workers’ current and/or past tobacco use
Summary
Tobacco use is one of the most important preventable causes of death and disease globally. Tobacco kills nearly 6 million people each year globally [1] of those around 5.4 million are a direct result of tobacco use while around 0.6 million are a result of exposure to second-hand smoke. Unless urgent action is taken, the annual global death toll could rise to more than 8 million by 2030. India, being the second most populous country in the world with over one third of the population using tobacco, [2] makes significant contributions to the global burden of disease attributable to tobacco [3,4,5,6]. Tobacco use annually kills over one million Indians [3]. Quitting is not a common practice in India due to a lack of widely available cessation support resources and few social norms to support quitting [2,4,7,8,9,10,11,12,13,14]
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