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Tob Control. 2017 Mar;26(2):210-216. doi: 10.1136/tobaccocontrol-2015-052671. Epub 2016 Feb 16.

Effects of a worksite tobacco control intervention in India: the Mumbai worksite tobacco control study, a cluster-randomised trial.

Author information

1
Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
2
Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
3
Healis-Sekhsaria Institute for Public Health, Navi Mumbai, India.
4
Statistical Consultant, Pelham, Massachusetts, USA.
5
New England Research Institutes, Watertown, Massachusetts, USA.

Abstract

OBJECTIVES:

We assessed a worksite intervention designed to promote tobacco control among workers in the manufacturing sector in Greater Mumbai, India.

METHODS:

We used a cluster-randomised design to test an integrated health promotion/health protection intervention, the Healthy, Safe, and Tobacco-free Worksites programme. Between July 2012 and July 2013, we recruited 20 worksites on a rolling basis and randomly assigned them to intervention or delayed-intervention control conditions. The follow-up survey was conducted between December 2013 and November 2014.

RESULTS:

The difference in 30-day quit rates between intervention and control conditions was statistically significant for production workers (OR=2.25, p=0.03), although not for the overall sample (OR=1.70; p=0.12). The intervention resulted in a doubling of the 6-month cessation rates among workers in the intervention worksites compared to those in the control, for production workers (OR=2.29; p=0.07) and for the overall sample (OR=1.81; p=0.13), but the difference did not reach statistical significance.

CONCLUSIONS:

These findings demonstrate the potential impact of a tobacco control intervention that combined tobacco control and health protection programming within Indian manufacturing worksites.

TRIAL REGISTRATION NUMBER:

NCT01841879.

KEYWORDS:

Cessation; Disparities; Global health; Low/Middle income country; Socioeconomic status

[Indexed for MEDLINE]
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