Prevalence and Determinants of Tobacco use among Restaurant employees following comprehensive smoking ban in restaurants in Mumbai, India.

Pimple Sharmila A.; Mishra Gauravi A.; Majmudar Parishi V.

Volume : VII, Issue : VII, July - 2018

Prevalence and Determinants of Tobacco use among Restaurant employees following comprehensive smoking ban in restaurants in Mumbai, India.

Pimple Sharmila A. , Mishra Gauravi A. , Majmudar Parishi V.

Abstract :

Background: India introduced ban on smoking in public places including restaurants in 2008. While there is strong support for anti–smoking policies in restaurants the personal behavior practices of restaurant employees also demands that they too should not smoke or use tobacco where food products are handled.

Aims: The current study determines the extent of tobacco use and its addiction among restaurant employees in Mumbai .

Settings and Design:

A community based cross–sectional survey was conducted among the restaurant workers in Mumbai, India between September 2012–January 2013. Representative random sample of 26 restaurants from two randomly selected administrative wards in Mumbai was undertaken through two stage sampling.

Methods and Material:

Socio demographic information of restaurant workers along with tobacco use were collected by pretested questionnaire .Nicotine dependence was measured using the Fagerstr�m Test score.

Statistical analysis : Bivariate analysis with logistic regression were conducted to assess the presence and strength of association between the independent variables and tobacco use status.

Resultsand Conclusions: Total 210 restaurant employees from 26 restaurants were surveyed for tobacco use.116(55.2%) were found to be current tobacco users in some form. Smokeless tobacco use was predominant (63.7%)and nearly 57.8 had medium to high Fagerstrom addiction score. Regression analysis showed Illiteracy (OR=0.5, CI 0.28, 0.96; P=0.03), Religion (OR= 2.57, CI 1.55, 5.77; P=0.022), Marital status (OR=0.51, CI 0.26, 1.01; P =0.05 ) were associated with tobacco use after controlling for age.The study findings calls for targeted tobacco prevention and cessation efforts among restaurant workers to supplement effective antismoking regulation in place.