movies and tv influence tobacco use in india findings from a national survey电影和电视影响烟草使用在印度一项全国性调查的结果.pdfVIP

Movies and TV Influence Tobacco Use in India: Findings from a National Survey 1,2 3 1,2 4 K. Viswanath *, Leland K. Ackerson , Glorian Sorensen , Prakash C. Gupta 1 Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, Massachusetts, United States of America, 2 Center for Community- Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, United States of America, 3 Department of Community Health and Sustainability, University of Massachusetts Lowell, Lowell, Massachusetts, United States of America, 4 Healis-Sekhsaria Institute for Public Health, Navi Mumbai, India Abstract Background: Exposure to mass media may impact the use of tobacco, a major source of illness and death in India. The objective is to test the association of self-reported tobacco smoking and chewing with frequency of use of four types of mass media: newspapers, radio, television, and movies. Methodology/Principal Findings: We analyzed data from a sex-stratified nationally-representative cross-sectional survey of 123,768 women and 74,068 men in India. All models controlled for wealth, education, caste, occupation, urbanicity, religion, marital status, and age. In fully-adjusted models, monthly cinema attendance is associated with increased smoking among women (relative risk [RR]: 1 ?55; 95% confidence interval [CI]: 1?04–2?31) and men (RR: 1?17; 95% CI: 1?12–1?23) and increased tobacco chewing among men (RR: 1 ?15; 95% CI: 1?11–1?20). Daily television and radio use is associated with higher likelihood of tobacco chewing among men and women, while daily newspaper use is related to lower likelihood of tobacco chewing among women. Conclusion/Significance: In India, exposure to visual mass