LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India
Introduction The youth are a vulnerable populationgroup for tobacco-related harms. Schools are an excellent setting for health promotion; yet there is a dearth of schoolbased cessation interventions, rarely evaluated for their impact. Here, we assess the impact of the LifeFirst program: an ongoing t...
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doaj-aa101b50246a48db995f49918e6d8e042021-06-14T12:15:43ZengEuropean PublishingPopulation Medicine2654-14592021-05-013May1910.18332/popmed/134990134990LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, IndiaUpendra Bhojani0Amiti Varma1Pragati B. Hebbar2Gauri Mandal3Himanshu Gupte4Cluster on Chronic Health Conditions & Public Policy, Institute of Public Health, Bengaluru, IndiaCluster on Chronic Health Conditions & Public Policy, Institute of Public Health, Bengaluru, IndiaCluster on Chronic Health Conditions & Public Policy, Institute of Public Health, Bengaluru, IndiaSalaam Bombay Foundation, Mumbai, IndiaNarotam Sekhsaria Foundation, Mumbai, IndiaIntroduction The youth are a vulnerable populationgroup for tobacco-related harms. Schools are an excellent setting for health promotion; yet there is a dearth of schoolbased cessation interventions, rarely evaluated for their impact. Here, we assess the impact of the LifeFirst program: an ongoing tobacco and supari (areca nut) cessation intervention delivered to students from corporation schools in Mumbai city. Methods We used a prospective quasi-experimental design with an intervention and a control arm embedded within an ongoing LifeFirst program in select schools. We used a difference-in-difference analysis with baseline and endline surveys to assess the program’s impact on students’ knowledge about harms, students’ refusal skills, and prevalence of tobacco/supari use. We report our work using the TREND statement checklist. Results A total of 959 students registered in the LifeFirst program. In our analysis, we included 827 students who completed both the baseline and end-line surveys. Postintervention, we found both tobacco and supari use reduced substantially among the intervention group while tobacco use increased among the control group. The difference-indifference estimates show a statistically significant reduction of 17.9 and 38.1 percentage points in the intervention group for tobacco and supari use respectively, beyond the reduction in the control group. Conclusions The LifeFirst program was successful in reducing tobacco and supari use among the study participants and protected students in the intervention group against new uptake of tobacco. It helped improve knowledge score and refusal skills among students. Implementation and evaluation of similar school-based programs should be considered as part of a multi-strategy approach to reducing tobacco use among young people.http://www.populationmedicine.eu/LifeFirst-Impact-of-a-school-based-tobacco-and-supari-cessation-intervention-among,134990,0,2.htmlschool-based interventionyouthtobaccosuparicessationindia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Upendra Bhojani Amiti Varma Pragati B. Hebbar Gauri Mandal Himanshu Gupte |
spellingShingle |
Upendra Bhojani Amiti Varma Pragati B. Hebbar Gauri Mandal Himanshu Gupte LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India Population Medicine school-based intervention youth tobacco supari cessation india |
author_facet |
Upendra Bhojani Amiti Varma Pragati B. Hebbar Gauri Mandal Himanshu Gupte |
author_sort |
Upendra Bhojani |
title |
LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India |
title_short |
LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India |
title_full |
LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India |
title_fullStr |
LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India |
title_full_unstemmed |
LifeFirst: Impact of a school-based tobacco and supari cessation intervention among adolescent students in Mumbai, India |
title_sort |
lifefirst: impact of a school-based tobacco and supari cessation intervention among adolescent students in mumbai, india |
publisher |
European Publishing |
series |
Population Medicine |
issn |
2654-1459 |
publishDate |
2021-05-01 |
description |
Introduction
The youth are a vulnerable populationgroup
for tobacco-related harms. Schools are an excellent
setting for health promotion; yet there is a dearth of schoolbased
cessation interventions, rarely evaluated for their
impact. Here, we assess the impact of the LifeFirst program:
an ongoing tobacco and supari (areca nut) cessation
intervention delivered to students from corporation schools
in Mumbai city.
Methods
We used a prospective quasi-experimental design
with an intervention and a control arm embedded within
an ongoing LifeFirst program in select schools. We used a
difference-in-difference analysis with baseline and endline
surveys to assess the program’s impact on students’
knowledge about harms, students’ refusal skills, and
prevalence of tobacco/supari use. We report our work using
the TREND statement checklist.
Results
A total of 959 students registered in the LifeFirst
program. In our analysis, we included 827 students who
completed both the baseline and end-line surveys. Postintervention,
we found both tobacco and supari use reduced
substantially among the intervention group while tobacco
use increased among the control group. The difference-indifference
estimates show a statistically significant reduction
of 17.9 and 38.1 percentage points in the intervention group
for tobacco and supari use respectively, beyond the reduction
in the control group.
Conclusions
The LifeFirst program was successful
in reducing tobacco and supari use among the study
participants and protected students in the intervention group
against new uptake of tobacco. It helped improve knowledge
score and refusal skills among students. Implementation
and evaluation of similar school-based programs should be
considered as part of a multi-strategy approach to reducing
tobacco use among young people. |
topic |
school-based intervention youth tobacco supari cessation india |
url |
http://www.populationmedicine.eu/LifeFirst-Impact-of-a-school-based-tobacco-and-supari-cessation-intervention-among,134990,0,2.html |
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