- Volume 13 Issue 2
DOI QR Code
An integrated Approach to Worksite Tobacco Use Prevention and Oral Cancer Screening Among Factory Workers in Mumbai, india
- Pimple, Sharmila (Department of Preventive Oncology, Tata Memorial Hospital) ;
- Pednekar, Mangesh (Healis, Sekhsaria Institute for Public Health) ;
- Majmudar, Parishi (Department of Preventive Oncology, Tata Memorial Hospital) ;
- Ingole, Nilesh (Department of Preventive Oncology, Tata Memorial Hospital) ;
- Goswami, Savita (Psychiatric Unit, Tata Memorial Hospital) ;
- Shastri, Surendra (Department of Preventive Oncology, Tata Memorial Hospital)
- Published : 2012.02.29
Background: Tobacco control and cessation interventions are among the most cost effective medical interventions but health systems in low resource countries lack the infrastructure to promote prevention and cessation among tobacco users. Workplace settings have the potential to provide opportunities and access for tobacco prevention interventions. Methods: This is a single group study evaluating tobacco use prevention and cessation through a structured three stage intervention program for tobacco users comprising education on harmful effects of tobacco, oral cancer screening and behavior therapy for tobacco cessation at the worksite. Results: All the 739 workers who were invited participated in tobacco awareness program and were screened for oral pre cancer lesions. 291 (39.4%) workers were found to be users of tobacco in some form. Education, gender and alcohol use (p<0.0001) were some of the factors associated with tobacco user status. The prevalence of clinical oral precancer lesions among tobacco users was 21.6%. Alcohol consumption (p<0.001), the type of tobacco consumed (p<0.018), personal medical history of chronic diseases (p<0.007) and combined use of alcohol and tobacco (p<0.001) were some factors found to be associated with presence of oral pre cancer lesions. Conclusion: An integrated approach for worksite based tobacco use prevention with oral cancer screening program showed good acceptance and participation and was effective in addressing the problem of tobacco consumption among the factory workers.
- Blot, WJ (1992). Alcohol and cancer. Cancer Res, 52, 2119-23.
- Cahill K, Moher M, Lancaster T (2008). Workplace Interventions for Smoking cessation. Cochrane Database Syst Rev, 4:CD003440.
- Chung CH, Yang YH, Wang TY, et al (2005). Oral precancerous disorders associated with areca quid chewing, smoking, and alcohol drinking in southern Taiwan; J Oral Pathol Med, 8, 460-6.
- Dikshit R, Kanhere S (2000). Tobacco habits and risk of lung, oropharyngeal and oral cavity cancer: a population-based case-control study in Bhopal, India. Int J Epidemiol, 29, 609-14. https://doi.org/10.1093/ije/29.4.609
- Fiore MC, Bailey WC, Cohen SJ (2000). Treating Tobacco Use and Dependence, Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
- G Smedslund, K J Fisher, S M Boles, E Lichtenstein (2004). The effectiveness of workplace smoking cessation programmes: a meta-analysis of recent studies. Tobacco Control, 13, 197-04 . https://doi.org/10.1136/tc.2002.002915
- Global Adult Tobacco Survey , GATS India 2009 -2010, Ministry of Health and Family Welfare, Government of India.
- Gupta PC (1996). Survey of sociodemographic characteristics of tobacco use among 99,598 individuals in Bombay, India using handheld computers. Tobacco Control , 5, 114-20. https://doi.org/10.1136/tc.5.2.114
- Gupta PC, Maulik PK, Pednekar MS, Saxena S (2005 ). Concurrent alcohol and tobacco use among a middle-aged and elderly population in Mumbai. Natl Med J India, 2, 88-91.
- Gupta R (2006 ). Smoking, educational status and health inequity in India. Indian J Med Res, 124, 15-22.
- Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991). The Fagerstrom Test for Nictoine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. Br J Addictions, 86, 1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
- Intergovernmental Negotiating Body on the WHO Framework Convention on Tobacco Control (2003). Geneva. WHO, A/FCTC/INB6/5.
- Mathers CD, Loncar D ( 2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Medicine, 3, 442-?. https://doi.org/10.1371/journal.pmed.0030442
- Mathew B, Sankaranarayanan R, Sunilkumar KB, et al (1997). Reproducibility and validity of oral visual inspection by trained health workers in the detection of oral precancer and cancer. Br J Cancer, 76, 390-4. https://doi.org/10.1038/bjc.1997.396
- Mehta FS, Gupta PC, Bhonsle RB Murti PR, et al (1986). Detection of oral cancer using basic health workers in an area of high oral cancer incidence in India. Cancer Detect Prev, 9, 219-25.
- Ministry of Health and Family Welfare (2001). Burden of Diseases Due to Tobacco Use. Report of the expert committee on the economics of tobacco use. Ministry of Health & Family Welfare, Government of India, New Delhi, 9-19.
- Murray CJL, Lopez AD ( 1997). Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study. Lancet, 349, 1498-04. https://doi.org/10.1016/S0140-6736(96)07492-2
- Patten, Martin, Owen (1996). Can psychiatric and chemical dependency treatment units be smoke free? J Subst Abuse Treat, 13, 107-18. https://doi.org/10.1016/0740-5472(96)00040-2
- Pednekar MS, Sansone G, Gupta PC ( 2011). Association of alcohol, alcohol and tobacco with mortality:findings from a prospective cohort study in Mumbai , India. Alcohol, 10, 1-8.
- Peto R, et al (1992). Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet, 339, 1268-78. https://doi.org/10.1016/0140-6736(92)91600-D
- Peto R, et al (1996). Mortality from smoking worldwide. British Medical Bulletin, 52, 12-21. https://doi.org/10.1093/oxfordjournals.bmb.a011519
- Prochaska JO, Diclemente CC (1983) . Stages and process of self-change smoking: Toward an integrative model of change. J Consulting and Clinical Psychology, 51, 390-95. https://doi.org/10.1037/0022-006X.51.3.390
- Rani M, Bonu S, Jha P, et al ( 2003). Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tobacco Control, 12, ?-?.
- Rooban T, Rao A, Joshua E, Ranganathan K (2009). The prevalence of oral mucosal lesions in alcohol misusers in Chennai, south India. Indian J Dent Res, 20, 41-6. https://doi.org/10.4103/0970-9290.49064
- Sorensen G, Gupta PC, Pednekar MS (2005). Social disparities in tobacco use in Mumbai, India: the roles of occupation, education, and gender. Am J Public Health, 95, 1003-8. https://doi.org/10.2105/AJPH.2004.045039
- Stead LF, Lancaster T (2005). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews. CD001007.
- Subramanian SV, Nandy S, Kelly M, et al (2004). Patterns and distribution of tobacco consumption in India: cross sectional multilevel evidence from the 1998-9 national family health survey, Primary care. BMJ, 328, 801-6. https://doi.org/10.1136/bmj.328.7443.801
- Thomas G, Hashibe M, Jacob BJ, et al (2003). Risk factors for multiple oral premalignant lesions. Int J Cancer, 107, 285-91. https://doi.org/10.1002/ijc.11383
- Tobacco Free Initiative. Updated Status of the WHO Framework Convention on Tobacco Control. Available from URL: http://www. who.int/tobacco/framework/signing_ceremony/ country/list/en/(accessed on 14 August 2011)..
- Vora AR, Yeoman CM, Hayter JP ( 1997). Alcohol, tobacco and paan use and understanding of oral cancer risk among Asian men in Leicester. Br Dental J, 188, 441-51.
- Warnakulasuriya KAAS, Ekanayake ANI, Sivayoham S, Stjernsward J, Pindborg JJ et al (1984). Utilization of primary care workers for early detection of oral cancer and precancer cases in Sri Lanka. Bull WHO, 62, 243-50.
- Warnakulasuriya KAAS, Nanayakkara BG (1991). Reproducibility of an oral cancer and precancer detection program using a primary health care model in Sri Lanka. Cancer Detect Prev, 15, 331-4.
- Warnakulasuriya S, Kashyap R, Dasanayake AP ( 2010). Is workplace screening for potentially malignant oral disorders feasible in India? J Oral Pathol Med, 390, 672-6.
- World Health Organisation (1994). International Statistical Classification of Diseases and Related Health Problems; 10th edn. Geneva.
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