Influence of movies, television, and newspapers on tobacco use among men and women in India

Indian women and men who see movies in a cinema once a month are more likely to smoke or chew tobacco, and men who watch television are more likely to smoke, according to a cross-sectional survey of national data. Reading newspapers was associated with decreased likelihood of smoking among women.

The research, “Movies and TV Influence Tobacco Use in India: Findings from a National Survey,” was conducted by K. Viswanath, PhD, and colleagues Leland K. Ackerson, Glorian Sorensen, and Prakash C. Gupta. Their work was supported by the Tobacco Research Network on Disparities (TReND), which is funded by the American Legacy Foundation and the National Cancer Institute. Support was also provided by the Dana-Farber/Harvard Cancer Center.

The article was published on June 29, 2010 by PLOS One and can be freely read and downloaded at:

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0011365

The study offers a promising model for other researchers to investigate the influence of media on tobacco use in developing countries. Mass media has the power to either encourage or discourage tobacco use. The authors sought to understand how visual, audio, and print media influence men and women in India. They speculated that “…different media genres are more likely to be receptive to pro-tobacco content given the heavy promotion of tobacco use in advertising and incidence of smoking in movies….Newspapers on the other hand do carry tobacco advertising but are also likely to carry stories on harmful effects of smoking.”

India is the second largest tobacco consumer in the world. Tobacco is smoked in bidis, which are thin, hand-rolled cigarettes; in cigars; and in pipes. Tradition commonly forbids women from smoking, but chewing tobacco is an acceptable, inexpensive and convenient alternative among both women and men, often in response to India’s national smoking bans. Tobacco is often chewed in paan masala and ghutka, which are mixtures of chewing tobacco, areca nut, slaked lime, and other flavorings, and chewing tobacco is being aggressively marketed by the tobacco industry.

The study analyzed data from the National Family Health Survey, a nationally representative sample of nearly 125,000 women and 75,000 men. Participants were asked about tobacco use and frequency of exposure to newspapers, radio, television, and movies in cinemas. Among women, 1.5% smoked and 8.4% chewed tobacco; 33.6% of men smoked and 36.4% of men chewed. Smoking was more common among women who attended the cinema monthly, and occasional newspaper reading was associated with lower smoking prevalence among women. Smoking was more common among men who watched television daily and who attend the cinema monthly.

The authors conclude that “exposure to pro-tobacco content in television and cinema may promote tobacco use among men and women in India. This suggests clear directions for actions to curb pro-tobacco messages in these media could serve to reduce the use of tobacco and subsequent tobacco-related illnesses in India.”

Read the original article online:

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0011365

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