DOI QR코드

DOI QR Code

Integration of Tobacco Control in Masters of Public Health Curricula of India

  • Published : 2014.07.30

Abstract

Context: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India. Aims: The present study analyzed the extent of integration of tobacco control related content in Masters of Public Health (MPH) curricula of various institutes in India. Materials and Methods: This cross-sectional study was conducted during January 2011 to May 2011 in all colleges of the country offering a MPH course. The colleges were enlisted using various internet search engines (Google Scholar, Pubmed, Medline), other published literature and snowball technique. A 50 items semi-structured questionnaire was designed, posted and e-mailed (followed by hard copy) to the Person-In-Charge of the MPH program. Statistical Analysis: Descriptive statistics were used to profile the tobacco control content in respective institutions. All data entry and analysis was conducted using SPSS (version 16) for windows. Results: The duration of the MPH course was two years in all institutes and had accreditation with some affiliated body. Tobacco related diseases were covered under 'non communicable diseases' section by every institute. However, a mere 41.4% of institute's had faculty who had received specialized training in tobacco control. More coverage was given to health risks and effects of smoking as compared to cessation interventions (5 A's), symptoms of withdrawal and pharmacological treatments. Only 25% of institutes were in process of introducing tobacco courses into their curricula. Lack of expertise and administrative barriers were cited as perceived major problems in inclusion of tobacco control in MPH curricula. Conclusions: It can be concluded that tobacco control is not receiving adequate attention in public health curricula in India. There is a need for coordinated efforts in the area of tobacco control so as to reduce morbidity and mortality from tobacco induced diseases.

Keywords

References

  1. Binnal A, Rajesh G, Denny C, Ahmed J (2012). Insights into the tobacco cessation scenario among dental graduates: An Indian perspective. Asian Pac J Cancer Prev, 13, 2611-7. https://doi.org/10.7314/APJCP.2012.13.6.2611
  2. Cummings KM, Giovino G, Sciandra R, et al (1987). Physician advice to quit smoking: who gets it and who doesn't. Am J Prev Med, 3, 69-75.
  3. Central Board of Secondary Education (2005). National Adolescence Education Programme. Ministry of Human Resource Development, Govt. of India 2005.
  4. Ferry LH, Grissino LM, Runfola PS (1999). Tobacco dependence curricula in US undergraduate medical education. JAMA, 282, 825-9. https://doi.org/10.1001/jama.282.9.825
  5. Goel S, Ravindra K, Singh RJ, Sharma D (2014). Effective smoke-free policies in achieving a high level of compliance with smoke-free law: experiences from a district of North India. Tob Control, 23, 291-4. https://doi.org/10.1136/tobaccocontrol-2012-050673
  6. GTSS Collaborative Group (2006). Tobacco use and cessation counselling: Global Health Professionals Survey Pilot Study, 10 countries, 2005. Tob Control, 15, 31-4.
  7. Halawany HS, Jacob V, Abraham NB, Al- Maflehi N (2013). Oral cancer awareness and perception of tobacco use cessation counseling among dental students in four Asian countries. Asian Pac J Cancer Prev, 14, 3619-23. https://doi.org/10.7314/APJCP.2013.14.6.3619
  8. Health services and medical education: A programme for immediate action, (Srivastava Committee Report, 1975); Ministry of Health and Family Planning. Govt. of India 1975.
  9. International Institute of Population Sciences (IIPS), Macro International (2007). National Family Health Survey (NFHS- 3), 2005-06: India:1-2. Mumbai IIPS; 2007.
  10. Jha P, Jacob B, Gajalakshmi V, et al (2008). A nationally representative case-control study of smoking and death in India. N Engl J Med, 358, 1137-47. https://doi.org/10.1056/NEJMsa0707719
  11. Khan AA, Dey S, Taha AH, et al (2012). Attitudes of Cairo University medical students toward smoking: the need for tobacco control programs in medical education. J Egypt Public Health Assoc, 87, 1-7. https://doi.org/10.1097/01.EPX.0000411467.14763.0b
  12. Kumar R, Goel S, Harries AD, et al (2014). How good is compliance with smoke-free legislation in India? Results of 38 subnational surveys. Int Health, [Epub ahead of print].
  13. Negandhi H, Sharma K, Zodpey SP (2010). How can departments of community medicine shape the future of public health education in India? Indian J Public Health, 54, 184-9. https://doi.org/10.4103/0019-557X.77257
  14. Oberoi SS, Sharma G, Nagpal A, Oberoi A (2014). Tobacco cessation in India: how can oral health professionals contribute? Asian Pac J Cancer Prev, 15, 2383-91. https://doi.org/10.7314/APJCP.2014.15.5.2383
  15. Philip PM, Parambil NA, Bhaskarapillai B, Balasubramanian S (2013). Evaluation of a specially designed tobacco control program to reduce tobacco use among school children in Kerala. Asian Pac J Cancer Prev, 14, 3455-9. https://doi.org/10.7314/APJCP.2013.14.6.3455
  16. Parakh A, Megalamanegowdru J, Agrawal R, et al (2013). Dental practitioners self reported performance of tobacco cessation counseling interventions: a cross sectional study. Asian Pac J Cancer Prev, 14, 6141-5. https://doi.org/10.7314/APJCP.2013.14.10.6141
  17. Richmond RL, Debono DS, Larcos D, Kehoe L (1998). Worldwide survey of education on tobacco in medical schools. Tob Control, 7, 247-52. https://doi.org/10.1136/tc.7.3.247
  18. Raupach T, Shaha L, Baetzing S, et al (2009). Medical students lack basic knowledge about smoking: Findings from two European medical schools. Nicotine Tob Res, 11, 92-8. https://doi.org/10.1093/ntr/ntn007
  19. Stillman FA, Wipfli HL, Lando HA, Leischow S, Samet JM (2005). Building capacity for international tobacco control research: The Global Tobacco Research Network. Am J Public Health, 95, 965-8. https://doi.org/10.2105/AJPH.2004.047183
  20. Stillman F, Wipfli H, Samet J (2006). Reaching and educating the global tobacco control community: innovative approaches to tobacco control training. Public Health Rep, 121, 521-8.
  21. Smith D, Leggat P (2007). An international review of tobacco smoking among medical students. J Postgrad Med, 53, 55-62. https://doi.org/10.4103/0022-3859.30333
  22. Sinha DN, Gupta PC, Dobe M, Prasad VM (2007). Tobacco control in schools of India: review from India Global School Personnel Survey 2006. Indian J Public Health, 51, 101-6.
  23. Sharma K, Zodpey S (2011). Public health education in India: Need and demand paradox. Indian J Community Med, 36, 178-81. https://doi.org/10.4103/0970-0218.86516
  24. Sinha DN, Gupta PC, Gangadharan P (2007). Tobacco use among students and school personnel in India. Asian Pac J Cancer Prev, 8, 417-21.
  25. Tripathy JP, Goel S, Patro BK (2013). Compliance monitoring of prohibition of smoking (under section-4 of COTPA) at a tertiary health-care institution in a smoke-free city of India. Lung India, 30, 312-5. https://doi.org/10.4103/0970-2113.120607
  26. WHO (2005). Role of health professionals in tobacco control. World No Tobaccco Day 2005.
  27. World Health Organization (2011). WHO report on global tobacco pandemic 2011. Geneva World Health Organization 2011.
  28. WHO (2013). Global health risks: mortality and burden of disease attributable to selected major risks.

Cited by

  1. Effectiveness of Tobacco Education for Pharmacy Students in Indonesia vol.15, pp.24, 2015, https://doi.org/10.7314/APJCP.2014.15.24.10783
  2. Cross Sectional Survey on Association between Alcohol, Betel-Nut, Cigarette Consumption and Health Promoting Behavior of Industrial Workers in Ghaziabad vol.16, pp.1, 2015, https://doi.org/10.7314/APJCP.2015.16.1.139
  3. Is Exposure to Tobacco Advertising, Promotion and Sponsorship Associated with Initiation of Tobacco Use among Current Tobacco Users in Youth in India? vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6299
  4. Predictors of Tobacco Use among Youth in India: GATS 2009-2010 Survey vol.16, pp.17, 2015, https://doi.org/10.7314/APJCP.2015.16.17.7535
  5. Report from a symposium on catalyzing primary and secondary prevention of cancer in India vol.26, pp.11, 2015, https://doi.org/10.1007/s10552-015-0637-x