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Breaking New Grounds in Tobacco Control - Voluntary Health ...

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tobacco. Adjust<strong>in</strong>g the official poverty<br />

level for this data, it is found that 14<br />

million people are below the poverty<br />

l<strong>in</strong>e but not counted. Non-smoked<br />

tobacco and dual use are responsible<br />

for 58%, 23%, and 19% of this <strong>in</strong>crease<br />

<strong>in</strong> poverty as a result of tobacco<br />

expenditure, respectively.<br />

18% of medical expenditure by rural<br />

households and 17% of medical<br />

expenditure by urban households<br />

can be attributed to tobacco use.<br />

Account<strong>in</strong>g for these tobacco-related<br />

medical expenditure <strong>in</strong>creased the<br />

poverty level to 28.4% <strong>in</strong> rural India<br />

and to 25.7% <strong>in</strong> urban India, mean<strong>in</strong>g<br />

that an additional 0.9 million people<br />

should have been classified as poor.<br />

The comb<strong>in</strong>ed effect of both direct<br />

tobacco purchases and tobaccoattributed<br />

medical expenditure means<br />

15 million people became poor<br />

after account<strong>in</strong>g for tobacco use <strong>in</strong><br />

2005. These 15 million people were<br />

Research 5<br />

For the Millions<br />

n 62<br />

misclassified as be<strong>in</strong>g above the<br />

poverty l<strong>in</strong>e.<br />

Policy implications<br />

•<br />

•<br />

•<br />

Poverty eradication is the first of the<br />

eight MDGs and reduc<strong>in</strong>g tobacco use,<br />

along with other strategies, can be a<br />

very effective means of achiev<strong>in</strong>g this<br />

goal. Regulat<strong>in</strong>g tobacco use is not only<br />

a good public health policy, but also a<br />

good poverty alleviation strategy.<br />

As poor are relatively more responsive<br />

to tobacco price <strong>in</strong>creases than the<br />

rich, one of the most effective tobacco<br />

control measures is a price <strong>in</strong>crease via<br />

higher tobacco taxes.<br />

Tax <strong>in</strong>crease will reduce tobacco use<br />

and free up money for the consumption<br />

of essential goods and services such<br />

as food, cloth<strong>in</strong>g, healthcare and<br />

education, it will improve labour<br />

productivity and will also <strong>in</strong>crease the<br />

earn<strong>in</strong>g potential of the family.<br />

<strong>Tobacco</strong> Use <strong>in</strong> Bollywood Movies, <strong>Tobacco</strong> Promotional<br />

Activities and their Association with <strong>Tobacco</strong> Use Among<br />

Indian Adolescents<br />

Monika Arora, Neha Mathur, V<strong>in</strong>ay K Gupta, Gaurang P Nazar, K Sr<strong>in</strong>ath Reddy, James D<br />

Sargent, <strong>Tobacco</strong> <strong>Control</strong>, 2011, doi:10.1136/tc.2011.043539 [Open Access]<br />

Background<br />

Studies <strong>in</strong> developed countries have<br />

established that exposure to smok<strong>in</strong>g<br />

<strong>in</strong> Hollywood movies leads to <strong>in</strong>creased<br />

risk of smok<strong>in</strong>g among adolescents.<br />

This was a cross-sectional study among<br />

Indian school-go<strong>in</strong>g adolescents to study<br />

whether exposure to tobacco use through<br />

Bollywood movies is associated with youth<br />

tobacco use.<br />

Methodology<br />

•<br />

A cross-sectional sample of 3956<br />

adolescents (eighth and n<strong>in</strong>th grades,<br />

ages 12 to 16 years) from 12 randomly<br />

selected <strong>New</strong> Delhi schools was surveyed<br />

<strong>in</strong> 2009, assess<strong>in</strong>g tobacco use status,<br />

receptivity to tobacco promotions<br />

(based on own<strong>in</strong>g or be<strong>in</strong>g will<strong>in</strong>g to<br />

wear tobacco-branded merchandise) and<br />

exposure to tobacco use <strong>in</strong> movies.

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