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MoviesandTVInfluenceTobaccoUseinIndia:Findings
fromaNationalSurvey
K.Viswanath1,2*,LelandK.Ackerson3,GlorianSorensen1,2,PrakashC.Gupta4
1DepartmentofSociety,HumanDevelopment,andHealth,HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,2CenterforCommunity-
Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, United States of America, 3Department of Community Health and Sustainability, University of
MassachusettsLowell,Lowell,Massachusetts,UnitedStatesofAmerica,4Healis-SekhsariaInstituteforPublicHealth,NaviMumbai,India
Abstract
Background: Exposure to mass media may impact theuse of tobacco,a major source ofillness and death in India. The
objectiveistotesttheassociationofself-reportedtobaccosmokingandchewingwithfrequencyofuseoffourtypesof
massmedia:newspapers,radio,television,andmovies.
Methodology/PrincipalFindings:Weanalyzeddatafromasex-stratifiednationally-representative cross-sectionalsurveyof
123,768womenand74,068meninIndia.Allmodelscontrolledforwealth,education,caste,occupation,urbanicity,religion,
maritalstatus,andage.Infully-adjustedmodels,monthlycinemaattendanceisassociatedwithincreasedsmokingamong
women(relativerisk[RR]:1?55;95%confidenceinterval[CI]:1?04–2?31)andmen(RR:1?17;95%CI:1?12–1?23)andincreased
tobacco chewing among men (RR: 1?15; 95% CI: 1?11–1?20). Daily television and radio use is associated with higher
likelihoodoftobaccochewingamongmenandwomen,whiledailynewspaperuseisrelatedtolowerlikelihoodoftobacco
chewingamongwomen.
Conclusion/Significance:InIndia,exposuretovisualmassmediamaycontributetoincreasedtobaccoconsumptioninmen
andwomen,whilenewspaperusemaysuppresstheuseoftobaccochewinginwomen.Futurestudiesshouldinvestigate
therolethatdifferenttypesofmediacontentandmediaplayininfluencingotherhealthbehaviors.
Citation:ViswanathK,AckersonLK,SorensenG,GuptaPC(2010)MoviesandTVInfluenceTobaccoUseinIndia:FindingsfromaNationalSurvey.PLoSONE5(6):
e11365.doi:10.1371/journal.pone.0011365
Editor:AbdisalanM.Noor,KenyaMed
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