Tobacco Cessation Program among Cab Drivers in Mumbai, India: An Interventional Study
Gauravi Ashish Mishra1, Sharmila A Pimple1, Vasundhara Y Kulkarni1
1Department of Preventive Oncology, Centre for Cancer Epidemiology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
Summary
A tobacco cessation program for Mumbai cab drivers significantly reduced tobacco use, with nearly half quitting and many reducing consumption. This intervention highlights effective strategies for workplace tobacco control.
Area of Science:
- Public Health
- Occupational Health
- Tobacco Control
Background:
- The global tobacco epidemic causes millions of deaths annually.
- Indian smoke-free legislation mandates smoke-free public places, including cabs.
- A majority of cab drivers in India remain addicted to tobacco despite legislation.
Purpose of the Study:
- To assess cab drivers' knowledge, attitudes, and practices regarding tobacco use before and after an intervention.
- To educate cab drivers on tobacco hazards and the importance of smoke-free cabs.
- To offer oral cancer screening and tobacco cessation support.
Main Methods:
- An interventional study conducted in Mumbai from 2015-2018.
- 400 cab drivers were enrolled and received health education, oral cancer screening, and cessation assistance over one year.
- Data collected on tobacco use, quit attempts, and need for assistance.
Main Results:
- 63.8% of cab drivers used tobacco, primarily smokeless forms.
- Nearly 94.1% intended to quit, and 69.8% desired cessation assistance.
- 49.4% quit tobacco, and 46.7% reduced consumption; 112 drivers had oral precancerous lesions, and one had oral cancer.
Conclusions:
- Workplace tobacco cessation programs can be successfully implemented and replicated.
- Adherence to smoke-free laws is crucial for reducing secondhand smoke exposure.
- Targeted interventions are effective in promoting tobacco cessation among high-risk occupational groups.
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