ITC India Pilot Survey
Maansi Bansal-Travers, Ph.D.
Department of Health Behavior
Roswell Park Cancer Institute
ITC-TTURC Project Annual Meeting
Portland, Oregon—March 1, 2008
India: Demographics
Population
Adults (>15 years)
Urban
Growth rate
Over 1.1 Billion
67.9%
29.0%
1.7%
Income Group
Income per capita (Intl $)
Extreme Poverty Rate
Literacy Rate
Low
$3,460
34.7%
61.0%
India: Prevalence
Youth Prevalence (2006 GYTS
national sample, 13-15 years)
Males
17.3%
Females
9.7%
Overall
14.1%
Adult Prevalence (current cigarette
use, 2005)
Males
32.7%
Females
1.4%
data not
available
Overall
India: Tobacco Industry
Tobacco Industry
(From Tobacco Atlas, 2006)
Cigarette Production
90 Billion
Cigarette Imports
200 Million
Cigarette Exports
1.5 Billion
India: FCTC Status
FCTC Status
Signed
10 Sept 2003
Ratified
5 Feb 2004
India: FCTC—Price and Taxation
Cigarette Price of most popular
brand
In National Currency 68.00 INR
USD
$1.50
In International $
$7.04
Affordability of most
popular brand: % of
annual per capita
20%
income required to buy
100 packs
~57% of
Taxes
retail price
India: FCTC—Non-Price Measures
Advertising/Promotion
Bans
Enforcement Rating
Fairly comprehensive
except for point of sale
7/10
Smoke-Free
Except restaurants
Enforcement Rating
Yes
2/10
Warning Labels
FCTC min
50% of principal display area
Pictorial warning implementation
delayed
ITC India Pilot Survey
• Conducted in Maharashtra (n=337) and
Bihar (n=427)
• Each area was broken down into Urban
and Rural geographic regions
• Survey instrument was translated into
Hindi, Marathi, and a few other
languages
Demographics
n
%
Mean Age=42
n
%
Education level
Sex
Illiterate 291 38%
Male 460 60%
Primary 106 14%
Female 304 40%
Middle 128 17%
Region
Secondary 128 17%
Urban 282 37%
College
97
13%
Rural 482 63%
Above
11
1%
Overall Health
Tobacco Use
Poor
4
1%
Smoker 249 33%
Less poor
15
2%
Smokeless 248 32%
Good
92
12%
Non-tobacco user 267 35%
Very good 316 41%
Excellent 333 44%
Health concerns
• Do you think smokeless tobacco use is good for your
health?
– Good: 61 (8%)
– Neither good nor bad: 78 (10%)
– Not good: 616 (81%)
• Do you think smoking is good for your health?
– Good: 61 (8%)
– Neither good nor bad: 48 (6%)
– Not good 649 (85%)
• To what extent, if at all, has smoking damaged your
health?
–
–
–
–
Not at all: 251 (51%)
A little: 168 (34%)
Very much: 11 (2%)
Don’t know: 60 (12%)
Health concerns
• [Among smokers] In the last month, have you
butted out a cigarette or bidi before you
finished it because you thought about the
harm of smoking?
– Yes: 41 (16%)
– No: 195 (78%)
• If you had to do it over again, you would not
have started using tobacco.
– Agree: 213 (43%)
– Neither agree nor disagree: 23 (5%)
– Disagree: 186 (37%)
• Have you ever tried to stop smoking?
– Yes: 139 (28%)
– No: 357 (72%)
Beliefs about health effects and SLT
% Yes
Mouth cancer
74%
Gum disease
60%
Difficult to open mouth
49%
Beliefs about health effects and smoking
% Yes
Stroke
25%
Impotence
26%
Lung cancer
70%
Mouth cancer
44%
Stained teeth
44%
Premature aging
68%
Lung cancer in nonsmokers
from SHS
45%
Coronary heart disease
26%
Cigarettes vs. Bidis
• Compared to smoking cigarettes, do
you think bidis are less harmful, more
harmful, or no different for health?
– Bidis less harmful: 17%
– Bidis more harmful: 22%
– No difference: 47%
– DK: 14%
Cigarettes vs. SLT
• Compared to smoking cigarettes, do
you think smokeless tobacco products
are less harmful, more harmful, or no
different for health?
– SLT less harmful: 23%
– SLT more harmful: 15%
– No difference: 48%
– DK: 14%
Bidis vs. SLT
• Compared to smoking bidis, do you
think smokeless tobacco products are
less harmful, more harmful, or no
different for health?
– SLT less harmful: 21%
– SLT more harmful: 17%
– No difference: 48%
– DK: 14%
Health Warnings
• As far as you know, do cigarette
packages in India have health warning
on cigarette packages?
– Yes: 326 (43%)
– No: 340 (45%)
– Don’t know: 94 (12%)
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india - summary - the Roswell Park ITC TTURC