Banning tobacco sales and advertisements near educational institutions may reduce students' tobacco use risk: evidence from Mumbai, India

Tob Control. 2015 Mar;24(e1):e100-7. doi: 10.1136/tobaccocontrol-2012-050819. Epub 2013 Aug 19.


Background: India's Cigarettes and Other Tobacco Products Act bans tobacco sales and advertisements within 100 yards of educational institutions. In school-adjacent neighbourhoods in Mumbai, we assessed adherence to these policies and whether tobacco vendor and advertisement densities were associated with students' tobacco use.

Methods: High school students' tobacco use was measured using a multistage cluster sampling survey (n=1533). Field geographic information systems data were obtained for all tobacco vendors and advertisements within 500 m of schools (n=26). Random-effects multilevel logistic regression was used to estimate associations of tobacco vendor and advertisement densities with ever tobacco use, current smokeless tobacco use and current tobacco use.

Results: There were 1741 tobacco vendors and 424 advertisements within 500 m of schools, with 221 vendors (13%) and 42 advertisements (10%) located within 100 m. School-adjacent tobacco vendor density within 100 m was not associated with the tobacco use outcomes, but tobacco advertisement density within 100 m was associated with all outcomes when comparing highest to lowest density tertiles: ever use (OR: 2.01; 95% CI 1.00 to 4.07), current use (2.23; 1.16, 4.28) and current smokeless tobacco use (2.01; 1.02, 3.98). Tobacco vendor density within 200, 300, 400 and 500 m of schools was associated with current tobacco use and current smokeless tobacco use, but not ever use.

Conclusions: The tobacco sales ban near educational institutions could be expanded beyond 100 m. Greater enforcement is needed regarding the current bans, particularly because advertisement density within 100 m of schools was associated with all students' tobacco use outcomes.

Keywords: Advertising and Promotion; Global health; Low/Middle income country; Prevention; Public policy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Commerce / legislation & jurisprudence
  • Female
  • Government Regulation*
  • Humans
  • India
  • Logistic Models
  • Male
  • Marketing / legislation & jurisprudence*
  • Nicotiana
  • Public Policy
  • Risk
  • Schools*
  • Smoking Prevention*
  • Students
  • Tobacco Industry / legislation & jurisprudence*
  • Tobacco Products / economics*
  • Tobacco Use Disorder / prevention & control
  • Tobacco Use*
  • Tobacco, Smokeless