Although tobacco use is declining in several countries including India (dropping from 35% in 2009-10 to 29% 2016-17 among adults)-it still poses a huge burden on India, as the world's second largest consumer of tobacco products. In Bihar state, with a prevalence of 25%, the Bihar School Teachers Study (BSTS) successfully enlisted teachers as role models for encouraging quitting and changing social norms pertaining to tobacco. The study used a mixed-methods approach to identify factors associated with teachers' quitting. Qualitative data were collected through focus groups with teachers and school principals. Quantitative data were collected through a written survey administered to school personnel post-intervention. Key findings from focus groups were that teachers and principals quit using tobacco and promoted cessation because they wanted to model positive behaviors; specific information about tobacco's harms aided cessation; and the BSTS intervention facilitated a school environment that supported quitting. Survey results indicated teachers who reported knowing people who quit using tobacco in the prior year were far more likely to quit as were teachers who reported that their school's tobacco policy was completely enforced. The combination of qualitative and quantitative data yielded important insights with strong implications for future interventions.

中文翻译：

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印度比哈尔邦教师成功戒烟的相关因素：一项混合方法研究。

尽管包括印度在内的一些国家的烟草使用量正在下降（成年人中的烟草使用量从2009-10年的35％下降到2016-17年的29％），但它仍然是印度的巨大负担，成为世界第二大烟草制品消费国。在比哈尔邦，占25％的患病率，比哈尔学校教师研究（BSTS）成功地邀请教师成为鼓励戒烟和改变与烟草有关的社会规范的榜样。该研究采用混合方法来确定与教师离职相关的因素。通过与教师和学校校长的焦点小组收集定性数据。干预后通过对学校人员进行书面调查收集定量数据。焦点小组的主要发现是，教师和校长因为想模仿积极的行为而戒烟并提倡戒烟。有关戒烟危害的具体信息；BSTS的干预促进了支持戒烟的学校环境。调查结果表明，报告说知道前一年戒烟的人的老师比报告学校完全实施烟草政策的老师更容易戒烟。定性和定量数据的结合产生了重要的见解，对未来的干预措施具有重要意义。调查结果表明，报告说知道前一年戒烟的人的老师比报告学校完全实施烟草政策的老师更容易戒烟。定性和定量数据的结合产生了重要的见解，对未来的干预措施具有重要意义。调查结果表明，报告说知道前一年戒烟的人的老师比报告学校完全实施烟草政策的老师更容易戒烟。定性和定量数据的结合产生了重要的见解，对未来的干预措施具有重要意义。