{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:12:29Z","timestamp":1792465949513,"version":"4.5.0"},"reference-count":32,"publisher":"Maad Rayan Publishing Company","issue":"2","content-domain":{"domain":["ahj.kmu.ac.ir"],"crossmark-restriction":false},"short-container-title":["Addict Health"],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:p>Background: Attitudes and impressions toward the tobacco industry and tobacco products among the general public are important determinants for curbing the menace of the tobacco epidemic. Accordingly, this study aimed to assess the knowledge and perceptions about the tobacco industry and tobacco products and analyze attitudes towards social denormalization (SD) of tobacco use and tobacco industry denormalization (TID) among the rural population of Bihar, India. Methods: This community-based cross-sectional survey was conducted on 421 adults aged 18 to 65 years who were selected using multistage systematic random sampling in a rural area of Bihar State in India from January to March 2022. Results were presented as proportions and the factors associated with support for TID and SD were identified using the chi-square test and binary logistic regression. Findings: Out of 421 participants, 342 (81.2%) did not consider smokeless tobacco to be very dangerous. Nearly half (192, 45.6%) of the individuals believed that tobacco companies never tell the truth about the ill effects of tobacco use on health. Maximum, 345 (89.5%) also believed that the tobacco industry is responsible for adverse health effects of tobacco use and that the government should sue them. The prevalence of favorable attitudes toward TID and SD was found to be 55.1% [95% CI: 50.3% \u2013 59.8%] and 38.2% [95% CI: 33.7% \u2013 42.9%], respectively. Conclusion: One out of every two and one out of every three individuals showed favorable attitudes toward TID and SD, respectively. There is a need to inform and educate the public on the ill effects of tobacco and the deceptive strategies used by the tobacco industry to help them choose health over tobacco.<\/jats:p>","DOI":"10.34172\/ahj.2024.1438","type":"journal-article","created":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T06:47:54Z","timestamp":1719643674000},"page":"83-92","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Awareness and Attitude Towards Tobacco Products and Tobacco Industry and Perception about Government\u2019s Role in Tobacco Control among the Adult Rural Population: A Cross-sectional Study in the Indian State of Bihar"],"prefix":"10.34172","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8581-0613","authenticated-orcid":true,"given":"Bijaya","family":"Nanda Naik","sequence":"first","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7575-1162","authenticated-orcid":true,"given":"Rajath","family":"Rao UR","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7918-5340","authenticated-orcid":true,"given":"Manisha","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, NAMO Medical Education and Research Institute, Silvassa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2166-9470","authenticated-orcid":true,"given":"Santosh","family":"Kumar Nirala","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-6763","authenticated-orcid":true,"given":"Sanjay","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5568-7036","authenticated-orcid":true,"given":"C","family":"M Singh","sequence":"additional","affiliation":[{"name":"Dr. RML Institute of Medical Sciences, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1067\/moe.2002.123497"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-557x.89943"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1177\/1179916118759289"},{"key":"R4","unstructured":"WHO Framework Convention on Tobacco Control (FCTC). 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